
(lass l\ C 2/ 
Book ■ Kb A 3 



COPYRIGHT DEPOSIT 



ROBB & CO.'S 



FAMILY PHYSICIAN. 



■A WORK ON- 



DOMESTIC MEDICINES, 



-DESIGNED TO SHOW- 



How to have Health, which is Equivalent to Time and Money, 



■BY- 



R. L. ROBB, M. D., J. V. BEAN, M. D., 

Homoeopathic, Allopathic. 



S. LUCRETIA ROBB, M. D. 

Diseases of Women and Children. 






COMPLETE AND COMPREHENSIVE TREATISE ON DISEASES, WITH 
THEIR BEST MANNER OF TREATMENT. 



SOLID UBY SUBSCRIPTION ONLY. 



.S.W.1 


ROBB & CO., BOOK PUBLISHERS, 

BURLINGTON, IOWA. 



PUBLISHED BY 



U C»v„ 



Entered according to act of Congress in the j'ear 1879, 

By R. L. & S. L. ROBB. 

n the office of the Librarian of Congress at Washington. All rights reserved. 

CHAS. I. BARKER, Steam Book and Job PriDter. Burlington, Iowa. 



TO THE THINKING MASSES, 

And to all classes of our fellow men who love the light of plain truth, 
rather than the darkness and bigotry that results from one class holding 
all the most vital knowledge pertaining to our bodies, keeping it covered 
by a cloud of words from the dead languages, and thereby aiding in mak- 
ing it a cloak under which ignorant men can hide their wickedness, this 

work is most cheerfully dedicated by 

THE AUTHORS. 



TABLE OF REMEDIES. 



ABBREVIATION LATIN. 

1 A<- Aconitum napellus 

2 Agar Agricus muscarius 

_ mi- Agnus east us 

1 Alum Alumina 

■ r ) Ambra Ambragrisea 
6 A nun c A mmoniuni carbon i cum 
: Annn mur Ammonium Muriaticum 

B \uac Anacardium 

9 Ante Antimonium erudum 

10 Apis moll Apis mellifica 

11 Arg fol Argentum foliatum 

12 Arg nil Argentum nitricum 

13 Arn Arnica montana 

14 Arsalb Arsenicum album 

15 Arisvirg A rislolochia Virginia 

16 Asa Asafuetida 

17 Asaruui Asarum europieum 
I s Aurum f Aurum foliatum 

19 Anrmer Aurum muriaticum 

20 Baryta Baryta carbonica 

21 Hell* Belladonna 

• rax Borax 

- Bov Bovista 

24 Brom Bromiura 

25 Bry Bryonia alba 

thin Caninca 

27 Cal car Calcarea carbonica 

! caufi Calcarea caustiea 

. phoe Calcarea phosphorica 

80 Calen ( lalendula officinalis 

I acgran Cactus grandiflorus 

■VI Campb Camphors 

anii < annabis Bativs 

mil) Cantharides 

I ap ( lapsicum annuum 

I arboa Carbo animals 

1 irbo \ - ( Sarbo vegetaoilis 

aus Causticum 

1 epa ( lepa 

40 ( iiam < lhamomilla vulgaris 

41 Chi China 

I i<- ( licuta virosa 

1 mi ( imicifuga racemosa 

W < iii < 'ina 

i") ( 'i-i <• < is ii- canadensifi 

I em < Slematis erects 
< locculus i adieus 
I cus <-;i<-t i 

off ( offea cruda 

1 >lchic < lo'.chicum autumnale 

1 -.I Colocynthls 

I on ( "iiiiiui maculatum 
Crocus 



ENGLISH NAME. 

Monk's.hood, wolf -bane 

Bug agaric Amanita 

Chaste-tree 

Argilla, Clay, Ox. of Alumen 

Ambergris 

Carbonate of Ammonia 

Muriate of Ammonia 

Malacca-bean 

Crude Antimony 

Honey-bee 

Silver-foil 

Xitrate of Silver . 

Leopard's bane 

Arsenic 

Virginia Snake-root 

Asafcetida 

Common Asarabacca 

Gold 

Muriate of Gold 

Carbonate of Baryta 

Deadly Nightshade 

Biborate of Soda 

Puff-ball 

Bromine 

White Bryony 

Chinca-ioot 

Carbonate of Lime 

Caustic Lime 

Phosphate of Lime 

Marsh Marigold 

Xightblooming Cerus 

Camphor 

Hemp 

Spanish Fly 

Cayenne Pepper 

Animal Charcoal 

Vegetable Charcoal 

( austic Tincture 

( lommon Onion 

( !ommon Chamomile 

Peruvian Bark 

Water Hemlock 

Black Snakeroot 

Worm-seed 

Hock Hose 
Virgin's Bower 
Seeds of Cocculus 

COO lineal 

Pa a Coffee 
Meadow Saffron 
Bitter Cucumber 
Spotted Hemlock 
Saffron 



TABLE OF REMEDIES. 



GERMAN NAME. 


— ^ ■ 

ANTIDOTES. 


1 Sturmhut. Eisenhut. 


Vinegar, Coffee. 


2 Fliegenpilz. 


Wine, Coffee. 


3 Keuschbaum. 


Camphor. 


4 Thonerde. 


Ipecacuanha. 


5 Amber. 


Camphor. 


6 Kohlensaures Ammonia. 


Camphor. 


7 Salzsaures Ammonium. 


Oils Camphor, Coffee. 


8 Malaccanuss. 


Camphor, Coffee. 


9 Schwefelspiesglanz. 


Pulsatilla. 


10 Honigbiene. 


Vinegar, Arnica. 


11 Blattsilber. 


Puis. Merc. 


12 Salpetersaures Silber. 


Kitchen Salt. 


13 Wohlverlei. 


Camphor, Vinegar. 


14 Arsenik. 


Sesquioxide of Iron . 


15 Virginische Osterluze. 


Camphor. 


16 Stinkender Asand. 


Camphor . 


17 Haselwurz. 


Camphor, Vinegar. 


18 Blattgold. 


Mercurius. 


19 Salzsaures Gold. 


Wine, Camphor, Mercury, 


20 Kohlensaure Schwererde. 


Sulphate of Soda. 


21 Tollkirsche. 


Coffee, Camphor. 


22 Borax. 


Coffee. 


23 Bovist. 


Camphor. 


24 Brom. 


Ammonia, Coffee. 


25 Zaunruebe. 


Aconite. 


26 Cachincawurzel. 




27 Kohlensaure Kalkerde. 


Nitric Acid. 


28 Aetzkalk. 


Bryonia. 


29 Phosphorsaure Kalkerde. 




30 Goldblume. 

31 

32 Kampfer. 


Arnica. 


Opium, Vinegar. 


33 Hanf. 


Lemonade. 


34 Spanische Fliege. 

35 Spanische Pfeffer. 


Camphor. 


Camphor. 


36 Thierkohle. 


Camphor, Arsenic. 


37 Holzkohle. 


Camphor, Arsenic. 


38 Aetzstoff. 


Coffee. 


39 Fwiebel. 


Ammonia. 


40 Feldkamille. 


Aconite, Cocculus. 


41 Peruvianische Rinde. 


Arsenic, Veratrum. 


42 Wasserschierling, 


Tobacco. 


43 Schlangenwurzel. 


Coffee. 


44 Cinasamen. 


Ipecac. 


45 Steinrose. 


Zinc. 


46 Brennwaldrebe. 


Bryonia. 


47 Kockelsamen. 


Camphor. 


48 Cochenille. 


Tea, Wine. 


49 KafTee. 


Aconite. 


50 Herbstzeitlose. 


Vinegar, Honey. 


51 Holoquinthen. 


Camphor. 


52 Fleckensehierling. 


Coffee. 


53 Saffran. 


Aconite. 





TABLE OF REMEDIES. 


ABBREVIATION LATIN. 


ENGLISH. 


")4 Cn>t ;il 


Crotalus horridus 


Rattlesnake Poison 


1 rot ole 


Crotonius oleum 


Croton Oil 


1 up met 


Cuprum metallicum 


Copper 


57 1 !upr ac 


Cuprum aceticum 


Acetate of Copper 


1 uprsul 


Cuprum BUlph 


Sulphate of Copper 


59 Daph 


Daphne indiea 


Indian Daphne 


: >igi 


Digitalis ])urpurea 


Fox-glove 


6] Droa 


1 tooeera 


Sun-dew 


82 Dulc 


Dulcamara 


Bittersweet 


I lllp 


Kupatorium 


Boneset, Ague weed 


*J4 Eupho 


Kuphorbiuni 


Spurge 


65 Buphra 


Euphrasia 


Eye-bright 


66 Ferr 


Ferrum nietalicum 


Iron 


67 Ferr ace 


Ferrum aceticum 


Acetate of Iron 


68 Ferr mur 


Ferrum muriaticum 


Muriate of Iron 


69 Fil in 


Filix mas 


Male Fern 


70 ( Iraph 


Graphites 


Black-lead 


71 (ilo 


Glonoine 


Xitro-Glycerine 


72 Jlama 


Bamamelis Virginiana 


Witch-Hazel 


73 Helleb 


Helleborus niger 


Christinas Rose 


74 Bepsul 


llepar Bulphuris 


Sulphuret of Lime 


75 lly add 


Hydrocyaui acidum 


Prussic Acid 


7'. Byos 


Byoscyamus niger 


Black Henbane 


77 Ilvp perf 


Hypericum perforatum 


St. John's Wort 


7- [gn 


[gnatia amara 


St. Ignatius' Bean 


79 [ndigo 


Indigo 


Indigo 


90 lod 


Iodium 


Iodine 


-l Ip 


Ipecacuanha 


Ipecac 


82 Jalap 


J a la pa 


Jalap 


83 Kali l»i 


Kali bichromicum 


Bichromate of Potash 


84 Kali car 


Kali carbonicum 


Carbonate of Potash 


85 Kali hi 


Kali hidiodicum 


Iodide of Potassium 


86 Kn 


Kreasotum 


Creasote 


s7 KOUSSO 


Kousso 


Kousso 


88 Lach 


Lachesis 


Lachesis 


89 Laur 


Laurocerasus 


Cherry Laurel 


BO Led pal 


Ledum palustre 


Marsh-tea 


91 Lye 


Lycopoaium clavatum 


( lub-moss 


•_ Lob 


Lobelia 


Indian Tobacco 


Mag car 


Magnesia carbonica 


Carbonate of Magnesia 


Mag miii 


Magnesia muriatica 


Muriate of Magnesia 


95 Mangan 


Manganum 


Manganese 


96 M'-rv 


Meryanthes trifoliata 


Buck Bean 


••7 Mepo 


.Mephitis putorius 


Skunk 


tier viv 


Mercurius vivus 


Mercury, Quicksilver 


Her boI 


Merourius Bolubilis 


Soluble Mercury 


LOO Mer «l'il 


.Mercurius dulcis 


Calomel 


1 « > 1 Mer iod 


Mercurius iodide 


Iodide of Mercury 


102 Mer corr 


Mercurius corrosivus 


Corrosive Sublimate 


108 Mez 


Mezereum 


Me /.ere on 


104 Morpta 


Morphium 


Morphia 
Musk 


[05 Mosch 


Moschus 


: Mur ac 


Mmiat is acidum 


Muriatic Acid 


jo; N.ii car 


N .1! rum carbonicum 


Carbonate of Soda 


\\jh N'.it niiir 


N . rum muriaticum 


Kilcheii Salt 


109 Nil acd 


N it ri a< idum 


Nitric Acid 


1 10 Nux jug 


Nux luglous 


Walnut Shell 


111 N 


N i 1 1 1 1 1 1 1 


Nitre, Saltpetre 


1 1_< Nux moa 


liNux rnoschata 


Nutmeg 


1 1.; N 11 \ \oni 


Nux vomica 


Vomic Nut 


11 \ Olean 


nder 


Oleander 


115 m jec 


Oleum jenns 


Cod Liver Oil 



TABLE OF REMEDIES. 



GERMAN. 


ANTIDOTES. 


54 Klapperschlangengift. 


Arsenic, Ammonia, 


55 Crostonoel. 


Demulcents, Opium. 


56 Kupfer. 


White of Eggs. 


57 Essigsaures Kupfer. 


Mercury, Cocculus, Nux, 


58 Kupfervitriol. 


Hepar Sul. Ipic. 


59 Indischer Seidelbast. 


Bryonia, Rhus. 


60 Fingerhut, 


Acids, Camphor. 


61 Sonnenthau. 


Camphor . 


62 Bittersuess. 


Camphor. 


63 Durchwachsener. 


Quinine, Ipic. 


64 Wolfsmilch. 


Camphor . 


65 Augentrost. 


Camphor. 


66 Eisen. 


Arsenic, China. 


67 Essigsaures Eisen. 


Kreosote. 


68 Salzsaures Eisen. 


Pulsatilla, Arsenicum. 


69 Msennliches Farrenkraut. 




70 Reissblei. 
71 

72 


Arsenic. 


Arnica, China. 


73 Schwarze Niesswurz. 


Camphor. 


74 Schwefelleber. 


Vinegar. 


75 BlaussBiire. 


Ammonia, cold affusion, 


76 Bilseukraut. 


Vinegar. 


77 Hexenkraut. 




78 Ignazbohne. 


Camphor, Vinegar. 


79 Indigo. 




80 Iod. 


Boiled starch water and 


81 Brechwurzel. 


Tincture of Galls. 


82 Trichterwinde. 




33 Kromsaures Kali . 


Ipic. Lobelia. 


84 Kohlensaures Kali. 


Camphor. 


85 Hydriosaures. 


Acids. 


86 Kreasot. 


Milk, Mucilage. 


87 


Lemon-juice, Acids. 


88 Lachesis. 


Arsenic, Ammonia. 


89 Kirschlorbeer. 


Ammonia, Coffee. 


90 Porst. 


Camphor. 


91 Bserlapp. 


Camphor. 


92 Aufgeblasene Lobelia. 


Camphor, Ipic. 


93 Bittersalzerde. 


Pulsatilla. 


94 Kochsalzsaure Bittererde. 


Arsenic. 


95 Braunstein. 


Coffee. 


96 Bitterklee. 


Camphor. 


97 Stinkthier. 


Camphor. 


98 Quecksilber. 


Gold Iodine. 


99 Auflcessliches Quecksilber. 


Hepar Sul., Gold. 


100 Yersuesstes Quecksilber. 


Iodine, Nitric Acid. 


101 


Nitric Acid. 


102 AetzsublimatQuecksilberchlo'di 


e White of Eggs. 


103 Gemeiner Kellerhals, 


Vinegar. 


104 Morphine. 


Quick emetics. 


105 Moschus. 


Camphor. 


106 Kochsalzsse ure. 


Magnesia. 


107 Lungensalz. 


Arsenic. 


108 Kochsalz 


Nitric Ether. 


109 SalpetersEeure. 


Soap. 


110 Nussbaum. 




Ill Salpeter. 


Aconite. 


112 Muskatnuss. 


Camphor. 


113 Brechnuss. 


Wine, Coffee. 


114 Oleander. 


Camphor. 


115 Stockfish Leberthran. 





- 



TAKLE OF REMEDIES. 



\ BBKEVFA 1 ION 

116 Ol lie 

117 Op 

•tro 

119 Plies !IC 

120 Plioa 

121 Pli\ 

._ Plat 

123 Plumb 

124 Plumb act 

125 Pod pel 
1241 P 3 

127 Kan b 

128 Kan s 

129 Rhod 

180 Rhus tox 
i:;i Rutag 

Sabad 

Sabin 
134 Bamb 

Sang 

136 - 

137 SeD 
- Sep 

139 Ml 

140 Spig 
ui Spong 
142 Squi 
14:; stan 

144 Staph 

145 Mrani 

146 >ul 

147 sul ac 

- -nip 

14;. Tabac 

irax 

151 Tar em 

152 Tereb 01 

153 Ten m v 

154 Thu 
156 I "it u 

156 XanthoxJ 

107 Val off 
156 Vari 

159 Verba 

160 Vet alb 

161 Vet vir 

162 Vine 

io tri 

164 /in Sul 

165 /in 



LATIN. 

Oleum rieini 

Opium 

Petroleum 

Phosphori acidum 
Phosphorus 

Ph\ tolaeea deeandra 

Platina 

Plumbum 

Plumbum aceticura 

Podophyllum pelltaum 

Pulsatilla 

Ranunculus bulbosus 

Ranunculus scelaratus 

Rhododendron chrysanth 

Rhus toxicodendron 

Ruta graveolens 

Sabadilla 

Sabina 

Sambucus nigra 

Sanguinaria canadensis 

lie cornutum 
Senega 

Sepia 

Silieea 

Spigelia 

Spongia tosta 

Squilla martini a 

Stannum 

Staphysagria 

Stramonium 

Sulphur 

Sulphuris acidum 

Symphitum officinale 

Tabacum 

Taraxicum 

Tartarus emeticus 

Terebinthina 

Teucrium marum verum 

Thuya occidentalis 

Crtiea arena 

Xaiithoxylum liaxincum 

Valeriana officinalis 

Variolin 

Verbascum thapsus 

Veratrum album 

Veratrum vivide 

\inea minor 

Viola tricolor 

Zincum sulphas 

Zincum 



ENGLISH. 

Castor Oil 

Opium 
Rock Oil 
Phosphoric Acid 
Phosphorus 
Poke Root, Poke Berrv 
Platina 
Lead 

Acetate of Lead 
May Apple 
Wind Flower 
Crowfoot 

Malignant Crawfoot 
mLiberian Rose 
Poison Sumach 
Rue 

Mexican Barley 
Savin 
Elder 

Blood Root 
Ergot 

Rattlesnake Root 
Cuttle-Fish Juice 
Silica 
Pink Root 
Burnt Sponge 
Squills 
Tin 

Stave's-acre 
Thorn Apple 
Sulphur 
Sulphuric Acid 
Common Comfrey 
Tobacco 
Dandelion 
Tartar Emetic 
Spirits of Turpentine 
Wall Germander 
Tree of Life, Arbor Vitea 
Nettle 
Prickly Ash 
Valerian 
Cowpox Virus 
Mullein 

♦Vhite Hellebore 
American Hellebore 
Winter Green 
Pansy 

Sulphate of Zinc 
Zinc 



TABLE OF REMEDIES. 



GERMAN. 


ANTIDOTES. 


116 


Motion . 


117 Opium. 


Coffee, Camphor. 


118 Mohnsaft, Stein obI. 


Aconite. 


119 Phosphorsteure. 


Camphor, Coffee. 


120 Phosphorus. 

121 

122 Platina. 


Milk of Magnesia. 


Colchicum. 


123 Blei. 


Opium, Alum, Sulphuric Acid 


124 Essigsaures Blei. 


Opium, Alum. 


125 Schildblretteriger Entenfuss. 


Nux., Sul. 


126 Kneciienschelle. 


Coffee. 


127 Hahnenfuss. 


Coffee, Camphor. 


128 Giftiger Hahnenfuss. 


Camphor. 


129 Siberische Schnecrose. 


Camphor. 


130 Giftsmnach. 


Bryonia, Coffee, Lobelia. 


131 Haute. 


Camphor. 


132 Sabadillasamen. 


Camphor. 


132 Sodebaum. 


Camphor. 


134 Flieder. 


Camphor. 


135 Blutwurzel. 


Lobelia. 


136 Mutterkorn. 


Camphor. 


137 Senegawurzel. 


Arnica, Camphor. 


138 Sepiensaft. 


Aconite. 


139 Kieselerde. 


Camphor, 


140 Spigelie. 


Camphor . 


141 Rcestschwamm. 


Camphor. 


142 Meerzwiebel. 


Camphor. 


143 Zinn. 


Pulsatilla. 


144 Stephanskoerner. 


Camphor. 


145 Stechapfel. 


Vegetable Acids. 


146 Schwefel. 


Aeon., Camph. 


147 Schwefelsaeure. 


Magnesia. 


148 Wallwurz. 




149 Tabak. 


Ipic. Nux. 


150 Lcewenzahn. 


Camphor. 


151 Breehweinstein. 


Tincture of Galls. 


152 Terpentinoel. 


Camphor. 


153 Katzenkraut. 


Camphor. 


154 Lebensbaum. 


Cocculus. 


155 Brennessel. 

156 

157 Baldrian. 


Vegetable Acids. 


Aeon., Coffee. 


158 Kuhpoekengift. 




159 Koenigserze. 


Camphor. 


160 Weisse Niesswurz. 


Camphor, Coffee. 


161 Niesswurz. 


Aconite, Coffee. 


162 Wintergruen. 




163 Stiefmutterchen. 


Camphor. 


164 Schwefelsaures Zink. 


Hepar Sul. Ignatia. 


165 Zink. 


Hepar., Ignat. 



CONTENTS 



Table of Remedies Page 4 

Publisher's Preface Page 17 

Author'8 Preface Page 19 

introduction to Allopathic Treatment Page 22 



Part First. 

THE METHOD OF INVESTIGATING THE CONDITION OF THE 
PATIENT, OF DISTINGUISHING BETWEEN A STATE 
OF HEALTH AND DISEASE, AND OF DETER- 
MINING THE PECULIAR NATURE OF 
THE DISEASE. 

CHAPTER I Page 27 

THE GENERAL INVESTIGATION OF THE PATIENT. 

THE CONSOTTl TION and its Varieties: Plethoric, or Sanguine, Fee- 
Mr. Bilious, Apoplectic, Nervous, Dry, Wirey, Lax, Lymphatic, or 
Mucous, ( latarrnai, or Rheumatic, Scrofulous and Consumptive. 

liit TEMPERAMENTS AND their Varieties: The Sanguine, The Bil- 
ious The Melancholic and The Phlegmatic. 

The Ante* bdents of the Patient's Family. 

'I'm: Sexes AND their Distinction. 

Tin A.GE and i hi: CONDITIONS WHICH Qualify It: The earliest pe- 
riod of childhood ; The second period of childhood; The third period 
of childhood: The first period of maturity; Full maturity ; The first 
period of decline; The second period of decline, or old age. 

Indiviiii a i. < ii \i:a< TEKISTICS. 

Mannkk oi Living, General Eabits, Occupation. 

CHAPTER II Page 34 

THE [INVESTIGATION OF DISEASE— 
mrtcU ration <>/ t7u < 'au& , Qt n> ml Character and Particular Symptoms. 
The Causes of Diseases: First, individual exposure, excesses, etc. 

"iid, Endemic, or those peculiar to a certain locality. Third, Ep- 
idemic causes, ci ti !<>-<• for the time being prevailing over a large ex- 
tent Of ''OH nt rv. 

Pi lbb,its Varieties and Indications: The art of feeling the 
poise, in order to determine Its character accurately. When and how 



CONTENTS. 11 

not to feel the pulse. What to do before you feel the pulse. How to 
place the fingers to get the most information, and what you learn 
from the fingers correctly placed. The average of health. General in- 
ferences deductible from tile pulse. Various names for alterations of the 
pulse, as frequent, slow, quick, sluggish or tardy, soft, strong, feeble, 
large, small, full, empty, unequal and intermittent pulse. Indica- 
tions attributable to these varieties, respectively and jointly. 

The Condition of the Blood, its characteristics. Spontaneous dis- 
charges of blood generally. 

The Urine, its Varieties and Indications: The variations apparent 
in the urine, and their indications. 

The Function of Breathing : its Varieties and their Indica- 
tions: The breath in health. The variations to which breathing is 
subject, and their indications. 

The Digestive Functions, and the indications which they afford. The 
evacuations and their indications. Nausea and vomiting, and their 
meaning. Information derived from the appetite, and its variations. 
Absence of appetite. Natural appetite. Excess of appetite. Thirst 
and the indications it affords. 

The Tongue, and its indications and differences of appearance. 

The Nerves, Brain, Sensations and senses, and the information de- 
rived from their study. Loss of consciousness. Delirium. Fainting, 
etc. Motion, or muscular action, and rest or sleep, including spasms, 
convulsions and paralysis. 

The Organs of Sense, eyes, ears, nose, taste, etc., and the knowledge 
derived from them. 

CHAPTER III p age 42 

GENERALITIES. 

Coughs, and their indications. The condition of the skin, hot, natural 
or sweaty, and the lessons it teaches. The complexion, its changes 
and varities Sounds given out by the chest, and the method of ex- 
amining and interpreting them. The voice and speech. Tearfulness 
and laughter, as signs of health or disease. Loss of, or unhealthy in- 
crease of, flesh. Sneezing, yawning, groaning, etc. The saliva, defi- 
ciency and increase. The expectoration, and its valuable indications. 
Verification of death. ■ 

CHAPTER IV Page 79 

DIET. 

CLOTHING AND HABITS. 



ADMINISTRATION AND REPETITION OF THE HOMOEOPATHIC 

MEDICINES. 



CHAPTER V ^Page 81 

AIS 

External applications. 

THE BATH. 

Cold Salt Water Bath . Cold Fresh Water Bath. Hot Fresh Water Bath. 
Tepid, Shower, Vapor and Medicated Baths. Instructions, When 
and How to Use the Different Baths. Acclamation. Apparent death. 
Verification of Death. 



12 CONTENTS. 

F*ar*t Second.. 

CHAPTER VI Page 116 

DISEASES OF THE BRAIN, THE CORD. AXD THE NERVOUS 
SYSTEM, GENERALLY. 

Spotted Fever Cerebro-Spinal fcfenengitis. Hyperaemia of the Brain, or 
Excess of Blood to the Brain. Anaemia, or Lack of Blood to the Brain. 
Apoplexy, [nflammatory Diseases of the Brain and its Membranes. 
Paralysis. Brain Fever. Acute Inflammation. The Spinal Cord, 
and its Membranes— Myelitis. Dropsy of the Brain, or Water on the 
Brain Lock-Jaw — Tetanus. Trismus. Delirium Tremens. Epilepsy 
—Spasms. Spasms of Infants— Eclampsia infantum. Chorea. St. VT- 
tus's Dance. Catalepsy. Hysteria— Hysterics. 



Part Third. 

CHAPTER VII Page 166 

DISEASES OF THE HEAD. 

Headache— Cephalalgia Hemicrania. Nerve Pain. Face Ache. Face- 
Ague. Neuralgia of the Face. 

CHAPTER VIII Page 179 

DISEASES OF THE EYE. 

Inflammation of the Eye— OpthMmia— Acute and Chronic. Cataract- 
Specks on the Eye. * Strabismus — Cross-Eye. "Weeping, or Watery 
Eye. Stye. Bl i n'd ness— Conjunctivitis. 

CHAPTER IX Page 192 

DISEASES OF THE EAPv. 

Inflammation of the Ear and Earache — Otitis Otalgia. Discharge from 
the Ears — OtorrJiau, Deafness. Humming or buzzing in the ear. 

CHAPTER X Page 200 

DISEASES OF THE NOSE. 

Catarrh— Cold in the Head- Coryza Acute and Chronic. Inflammation 
of the Nose. Bleeding at tin — Epistaxis. 



CHAPTER XI Page 1'14 

DISEASES OF THE MOUTH, FA1 CES AND THROAT. 

Canker of the mouth Stomititis. Quinsy -Apthous sore throat. Ca- 
tarrhal sore throat. Diphtheria Mumps -Parotitis. Scurvy of tho 
Qumi Scorbutus, Toothache Odontalgia. 



CONTEXTS. 13 

Part Fifth. 
DISEASES OF THE STOMACH AND INTESTINES. 

CHAPTER XII ....Pao-e 239 

DISEASES OF THE STOMACH. 

Dyspepsia— Acute and Chronic Bleeding from the Stomach — Hcsmate- 
mesis. Spasm or cramp of the Stomach— Cardialgia. Heartburn,. 
Waterbrash — Pyrosis. 

CHAPTER XIII .. rag e 276 

DISEASES OF THE INTESTINES. 

Diarrhoea— Intestinal Catarrh. Simple Diarrhoea. Chronic Diarrhoea. 
Cholera Morbus. Fevers. Bilious Fever. Gastric Fever. Inflammation 
the Bowels — Enteritis Catarrhal Dysentery. Epidemic Dysentery 
Flux. Colic — Enteragia. Flatulent, Bilious, Hysteric, Rheumatic, 
Neuralgic, Printers, and Copper Colic. Constipation — Stenosis: Piles 
Haemorrhoids. Worms — Helminthiasis. Prolapsus ani. 



Part Sixth. 

CHAPTER XIV p ag e 331 

DISEASES OF THE LIVER AND SPLEEN. 

DISEASES OF THE LIVER. 

Congestion of the Liver. Inflammation of the Liver — Acute and Chronic. 
Jaundice. Gravel in the Gall-bladder. 

CHAPTER XV Page 339 

DISEASES OF SPLEEN. 
Inflammation of the Spleen. 



Jr*ai*t Seventh. 

CHAPTER XVI Page 342 

DISEASES OF THE KIDNEYS AND BLADDER, 

DISEASES OF THE KIDNEYS. 

Inflammation of the Kidneys— ISfephritis. Bright's Disease of the Kid- 
neys. Gravel. 

CHAPTER XVII Page 352 

DISEASES OF THE BLADDER. 

Inflammation of the Bladder Ostitis. B.oody Urine— ffen^aturia. Wet- 
ting the Bed— Enuresis Nocturna. Spasm of the Bladder. Paralysis 
of the Bladder. 



14 CONTENTS.. 

Part JKightli. 

CHAPTER XVIII Page 361 

DISEASES OF THE MALE SEXUAL ORGANS. 
Inflammation of the Testicles. Nightly Emissions— Spermatorrhoea. 

CHAPTER XIX Page 367 

DISEASES OF THE FEMALE SEXUAL ORGANS. 

Leucorrlnea — Whites — Vaginitis. The Menses. Derangements attendant 
upon their first Appearance. Suppression or Delay of Menses— 
Amenorrhcea, Profuse Menstruation. Cancer of the Womb. Inflam- 
mation of the Breasts — Mastitis. Cancer of the breasts. 



Part TVintli. 

CHAPTER XX Page 391 

DISEASES OF THE RESPIRATORY ORGAN. 
DISEASES OF THE LARYNX AND TRACHEA. 

Catarrh or Common Gold. Catarrhal Fever. Cough. Croup. Mem- 
branous Croup. Hoarseness. 

CHAPTKR XXI Page 411 

DISEASES OF THE LUNGS. 

Congestion of the Lungs. Hemorrhage of the Lungs Bronchitis — Acute 
and Chronic. Influenza. Whooping Cough — Pertussis. Pneumo- 
nia— Inflammation of the Lungs. Asthma. Hiccup — Singultus. 

CHAPTER XXII Page 45a 

DISEASES OF THE PLEURA. 
Pleurisy—] anamination of the Pleura. 



Part Tenth. 
CHAPTER XXIII. 



.Page 465 



DISEASES OF THE ORGANS OF CIRCULATION. 

DI8EA8ES OF THE HEART. 

Inflammation of the Heart Carditis. Palpitation of the Heart. An- 
gina Pectoris. 

CHAPTER XXIV Page 476 

DISEASES OF THE ARTERIES AND VEINS. 

Disease* of the Arteries. Inflammations of the Veins— Phlebitis. Vari- 
- ose Veins or Dilation of the Veins. 



CONTENTS. 15 

Part Eleventh. 
CHAPTER XXV Page 4 8i 

DERANGEMENTS OF SINGLE SYSTEMS. 

DISEASES OF THE BONES, MUSCLES AND JOINTS. 

Inflammation of the Bones and the Membranes covering them. Rickets 
— Rachitis. Lumbago. Inflammation of the Joints. Hip Joint 
— Coxalgia. Knee Joint— White Swelling— Gonitis. Joints of the 
Foot. 

CHAPTER XXVI Page 499 

DISEASES OF THE LYMPHATIC VESSELS AND GLANDS. 

Acute Inflammation. Chronic Inflammation. 

CHAPTER XXVII .....p ag e 502 

DISEASES OF THE SKIN. 

Erythema — Erysipelas. Hives — Uriticaria. Dandruff— Pityriasis. Scaly 
Tetter. Barbers' Itch. Bottle Nose. Ring Worm. Tetter. Salt 
Rheum— Eczema. Shingles. Boils and Carbuncles. Scald Head — 
Favus. Itch— Scabies. Ulcers. Abscess. Whitlow — Felon. Chil- 
blains. Corns. 



Part Twelfth. 
CONSTITUTIONAL DISEASES. 

CHAPTER XXVIII Page 526 

ACUTE CONTAGIOUS DISEASES. 

Measles. Scarlet Fever. Small Pox— Variola— Varioloid. Chicken Pox. 

CHAPTER XXIX Page 549 

EPIDEMIC AND ENDEMIC INFECTIOUS DISEASES. 

Fever and Ague— Intermittent Fever. Typhoid Fever— Enteric Fever . 
Yellow Fever. Cholera. 

CHAPTER XXX .Page 602 

CONSTITUTIONAL DISEASES WITHOUT DEFINITE INFEC- 
TION. 
Rheumatism of joints and muscles. Rheumatism of Sciatic Nerve. Green 
Sickness— Chlorosis . Gout— Arthritis. Consumption— Tuberculosis. 



JPa/rt Thirteenth. 

DISEASES PECULIAR TO WOMEN. 

CHAPTER XXXI Page 618 

PREGNANCY : 

General Observations, Air and Exercise, Clothing, Diet, Employment of the 

Mind, and habits during. 
Morning Sickness. Constipation. Diarrhoea. Toothache. Urinary Diffi- 
culties. Swelling of the lower limbs. 



IB CONTENTS. 

MISCARRIAGE. 

General Symptoms. Exciting Causes. 

TREATMENT BEFORE CONFINEMENT. 

Preparation of the Breasts. Preparations for Labor. The Bowels. Diet. 
False Pains. Treatment after Delivery. General Management. Af- 
ter Pains. Flooding. Duration of Confinement. 

CHAPTER XXXII Page 642 

DISEASES FOLLOWING CONFINEMENT. 

Secretion of Milk. Milk Fever. Childbed Fever. The Loch ial Discharge. 
Abdominal Deformities. Weakness after Labor. Sore Nipples. In- 
flammation of the breast>. 



Part Fourteenth. 
TREATMENT OF INFANTS AND CHILDREN. 

CHAPTER XXXIII Pag e 653 

TREATMENT AFTER BIRTH. 

Stillborn children. Suspended animation— Treatment— Mechanical mea- 
sure-, etc. Sw riling of the Head. Navel rupture in infants— Mechan- 
ical Treatment. Rupture in the Groin. Expulsion of the Meconium. 
Buckling of the Infant. The choice of the Nurse. Diet during Nur- 
sing. Additional Diet of Infants. Sleep— Sleeplessness. Exercise. 
Weaning. 

CHAPTER XXXIV Page 664 

DISEASES OF INFANCY. 

Inflammation of the Eyes. Hiccup. Cold in the Head. Regurgitation 
of Milk. Acidity. ' Flatulence, etc Milk-crust. Milk-scab. Milk 
Blotches. Thrush — Aphtha. 



Rart Fifteenth. 

THE REPERTORY. 

CHAPTER XXXV Page 688 

( ontaining a complete list of all pains, conditions, symptoms, etc., as 
developed by any form of disease and pointing out 'a complete list of 
remedies known to cure that particular symptom, pain, or condition. 

The Index. 



PREFACE 



In presenting this work, the publishers take a special pride, believing 
that it is a book that will be the means of saving many valuable lives and 
a vast amount of needless suffering from disease. 

There has never been published any work on domestic medicine, which 
aimed to put in the hands of the people the vast amount of information, 
as to disease, its causes, the circumstances modifying it, its course, its careful 
and systematic treatment, and all the signs of thepulse, tongue, breathing, 
digestive organs, evacuations, appetite, thirst, position, mental state, eyes, ears, 
nose, etc., and the indications of those signs, as used by physicians, in deter- 
mining the nature of the disease and its probable termination ; all this 
has been kept back from the masses by physicians as their individual 
stock in trade; here it is all shown in plain language. While the 
authors do not claim this as a purely original work with them, we claim 
that they have brought together in this compact form, the gems of useful 
information, gleaned from the whole field of medical art and literature, and 
adapted in language to the comprehension of the common reader, who is 
entirely unversed in the technical language of medical science. 

While it has been necessary to use a very few of those medical words, 
whenever they do appear, there and then appears their meaning, enclosed 
in parenthesis. Efforts have been heretofore made to produce a book 
giving the treatment of a few diseases with their Allopathic and Homoeo- 
pathic treatment, but both treatments written up by the same author ; and 
in the nature of the human mind there would be some bias in favor of 
one or the other of the leading schools of medicine; and the treatment of 
the school of their choice would be fair, while that of the opposite would 
be more or less incomplete or unfair. 

Here we offer a work complete ; covering the whole field of the art of 
medicine. 

The treatment includes only those remedies which have been proven 
by personal observations to be truly reliable : and are accompanied by 
practically verified curative indications in every case. 

The Allopathic Treatment, by Dr. J. V. Bean, must satisfy the 
friends of that school of medicine. As a staunch, rock-rooted, educated 
and experienced physician of that school, he stands in the front rank of 
his profession. While his education gives him command of the whole 
field of his art, his experience enables him to select his remedies from the 
2 



18 OUB FAMILY PHYSICIAN. 

very best, and present them to his readers in the manner they can most 
safely use, and receive the most benefit from them. His language is 
plain, forcible, to the point, and very hard to misunderstand. 

The Homoeopathic Treatment, following each separate disease, is 
clear, concise, careful, full and entirely reliable. 

The "Repertory" is one of the many valuable features of this work. 
By its help the remedy may be surely and quickly selected that will most 
certainly remove any disease, or symptom of disease, that can be cured at 
all. 

The Hydropathic is jointly treated by the authors in connection, 
with their treatment, whenever it may accomplish or aid m accomplish- 
ing the desired end. 

Dr. S. Lucretia Kobb has added many very valuable hints on the 
treatment of the diseases of women and children, suggested by, and pro- 
ven to be good during, years of experience. 

The Home Remedies.— A great many times, in cases of extreme 
emergency, there is some simple remedy in the house, which, if known, 
could be used, and thereby cure, or at least relieve, until something more 
could be done in the way of selecting a better remedy, or procuring the 
aid of a physician. These home remedies are pointed out and are always 
safe and at haud. 

The Index is very complete. If you have any name for your disease 
you will find that in the index, and from the index will be guided to the 
description and treatment you are in search of. 

While we do not expect or desire this work to entirely do away with 
the good, faithful physician, we do expect to make a very great reduction 
in the number of his professional visits and office prescriptions to every 
one of our subscribers. And we do hope and desire to assist in educating 
the masses of the people in the art of medicine, until it will be altogether 
impossible for any of those ignorant pretenders, now living off the 
ignorance of the people on this subject, to live at all. We aim to encour- 
age every competent and educated physician, and by helping oursubscri- 
bers to know the true and good from the false, we know we are surely 
gaining thai end; and while greatly reducing the amount of his bill to 
any one family where our work enters, we increase greatly the number 
of families lie will be called upon to treat; so you will see the good man 
prosper while the quack must tramp, bare footed, with elbows out, seek- 
ing for a victim, but no victim for him shall be found where this book 
enters. 

With the strong conviction thai we are offering a work of no ordin- 
ary merit, we presenl this to a deserving and appreciative public, believing 
they will, on examination, fully confirm our convictions. 

THE PUBLISHERS. 



AUTHOR'S PREFACE, 



In undertaking a work of this character, it is but natural to feel the 
great weight of the responsibility assumed, taking the holding of the 
health and life of thousands upon thousands of fellow human beings, 
with all that life and health contains of usefulness, happiness, love and 
power, to individuals, families, communities, states and nations upon 
ourselves, we cannot avoid a feeling of terrible responsibility. A desire 
and deliberate determination takes possession of our minds to write 
nothing without careful consideration — to hold nothing back from the 
people, that can give them a better understanding of themselves and their 
diseases. 

In this work, we have endeavored to bring together in a compact 
form, all the information necessary to give the reader (without any need 
of other books) all the information needed to fully understand the came, 
nature, course and treatment of any disease they may feel called upon to 
treat, or may in any way come in contact with. Following the descrip- 
tion of the peculiarities of each disease, we have arranged a carefully pre- 
pared treatment. Those who believe in the Allopathic treatment, will 
find that full and complete, without any reference to any other treatment. 
Those who prefer the Homceopathic treatment, will find that ample. 
Those who prefer to employ the Hydropathic, or water treatment, will 
find a chapter giving full directions for the preparing and using the dif- 
ferent baths ; and in the treatment of separate diseases, you will find full 
and frequent directions for their use. 

Home Remedies receive special attention, and we believe that our 
readers will be surprised and highly pleased with this portion of our 
work. 

We have omitted all treatment and reference to diseases of the sexual 
organs of a venereal nature. It is felt that their introduction into any 
work, save one of a strictly professional character, is highly improper. 
They are of so grave a character, and so long-lasting, and often terrible, 
in their effects upon the organism, as to demand the highest professional 
skill in their treatment. 

We have included articles on the treatment of numerous complaints 
not heretofore included in any work on domestic medicine; — especially 
of those which are peculiarly prevalent in certain climates — such as 



20 OUE FAMILY PHYSICIAN. 

Tropical Diseases, etc.; directions for the discrimination between what is 
really a symptom of disease, and what is not, etc. The public is entitled 
to an explanation o\' the more cogent reasons we have for such a course 
and for so enlarging the work over others heretofore offered to the public. 
First of all. the common sense of every reader will admit that Ave 
should write for the many, and not for individual cases — that we should 
attempt to embrace all contingencies as much as possible, and not confine 
ourselves to merely local circumstances ; and that it does not, therefore, 
follow thai persons whose situation and the like render any of these 
details unnecessary to them, should be compelled to adopt our suggestions 
simply because we have published them ; whereas, it (Joes necessarily fol- 
low, that those who are beyond the reach of any other resource— either by 
i of distance or want of means — must wholly depend, either upon 
their own unaided judgment, or upon the directions afforded in works of 
this kind. 

Suppose, for instance, a family resident in the center of a highly cul- 
tivated country, like this; that family is not, therefore, within easy and 
immediate reach of ///'• l>est professional advice, in which case, it is best 
that a work like this sTwuld Ik in the house to represent the physician, 
in SO far a- that is possible. 

But suppose another, and a very common case, as of the emigrant 
t<> distant -tate- and territories; to sparsely inhabited or desolate re- 
gions; from whence, we would ask, are these to obtain the professional 
advice which would he so essential to them, unless it be from such direc- 
tion- :i - we are able to afford them in a work of this kind? Tn this case, 
it must he admitted on all hands, that the work does good in comparison 
to it- extent, amplitude, enlargement and comprehensiveness. Where- 
fore, then, should these essential conditions be withheld? 

Again, these are not all the questions involved; there are yet more 
vital points relating to the variations which may become necessary in the 
actual treatment of disease when once undertaken. In these cases, it is 
sufficiently obvious that those who prefer to exclude professional advice" 
should be so far h m<>n<i / )om tlie chance of etror as possible, which can- 
not be done without ample detail, because disease has scarcely ever in 
two distinct cases, the same positive and exact characteristics. 

It i- for this reason, also, thai we have entered so largely into the 

consideration of the " Investigation of the Patient and of Disease." We 

nvinced that the great fault of dome-tic works in general is, that 

they do not give enough information, and, consequently, that they often 

mi-lead in-had of enlightening the reader. 

U is Obvious, that the presence of inherent constitutional delects may 
occasion external appearances of disease, which are especially susceptible 
of erroneous inferences, and therefore without this very important clue. 

the directions for the treatment Of any particular disease may become a 

will-o'-the-wisp" to lead the unprofessional reader into entangle- 
ments, and there leave him in utter darkness. We desire the reader, 
invariably, to consider the important reference alluded to, and, in fact, 
i lie w hole ,,i t he 'mi ro<iu<-ior\ part. 



author's preface. 21 

II is, also, for these reasons, as well as for those already given, that 
we object to the extreme condensation of a domestic work, or to the lim- 
itation of its sphere to a particular class of diseases, and that we consider 
works founded upon this affected idea practically useless. 

We nowhere enjoin the layman, who has means and immediate access 
to educated and reliable professional advice, to undertake the treatment of 
dangerous diseases without it. We only endeavor to provide for those who 
do not possess those advantages. 

Upon such grounds as these, we beg to intrust this work to the ver- 
dict of a liberal and discriminating people, and to state that we anticipate 
a hearty welcome to our evident endeavor, even if the product of our labor 
should fall short of its earnest purpose. R. L. R. 



INTRODUCTION 



It is my purpose in writing a description of the treatment of disease 
for popular use, to represent as fairly and plainly as I can the principles 
and practice of the BEGULAU PROFESSION OR SCHOOL OF MEDICINE, in a 
manner which can be comprehended by all. It is not my intention to 
present an exhaustive treatise upon the practice of medicine in all its de- 
partments. That has been ably and thoroughly done in many recent 
work- on the practice of medicine by Flint, Bristowe, Bartholomew and 
others. 

It is a matter of great importance how far it is proper to interfere in 
the management of diseases. Obvious is the fact, that in the great ma- 
jority of cases, diseases will, without special treatment, end in recovery. 
It is not to be supposed, therefore, that every instance of recovery is a 
cure The prevalence of quackery depends largely upon the popular 
error, that the favorable termination of disease is always owing to the 
mean- employed. The greater the enlightenment of the public upon this 
subject the less frequent will be imposition in medicine. The fact is, that 
disease, as a rule, tends to recovery and not to death, by the powers of 
nature alone. In all such diseases, the true course of treatment is indi- 
cated by a^study of the way in which nature effects her cure and in follow- 
ing that course. Much harm is often done by the unnecessary employment 
of medicines. It is therefore a rule which should never he violated, that 
active treatment should not be employed, except in cases where it is cer- 
tain to do good. 

It should not be inferred that proper treatment is useless. On the 
contrary, even in cases which would end favorably if trusted to nature 
alone, much good may be done by shortening the duration of the disease, 
relieving the Bufferings of the sick, and in preventing unpleasant and 
even dangerous consequences. In other instances, proper treatment is the 
mean- of saving life. The successful application of remedies and the 
power of choosing between those of less or greater energy depend upon 
experience and observation (or knowledge) not only, but a logical mind, 
judgment, common sense, and tact. 

The General Ri les fob Treatment of the sick may be summar- 
ized as f<»iiov. 

l. The removal of the cause upon which the disease depends, is 
among the most Important. In many instances this suffices. For exam- 



INTRODUCTION. 28 

pie, nervous headaches may depend upon the continual use of coffee ; dys- 
pepsia upon improper food and insufficient exercise in the open air ; 
colic upon irritating matters in the bowels, etc., etc. Causes are also sure 
to interfere with a cure, as cholera infantum and the summer diarrhoea 
often resist treatment until the patient is removed from the air of a large 
city to the country. In other cases, the cause once operating ends its 
influence and adds nothing thereafter to the violence of the disease, as in 
most of the contagious diseases. In other instances, the cause generally 
ceases when it has produced its effect, as is often the case in inflammation 
resulting from cold. Attention to the cause is important in the treat- 
ment, as for as it leads to a correct estimate of the nature of the disease 
In endeavoring to remove the cause of disease the attention must be 
directed to those within the system as well as to the external agents. One 
disease action is frequently the result of another, so that by removing the 
cause of the first the latter trouble is cured. 

2. The exact seat of the disease should be ascertained, and, as "the life 
is in the blood," it should be determined whether or not this is in the 
blood, and if so, its condition should be corrected and improved. Many 
cases are known to have continued for weeks and months obstinately re- 
sisting treatment or which only temporarily improve, quickly relapsing 
again, which have immediately and permanently yielded to treatment 
calculated to restore the blood to health. Even when the depraved con- 
dition of the blood is only secondary, measures to correct its condition are 
almost equally important, for the health cannot be regained while the 
blood remains impaired. Most diseases affect the solid tissues and it is 
obviously necessary to restore the proper grade to the vital actions. 

8. It may be stated, as a general law, that diseases are rarely station- 
ary. They tend to get better or to get worse. This fact affords valuable 
indications for treatment. 

It should be determined whether the disease intermits or not — i. e.-> 
whether the pain, fever, or other disordered sensation or action returns 
at regular intervals of time, and going off again after a longer or shorter 
period of duration ; or whether the disease remits — i.e., becomes less vio- 
lent at regular intervals. Such diseases will yield to the treatment known 
as anti-periodic, which will be given in the article on the treatment of in- 
termittent fever. 

Some diseases run a definite course and cannot be safely interrupted, 
such as the irruptive fevers. In such cases, when fully formed, proper 
management consists in preventing or removing injurious influences, 
mitigating their violence, correcting, as far as possible, any tendency to a 
fatal issue, and conducting them to a favorable termination. 

There are diseases which are indefinite in their course, and have a 
tendency, when not unusually severe, to get well sometime, and are often 
arrested or shortened by treatment. The apparent danger should be then 
kept in view and energetic measures never used, if moderate means will 
accomplish the end. 

Again, there are diseases which have a tendency to a fatal result un- 
less interrupted. These must be checked with mild means, if you can, 
but with the most energetic, if necessary. 



2A OUB FAMIIiY PHYSICIAN. 

Thru again, we find there are diseases which are necessarily fatal in 
their character, or at least are so in the present state of our knowledge. 
Ik-re our endeavor- should be to support the powers of life and so prolong 
it. and bo relieve the suffering of the patient and render him more com- 
fortable. 

In the diseases involving great danger to life, the way in which the 
affection will cause death, affords an important guide in treatment, by 
means of which a fatal termination may be averted. In many cases, the 
whole aim of treatment will be to obviate the tendency to death. For our 
purpose lure, we can reduce all modes of death to two, viz.: by interrup- 
tion of respiration (called apncea), and by failure of the circulation or 
exhaustion .called asthenia). These two modes of dying may be com- 
bined. The best- illustration of the first mode named, {apncea), is furn- 
ished by cases of strangling. Other instances are in diseases involving 
obsl ruction to the passageofair to the lungs, or which make them incompe- 
tent to receive air, as croup and other inflammations of the air passages, 
catarrhal fever in children, extensive inflammation affecting both lungs, 
dropsy of the lung or pleural sac and acute consumption. In all these 
cases the obvious indication is to supply oxygen to the blood. Obstruc- 
tion to the circulation may be caused by paralysis of the heart, by over- 
distention, by pressure upon the great vessels by tumor, by dropsy of the 
sack covering the heart (pericardium), or coagulation. In these cases 
the indication is to prevent or overcome, if possible, these obstructions. 
But in all diseases which prove fatal by exhaustion, the mode of dying is 
by tmtlu-ititi, as in the continued fevers fatal of themselves. The indica- 
tion is then to obviate this tendency by tonics, nourishment and, per- 
haps, also by stimulants. 

4. The use of remedies is also governed by the stage of the disease. 
In the commencement of a disease, experience shows that a measure may 
be effectual in arresting its progress which would be harmful or useless 
at any later period in its course. A beginning cold is frequently cut 
short by a lull dose of opium or Dover's powder, but so favorable a result 
would not follow later in the case. Depletion is frequently useful in the 
commencement of diseases, but is harmful when advanced ; on the other 
hand, stimulation is frequently of great importance in the latter stages of 
acute prostrating diseases, where, if employed at the commencement, 
would have worked an injury. When one disease follows or appears in 
the course of another , or an accompanying symptom develops an undue 
importance, great watchfulness and frequently new measures of treat- 
ment arc demanded. 

5. Tin condition of tin system at the time of Hie attack has the most 
Important bearing udoe the treatment. Measures which would be prop- 
er in a robust, hearty person with an abundance of healthy blood, would 
be w holly unsuited in a feeble constitution, and those in whom the blood 

Is impoverished or vitiated. Tic latter would necessarily require tonic 
••""l supporting treatment from the very first, while depletion might be 
beneficial in the former. The circumstances under which the patient is 
constantly placed, or those to which he was exposed previous to the oc- 
currenceof the disease, must betaken Into account. 



INTRODUCTION. 25 

The age of the patient has an important bearing upon treatment. In- 
fancy is well known to be more than proportionately susceiDtible to many 
medicines, and while the restorative processes are rapid, the system is 
also easily depressed below the point of recovery. Supporting treatment 
is early called for in prolonged diseases of infants. In advanced life, 
though less susceptible than middle life to the action of medicines, ex- 
cesses, of any kind whatever, are not well borne, caution is demanded 
and large doses should never be given. 

Supporting measures are demanded earlier in the course of disease in 
the old than in middle life, though excessive stimulation is not safe. 

Women are more susceptible than men, and should be treated more 
delicately. Particular care is required during menstruation, and unless 
treatment is demanded, it should be suspended during menstruation. In 
pregnancy, all purturbating treatment, such as emetics and cathartics, 
should be avoided. 

Individual peculiarities should be considered ; any special susceptibil- 
ity or peculiar action of a remedy dictates its avoidance in those persons. 

Hereditary influences must be considered ; the known constitutional 
habits of the parents should be weighed and govern the treatment of the 
child. 

For example, the child of scrofulous parents should, under some cir- 
cumstances, be treated differently from one in whom there is no heredi- 
tary morbid predisposition. 

The habits of the patient have an important bearing upon the treat- 
ment, and should be thoroughly investigated and known. Exhaustion 
from immoral excesses ; debility and impoverishment of the blood from 
insufficient food in quality, or variety, if not absolute starvation and bad 
air ; gluttonous indulgence of the appetite ; intemperance in the use of 
alcoholic drinks and the effects of one's occupation or business, all have 
an important bearing upon the treatment. All these conditions call for 
supporting treatment at once and often for stimulants. 

Previous disease often leaves a debility which calls promptly for sup- 
porting treatment. Peculiar tendencies to different diseases (diatheses) 
such as rheumatism, gout, consumption, etc., modify greatly different 
diseases, and may impress upon them more or less of their own character. 
The patient cannot be properly treated without giving these facts their 
proper bearing. 

6. Co-existing influences often modify greatly the disease results of 
particular causes. The most prominent of these, are the epidemic (a 
widely prevailing disease), or endemic (a locally prevalent disease) influ- 
ences and the miasmatic, especially marsh miasma, which causes ague and 
other periodical diseases. Without attending to these influences which 
modify disease, the treatment will be liable to be attended with fatal 
blunders. In all miasmatic districts, it is well known that all diseases 
assume a character resembling more or less closely the periodical fevers 
with which these districts are invested. In all these localities, especially 
in autumn and winter, when other fevers, from whatever cause, and also 
inflammatory diseases, exhibit the remittent character of the proper 
miasmatic (or marsh) fever, we also see the best results follow the admin- 
istration of quinine. Epidemics, (wide-spread prevalent diseases) it is 



3G OUB FAMILY PHYSICIAN. 

well know n. imparl more or loss of their own character to all coincident 
diseases. Sometimes, notwithstanding i lie epidemic influence, there is 
maintained a vigorous state of the system ; when this is the case, the 
type of disease is said to be ethenic. At other times, the tendency is to 
a feeble and weak, or typhoid, condition; this is said to he asthenic. The 
latter condition calls at once for supporting and nutritions measures, and 
in the former, these measures are not as early called for, and even deplet- 
ing remedies may be useful. 

7. The pointing of nature, as shown by the expression of wants by 
the patient, should not be disregarded, but should he watched for and 
cautiously gratified, even though they are opposed by the dictates of our 
own reason, or even to the whole course of our experience. It is some- 
times noticed that the patient, during the progress of a severe disease, 
expresses a wish for some drink or article of food, or some change in 
other respects, which would seem to be highly improper. As such, wants 
an- expressed, often as the mere result of restlessness, or whim of the 
patient, it should, of course, he properly denied. But if the same wish is 
repeated from time to time, against the authority of physician, attendant 
and the judgment of the patient himself, it may be looked upon as a real 
want of the system, and indication by nature which ought to be com- 
plied with. At lirst it should be gratified cautiously, and in a manner 
that little harm could result, if it should happen to be a mistake. If 
good Bhould result from careful trial, a greater indulgence may be per- 
mitted. On this point, Prof. Geo. B. Wood forcibly says : "The prac- 
titioner will often be gratified at witnessing a rapid recovery, dating from 
the moment of his judicious surrender of his own judgment to the im- 
perious call of the system." If error is committed on this point, let it be 
«»n the side of caution. 

8. I u the treatment of any disease, it is a good general rule to attend 
t<> tie- -tatc of the functions | secretions and excretions) and to correct any 
disorder there, even though they are not directly connected with the dis- 

Especially should the bowels be kepi regular, and constipation 
fecal accumulations) carefully guarded against. The secretions of the 
Bkin ;iml kidneys Bhould he maintained, as nearly as possible, in a 
health} state, ami to this end. Prequenl examination of the urine is to be 
made. An irregular circulation, the temperature and nervous action 
should also receive attention. By these means alone, we occasionally cut 
off one of the chief sources of disease, and give great aid to recovery, for 
ii is not always easy to determine how far diseases are mutually de- 
pendent, .j. v.' b. 



OUR FAMILY PHYSICIAN. 



Part First. 



CHAPTER I. 

THE METHOD OF INVESTIGATING THE CONDITION OF THE 
PATIENT, OF DISTINGUISHING BETWEEN A STATE 
OF HEALTH AND DISEASE, AND OF DETER- 
MINING THE PECULIAR NATURE OF 
THE DISEASE. 

The investigation of the condition of the Patient, and the discrim- 
ination of the particular nature of the Disease, are evidently essential to 
appropriate treatment. It is, therefore, imperative that a work of this 
kind should contain such simple regulations on this head as may lead un- 
professional persons easily and simply to a clear and positive resolution. 
Such an investigation may properly be divided into two distinct sections, 
namely: first, the general investigation of the patient, and secondly, the 
particular investigation of the disease. 

1.— THE GENERAL INVESTIGATION OF THE PATIENT. 

The general investigation of the patient should comprise a scrutinizing 
inquiry into the particular constitution of the individual — the tempera- 
ment — the antecedents of the patient's family, as of the general health, 
habits, etc., of the parents, and of each of their families respectively — the 
sex and the relative state of the secretions especially, consistent with 
the state of health in such sex — the age of the patient, and the circum- 
stances which qualify this condition— conditions, impressions, or habits, 
etc., which are individually peculiar to the patient — the weak or particu- 
larly susceptible part, and what, if any, be the particular affections to 
which the patient has been subject — the general habits, occupation, me- 
thod of living, diet, etc., — the relations between the climate and the indi- 
vidual, or any transitions of climate to which the patient may have been 
exposed. 

1. THE CONSTITUTION AND ITS VARIETIES. 

Apletlioric {sanguine constitution), or full habit of body, characterized 
by redundancy of animation and vital energy in health, and a prevailing 
and predominant activity in the circulative system ; the complexion being- 
florid and glowing, the frame full and stalwart, the limbs generally active 
the spirits and muscular apparatus buoyant and elastic, the generation of 
natural warmth abundant, and the pulse full and strong ; but, consequently, 



OUB FAMILY PHYSICIAN. 

with susceptibility to inflammatory influences, and a predisposition to 
Local, organic, or general congestions or suffusions or emissions of blood. 

AfeebU constitution, as opposed to the foregoing — in which fatigue is 
naturally a ready consequence of exertion; when the breath will easily 
be exhausted by sudden or rapid motion; when the generation of heat 
will In- naturally deficient, and the operation of the functions generally 
-low and easily impeded, or vexed by being the least overtaxed, the mus- 
clee being readily wearied and incapacitated — the secretions varying from. 
excess to deficiency <>r suspension— and the organs being either too readily 
provoked and stimulated, or very dull and insusceptible of external cir- 
cumstances—and the pulse being naturally feeble, soft and yielding. The 
patient i- consequently subject to diseases characterized by torpidity and 
utter inaction of the functions, or by excessive relaxation. 

.1 bilious constitution — characterized by dark and somewhat turgid 
-kin. or even by superabundant yellowness of the skin, (an imperceptible 
proportion of yellow in the skin, observed on close examination, being in- 
dispensible to a really healthy complexion), and by the readiness with 
which the liver sympathizes in and becomes affected by every external or 
interna] contingency with predisposition to derangements affecting the 
digestive functions and the stomach generally, and to irregularity of such 
functions; as also to dark colored urine, costiveness (with dark motions), 
:tinl pile-; -thepulse is apt to be wiry. 

An <ii>I'jj>hti,- constitution (a subdivision which is important here), 
characterized by the short, thick-set, or close full frame, with large head, 
apparently buried between the shoulders, the neck being very short and 
thick, and the pulst being more or less of the character of the plethoric 
lKti.it. an. I the patient being predisposed to sudden rushes of blood to the 
brain. 

A nervous constitution (a variety which is often found in combination 
with the bilious . especially characterized by predominant excitability of 
body, of mind ; absence of fixity (or changeableness) of ideas, habits, in- 
clinations, etc.; irritability, and extreme sensitiveness and inequalities of 
temper theptdst being accordingly also variable, easily subject to exceed- 
ing acceleration, but often subsiding, in sedate moments to a movement 
Horn Mlian i-.-u-ioi.iary. The patient is subject to the various affections 
so difficult of distinction and classification, which come under the head 
otnervou* diseases-, Buch as spasmodic affections, fits, apparently traceable 
to no distinct can--, fugitive and inexplicable pains, particularly such as 
axe aggravated by very slight totuih or by approximation, but which are re- 
lit pad by pressure. 

A dry, wiry, constitution uot uncommonly combined with the bilious 
or nervous . characterized by swarthy complexion, sharp, deep-set fea- 
tures, searching glance, persistently dry condition of the skin; firm, 
hard, wiry condition of the muscular and tendinous fibre; deficiency of 
flesh and angular frame ; generally, also, rapid motion and quick percep- 
tion; the Urine is dark, the motions are habitually hard and scanty, the 
secretions "'"I transpirations are usually deficient, and thepulse is gener- 

:ill > distinct and wiry, but commonly, also, quicker than thai of the ncr 

*o«*babit u1 "" imexcited). The patient is subject to inflammatory 



INVESTIGATION OF THE PATIENT. 29 

affections — to which the intestines are especially predisposed — as also to 
diseases generally, which occur (as it were) with superabundant animal 
power. 

A lax, lympliatic, or mucous constitution. — These three varieties, 
which are, indeed, susceptible of very nice distinctions, are, however, 
sufficiently analogous to be united in a work of this kind, they are 
opposed to the foregoing. The complexion is generally fair, the flesh 
apparently full, but soft, flaccid, and puffy ; the skin pallid, the frame 
rounded, the muscular and tendinous fibre unstrung, yielding, and re- 
laxed ; sensations of chilliness prevail, and the individual is usually more 
sensitive of cold than of heat, but is also alive to immoderate elevation of 
the latter ; the natural generation of heat is deficient, the circulation 
sluggish, the pulse being slow, (sometimes rather full, but always soft, 
easily compressed, yielding). The patient is subject to the transmutation 
of every disease into a sluggish, persistent, or chronic form, (the crises and 
resolution being in general imperfect), to superabundant secretions or ac- 
cumulations of phlegm, to catarrhal affections, to abscesses, to excessive 
discharges of phlegm, etc., etc., to the accumulation of water (by decompo- 
sition or imperfect composition of the blood) about particular organs, or 
throughout the body (generally as the immediate consequence of inflam- 
mation), and sometimes to the sudden suppression of discharges. 

The catarrhal or rheumatic constitution (nearly analogous to the last, 
but having one very distinctive feature in the susceptibility of the exter- 
nal surface), characterized especially by want of sufficient activity and 
nervous tension and vitality in the skin ; which therefore remains easily 
affected by every external circumstance, effects transpiration very defec- 
tively and inadequately, and is apt by being susceptible to the sudden 
suppression or repercussion of such transpiration to reconvey the morbid 
humors which have been expelled by internal organs upon those organs 
themselves, and thereby to generate diseases of the character indicated by 
the nomenclature which we have selected. A very decided feature of this 
habit of body consists of extreme susceptibility to derangement of diges- 
tion, which, if inherited, maybe considered as the predisposing cause to 
such tendencies. 

A constitution in which the skin is especially liable to become diseased 
(psoric) (more distinctly capable of individual classification than the scro- 
fulous habit, but yet a mere modification of the latter), — distinguishable 
by the predominance, recurrence, or continuance of irregular and unheal- 
thy secretions from the skin, and irregular action of the glands associated 
with it : eruptions of various characters — ulcerative sores, general foulness 
— which seem to appear as the result of every affection of whatever kind, 
and either to accompany or to follow every derangement. 

The consumptive constitution (in the majority of instances again, a 
modification of the scrofulous habit, but more subject to appropriate classi- 
fication in a work of this nature)— identified in general by very clear, 
transparent skin, bright flush-spot on the cheeks, especially on the left 
cheek ; flatness of the chest, and hollowness on the breast-bone ; slender, 
attenuated, lengthened, fragile frame ; elongation and spareness of the 
neck ; prominent profusion of the shoulder-blades ; sudden and rapid 



30 OFR FAMILY PHYSICIAN. 

growth; prevalence of heat of the hands after eating; irritability of the 
circulative system ; and consequently a pulse characterized by smallness 
and quickness. The patient is particularly susceptible to complications 
affecting the lungs, resulting from every inflammatory or irritative pro- 
• • se which is also very frequent and readily provoked) ; to want of breath 
and complete exhaustion after every unusual degree of exertion, especially 
after rapid motion, and often in consequence of mere mental excitement 
or momentary irritability ; to inflammatory affections of* the lungs and 
adjacent membranes (and expectoration of blood), which will ever be 
liable to result Id decay of those organs. 

2. THE TEMPERA M ENTS AJSHD THEIR VARIETIES. 

The temperaments are subject to an infinity of individual peculiari- 
ties which might constitute separate divisions, but which, in our estima- 
tion, will he more readily comprehended by the reader in his investigation 
into individual characteristics. We shall, therefore, confine the division 
of temperaments to the following distinctions, which even are often com- 
pounded, and which should be held to modify the relations of morbid 
manifestations. 

.1 sanguim temperament (usually associated with a plethoric constitution) 
which is characterized by habitual animation and buoyancy of spirits, 
gayety, good humor, etc.; the mind and body are alike quickly stimulated 
into excessive action, hut every affection or disturbance is usually of as 
rapid a course, and brief a duration, as it is severe while it lasts. The 
bodily health is usually good and strong,— and slow or lasting diseases are 
of rare occurrence; hut the majority of affections, (which have a predispo- 
sition to assumes violent and inflammatory type) are exceedingly severe 
when they do occur, and run a very rapid course. 

.1 choleric temperament (usually associated with the bilious constitution) 
characterized by the violence of the reaction occasioned by any irritation, 
'"' stimulus, or impulse, and particularly by its severe implication 
of the biliary apparatus, which, with increased and altered secre- 
n "" of bile rea^te "1""' the moral and mental faculties, and has 
a tendency to engender a liability to the provocation of ill-humor, and 
even vengefullness ami malignity, or to rancor and acrimony of temper, 
upon the revival of causes of excitement. The complexion is usually 
swarthy, with a yellowish tinge; the muscular and tendinous fibre hard, 
wiry, and tightly strung; the hair dark, and the features acute or deep- 
■"'• ""• Patient is subject to bilious derangements,— and to bilious com- 
plications with every derangment, not uncommonly provoked by the 
violent lit- of excitement to which he is constitutionally subject. 

Tfu melancholic temperament is identified by the slow, meditative dis 

!;'-'""■'■"'• "' W retiring, solitary, and hypochondriacal temper; 

!l " '-'••■ 'atent, and unobservable progress of affections produced by 
external impressions but ailentlj harbored. Every impression is deep 

" Ml I*****, and '"' l» upoi , mind and body; but the patient is not 

object to violent Impulses, nor very susceptible to sudden impressions, 

""'' none the less alive to such impressions; the sensibility 

^apparently blunted or subjected to the reflective powers. The body h. 



INVESTIGATION OF THE PATIENT. 31 

alike slowly but progressively affected by external circumstances. The 
patient is subject to diseases affecting the intestinal apparatus, especially, 
which assume a chronic and continuous character. 

A Phlegmatic temperament (which is usually associated with the feeble 
and lax, or lymphatic constitution) , — is distinguishable by the tardy opera- 
tion of all functions, mental as well as bodily; by the slowness with 
which irritation or stimulation is produced, and by the no less remark- 
able sloioness, as Well as by the inadequacy of the reactionary power. The 
predispositions are to be gathered from the remarks on the " feeble," and 
on the "lax," or "lymphatic constitutions." 

o. THE ANTECEDENTS OF THE PATIENT'S FAMILY. 

We should pay especial attention to the general health, habits, or 
particular diseases (if they be known) of the parents of the patient, and 
of the paternal and maternal relations, which may serve to elucidate the 
origin of a bad habit of body, especially if such diseases as scrofula (in 
any of its multiplied forms), cutaneous disorders, consumption, gout, 
piles, etc., be distinguishable as habitual with any member of the family, 
tvhose constitution could ham been inherited 'by the patient. This is a most 
essential consideration ; for it will very frequently be found that tohen a 
remedy is distinctly indicated in the case, it fails to operate without previous 
preparatory treatment ; and we are puzzled by the failure ; wJiereas, 
after the previous administration of an apposite preparatory remedy, the 
medicine already distinguished 'as appropriate, but administered without effect, 
frequently becomes signally successfid. This is generally owing to heredi- 
tary defects of constitution. For remedies, see Repertory. 

4. THE SEXES AND THEIR DISTINCTIONS. 

In the male we anticipate redundancy of animal strength, vigor, 
energy, and circulative power, and we must consider disease in a modified 
or aggravated aspect, according to the ascendency or deficiency of these 
characteristics. 

In the female we may anticipate more acute sensibility, greater ten- 
derness and excitability, and a less vigorous and persistent reactionary 
power. We must not, moreover, omit to consider the conditions depend- 
ent peculiarly upon the organs of parturition, etc., and upon the func- 
tions associated with them ; the progress of pregnancy, and the genera- 
tion of milk ; or, on the other hand, the presence of periodical derange- 
ments should be duly considered in relation to every simultaneous de- 
rangement. 

Relaxation of fibre and lymphatic accumulations are also (to a great- 
er or less degree) inseparably associated with the peculiarities of the sex; 
and the greater intensity and additional sphere of nervous sensibility 
should lead us to consider, with great caution, such nervous spasmodic or 
hysterical indispositions as occur associated with natural predisposing 
causes. 

5. THE AGE AND THE CONDITIONS WHICH QUALIFY IT. 

Age is not to be considered without regard to conditions of previous 
health, or disease— of habits, manner of living, climate, avocations, etc., 
etc., especially in relation to persons who have attained maturity. It 



OUR FAMILY PHY8ICIAX. 

may, however, (subject to such modifications) be considered under seven 
distinct sections, viz.— childhood constituting three, maturity two, and 
decline two. 

1. In the earliest period of childhood (the first of infancy) extend- 
ing to the period of the earliest teeth, the human being is extraordinarily 
susceptible to external influences ; sensitive to a higher degree, and con- 
sequently alive to any sudden irritation from apparently slight causes; 
the brain in particular is liable to precipitation of blood, and the acute 
sensitiveness of the whole nervous structure renders spasmodic affections 
predominant. 

± In the second period of childhood— extending to the seventh year 
in our climate— we have to consider the natural irritability of the system, 
the want of firmness of fibre, the susceptibility to fatigue, readily obvi- 
ated by the provision of nature,— a preponderance of tendency to rest; 
and we have to anticipate the occurrence of organic inflammations, par- 
ticularly as connected with the respiratory or cerebral apparatus, and 
irregularities in the accumulation of flesh. 

:;. In the third period of childhood — extending to the beginning of 
manhood or womanhood — the equilibrium between the functions, facul- 
tc., being better established, and the tissues having become inured 
to external influences, we should consider the occurrence of such affec- 
tion- as already described more minutely with reference to particular 
hal-it of body, circumstances, individual habits, avocations, etc., situation 
Mini other local and general external causes. 

1. [n the period of approaching and progressive maturity — extend- 
ing to the twenty-fifth year in our climate— the vigor of the circulative 
system should be developed ;— it is then, also, that we may anticipate the 
serious development of latent or declared bad habits of body, traceable to 
parentage, and particular care should then he taken, — especially if in 
infancy or childhood a course of constitutional treatment has been neg- 
lected, to neutralize or modify such constitutional defects — affecting the 
Lungsandthe Brain especially— as in Epileptic or Consumptive affec- 
tions : both being considered in due relation with the progress of sexual 
powers. 

5. 'l 'he period of maturity extending generally from the twenty- 
fifth to forty-fifth year in our climate must especially be considered in 
relation with habits, mode of life, avocations, locality inhabited, trans- 
itions of climate, (if any etc., etc., because any of these circumstances may 
tend very materially to lengthen or abbreviate the stage of vigorous matur 
rity. In BOme cases we may extend it to the fifty-fifth year; in others it 
may as reasonably be limited to the thirty-fifth year. In general, the 
period of maturity properly so tnlled^ (whether of long or short duration) 
ie characterized by continual, even, regular, and vigorous operation of all 
t he ftmct ions and faculties. 

The first period of decline— which may at present he said to ex- 
tend, in our climate, gen< rallyj from the forty-fifth to the fifty-fifth year 
ma) be distinguished by diminished activity of mind and body, super- 
vening irregularity ol the functions, decreased powers of endurance and 



INVESTIGATION OF THE DISEASE. 33 

strength, returning susceptibility to external influences, and debilitation 
of the attributive powers of either sex. This period, whether deferred or 
premature, is almost infallibly distinguishable by such characteristics. 

7. The second period of decline, or old age, which may set in from 
the fiftieth to the sixtieth year, in our climate, — or sooner or later, accord- 
ing to antecedent circumstances, is indellibly characterized by the de- 
crease of acuteness in the perceptive faculties, and in the organs which 
convey sensations — as of light, sound, smell, taste, and sensitiveness of 
touch, — by growing obtuseness of moral and mental sensibilities; by de- 
creasing retentive mental power ;— by general attenuation of frame, di- 
minution of physical power, stiffness of joints, muscles, etc., aridity and 
puckering of the skin, the development of latent defects of circulation, 
and the like. 

6. INDIVIDUAL CHARACTERISTICS. 

The peculiarities of individual patients, and the particular effect of 
particular external influences, etc., upon them, both as to mind and body, 
should be very carefully considered ; and it is absolutely necessary, for 
the thorough appreciation of the distinctive points relating to the case of 
a patient, with whose habits, constitution, and susceptibilities, etc., we 
are not perfectly conversant, that we should most carefully gather the 
history of the particular and characteristic mannerism (if it may so be 
termed) which identifies him. Every person, whatsoever, must in some 
point or other be considered to constitute an exceptional case, and be so 
studied for successful treatment. 

7. AFFECTIONS, ETC., TO WHICH (IF ANY) THE PATIENT IS ESPECIALLY 

LIABLE. 

It can hardly occur that a patient is not more subject to one class of 
disorders than to any other; and although this, to a certain extent, falls 
within the pale of the considerations suggested above (see 6.), yet there 
is one essential point to be considered here, namely, the issue or final 
crisis, in which such disorders termiate, — which is ever characteristic. 

8. METHOD OF LIVING, AND GENERAL HABITS. 

It is a most important comparison to institute, in the study of any 
case, — to consider the relation between the habit of body or disease, and 
the method of living, occupation, etc. The habits may be especially 
considered in respect of the following distinctions: — (1) whether seden- 
tary or active ; (2) whether the chief exertion be of mind or body; (3) 
whether the locality generally inhabited be of a close, artificial (town) or 
of a free natural atmosphere; (4) whether the clothing, food, and other 
comforts, or even necessaries of life have been sufficient, but moderate, or 
excessive, (both as to quantity, in proportion to actual requirement, or 
richness,) or deficient in quantity simply, or, not only insufficient, but 
also unwholesome; (5) whether the domicile and person, or either, have 
been habitually cleanly, carefully attended to, or foul and neglected, (as 
to domicile, particularly as to cleanliness, drainage and ventilation; order 
and regularity are, however, also essential); (6) whether the habits as re- 

3 



34 OUR FAMILY PHYSICIAN. 

garde feeding and fa-tinu r . Labor and rest, etc., occupation or want of occu- 
pation, have been regular or irregular, desultory or uncertain. 

With excessive confinement, close atmosphere, deficiency of exercise, 
fie, we may associate affections of the stomach and liver (especially), of 
the digestive function- generally, and depression of spirits, as also (if the 
place of occupation be of a foul atmosphere), affections of the lungs 
With excess of mental labor, we may associate nervous complaints, and 
habitual irritative fevers. With insufficiency or unhealthy kind of food, 
deficient ventilation, drainage, and cleanliness, we associate low fevers, 
eruptive fevers, typhoid and putrid, or even intermittent complaints, and 
skin diseases. With excess of nutrition and indulgence (in comparison to 
physical exercise), we may associate inflammatory complaints, and rush- 
es of blood to particular organs. Ami in all cases analogically we may 
ally the nature of the complaint with the nature of the habits, occupa- 
tion, food, etc. 

it. THE PART <)K ORGAN ESPECIALLY SUSCEPTIBLE. 

By investigation into the most frequent result of casual, accidental, 
external or internal causes, we may readily ascertain what part of the 
system is particularly liable to irregular or unhealthy action. And this 
n - arch i- ever requisite, because every individual will he found to have 
<«ne organ especially susceptible, and liable to become deranged by 
causes, in some cases even, such as would seem to involve 1 any other 
complication, rather than that which actually occurs. 

1<>. ATMOSPHERIC AM) OTHER LOCAL INFLUENCES. 

The atmosphere, soil, etc, of particular localities, is known to be 
prone to engender particular derangements. It is also known that the 
water of particular springs and rivers, whether owing to the presence of 
mineral substances, m excessive hardness, or to other causes, has a ten- 
dency i<> generate particular diseases. It is, therefore, very important 
thai theseand the like particulars Bhould he submitted to close investi- 
gation. 

2. INVESTIGATION OF DISEASE. 

f;v CONSIDERATION OF Till: CAUSE, GENERAL CHARACTER, EXAMPLES, 
AM> PARTICULAR SYMPTOMS. 

The investigation of disease, may properly be confined to the consid- 
eration 1 of the various general, particular and local causes; (2) of the 
genera] character of the disease; 3) of the general characteristics of 
the dis< compared with existing or recorded examples; (4) of 
mptoms: which [asl musl again be divided into the consider- 
ation of the ei i.-i:. ii- varieties and indications; the discharges generally; 
the nature of the blood, if any he discharged, the state of the digestive 
functions; the ith and tongue ; the eyes, the respiration, and its pecu- 
liarities; the peculiarities of complexion, motion, action, or inactivity, ap- 
pearance, etc.; the symptoms exhibited by i he nervous system -cue rail v. 
i nd esp< <i.dl_\ by i li< brain, etc. 



INVESTIGATION OF THE PATIENT 35 

1. THE CAUSES OF DISEASE. 

These are either what may be termed constitutional causes, which 
consist in any unhealthy condition of the system, and for the distinc- 
tion of which the reader should consult the part on "Constitution," 
or they are more immediate, as those hereafter subjoined : 

This latter class of causes consists '.—First. Of such as may be traced 
to individual exposures, excesses, etc., or to particular conditions, either of 
locality, dwellings, atmosphere, circumstances, habits, particular suscep- 
tibility, constitutional predisposition, foregoing diseases, and consequent 
deterioration of constitutional strength, etc., all of which belong more 
especially to the "investigation of the patient," and have already been 
recited. 

Second, Causes which are peculiar to a district, country, climate, or 
particular spot, and which are then designated as endemic. Almost every 
district, especially such as are remarkable for rapid evaporation, excessive 
and sultry heat, stagnant waters and rapid decomposition of vegetable 
matter, or marshes with little or no drainage, or bleak exposed situations, 
where dry, cold, and searching winds prevail, and the waters are hard, 
and generally impregnated with mineral substances ; for sudden and fre- 
quent changes of temperature; for general flatness of country, or for 
elevated and irregular surface ; for winds of a particular character, and 
from a particular quarter • whether inland, insular or coasting ; whether 
the prevalent occupation be that of factories ov fields; and whether the 
habitations of the people are isolated, well ventilated, well drained, gener- 
ally clean, or closely packed, squalid, small, dark, loathsome, ill-drained, 
and ill-ventilated. These, and many local distinctions of a similar char- 
acter, will tend to render the generation and prevalence of particular 
diseases, properly speaking indigenous, or endemic, and should therefore 
be duly considered. 

Third, Causes which are of a general, indeterminate character, such 
as heat, cold, damp, draught, and particular electric relations, but which 
are prone to become associated with sudden transitions of atmospheric 
condition, and which will be the more surely developed by the presence, 
or precedence, of certain other diseases arising from similarly indetermin- • 
ate causes, by the superabundance of particular natural products (vege- 
table or fruit), or by the deficiency of food, as in cases of famine, or by 
calamities of various kinds. These are generally classed as Epidemic 
causes, and are properly divided into three sections, viz.: those which 
occur regularly at certain seasons; those which are of continuous dura- 
tion, and are apparently of incessant development, such as small-pox, 
measles, scarlet fever, etc.; and those more properly and exactly epidemic, 
that is, which appear under particular electric, and other conditions, 
from time to time, scouring whole regions, and whole continents, etc., 
wherever the like circumstances tend to engender them, but which then 
unaccountably subside. 

It is worthy of especial notice, that all three general ciasses of these 
causes engendering disease, are to be removed, modified, extenuated, or 



3rt DFR FAMILY PHYSICIAN. 

even eradicated, by judicious management, by the removal of the direct 
causes (if any be apparent |, or by the preparation of the system, by means 
of specific remedies. 

2. THE GENERAL CHARACTER OF THE DISEASE. 

This is determinable by considering the various manifestations in 
conjunction with the state of the circulation or action of the heart as dis- 
tinguishable io the condition and peculiarities of the pulse, which alone 
can serve distinctly to characterize disease.— Pain is very generally no 
criterion, except as qualified by the pulse;— the muscular and nervous 
action is usually no criterion, except as qualified by the pulse; the diges- 
tive functions, secretions, discharges, etc., etc., will often leave the degree 
of progress, danger, or curability in disease undetermined, without re- 
ference to the PULSE; to the consideration of which we will therefore 
proceed. 



THE PULSE: ITS VARIATIONS AND INDICATIONS. 

1. THE ART OF PEELING THE PULSE IN ORDER TO DETERMINE ITS 
( HARACTER ACCURATELY. 

First. Avoid feeling the pulse abruptly, and until the patient has 
been beguiled (if possible) by irrelevant conversation. 

N >n /. Make such an investigation of the history of the case as to as- 
sure yourself that there may not be sonic immediate casual circumstance 
calculated to have fluttered, or otherwise affected the patient, and thereby 
to have disturbed the pulse more immediately. 

Third. Place three of the fingers upon the artery on the inner side of 
the left wrist of the patient, having the thumb so applied to the back of 
the wrist thai the pressure which you apply to the artery can be modified, 
increased, etc.. in any and every degree; and that thereby, and by so 
varying the degrees of pressure I having a considerable length of the artery 
under the three fingers) you may be able, not only to distinguish the 
number of beats \\ bich occur in the minute, but also the particular nature 
of such beats; as, for instance, whether by pressure you can apparently 
suppress the gush of blood through the vessels; or whether, when strong- 
ly pressed, the current seems to worm through beneath the fingers like a 
wire; or whether the bound is so strong as apparently to force the fingers 
away in it- impetuous passage; m whether the pulsations are very 
sudden, distinct, abrupt, and as it were, convulsive; or whether, on the 
other hand, the pulsation appears t<> linger and to pass languidly; or, 
whether, again, there is no distinct pulsation, but a rapid thrill, rather 
to be denominated a vibration than a pulsation. In order thoroughly to 
distinguish these variations, ii is imperative that the attention should be 
absolutely centered in this one object, and not distracted by any other 
circumstance. 

-• THE v\i;i; \<;i; via \i> a i: i » OF HEALTH. 

The healthy pulse of an adult (in the stage of maturity) male person 
oi large and expansive Frame, should - \\ ith the modifications before men- 
tioned under the head <-i " Constitutions ") be firm, not compressible, but 



INVESTIGATION OF THE DISEASE. 37 

sensibly urged through the artery, notwithstanding pressure, yet neither 
hard (conveying a shock to the touch), sudden and twitching, nor like a 
thread worming its way beneath the lingers ; but moderately full, even, 
regular, and numbering from 70 to 75* beats in the minute. 

The healthy pulse of an adult (in the stage of "maturity) male person, 
of smaller frame and proportions, should, in general, number from 72 to 
78 beats, subject to the same general characteristics in other respects. 

The healthy pulse of an adult female should, with the same general 
reservations, number from 80 to 85 beats in the minute ; but we should 
not anticipate as strong or full a pulse in a woman as in a man ; nor, 
indeed, should we always attach much importance to the casual precipita- 
tion of the pulse, especially of highly-nervous females. 

The healthy pulse of a young person in the second stage of childhood, 
viz. from seven to fourteen years of age, should number from 80 ,to 86 
beats in the minute. 

The healthy pulse of a child under seven years old, from the period of 
teething, may be stated at from 86 to 96 beats in the minute. 

The healthy pulse of an infant, before teething, may be stated at 
from 100 to 120 beats in the minute according as the child is robust or 
weakly ; the robust infant generally exhibiting a less frequent but stronger 
pulsation. 

The healthy pulse of the first stage of declining life may be generally 
stated, for the male, at 70 beats: and for*the female at 75 beats in the 
minute. 

The healthy pulse of the second stage of declining life (that is, old age), 
may be stated for the male, at from 55 to 65 beats; and for the female, at 
from 65 to 70 beats in the minute. 

3. GENERAL INFERENCES DEDUOIBLE FROM THE PULSE, ETC. 

1. Palpitation of the heart— The palpitation or pulsation of the heart, 
when felt distinctly, and predominantly, or when even heard, or so severe 
as to reverberate, as it were, through the frame, and to shake the side, 
etc., may be considered as characteristic either of — 

Nervous irritation, the result of sympathetic disturbance originating 
in the stomach, especially if worms be present ; of hysterical and other 
spasmodic affections ; of severe bodily suffering, or of violent emotion, etc., 
and when the result of hysterical disposition, should occasion no apprehen- 
sion ; or of— 

Excessive debilitation, resulting from loss of blood, or other severe, 
excessive and protracted discharges, in which case it generally termin- 
ates in a swoon, which, if casual, does not indicate organic disease of the 
heart : or of — 



* If, however, the pulse be habitually slower or quicker, we should assume this as an individual 
standard, because instances are upon record of the pulse of healthy adult males varying from 30 to 50 
beats. Young infants are known to have a pulse numbering from 140 to 150 beats. If the skiu be moist 
at a natural heat, and not flushed, this would be no sign of disease. The pulse also varies before and 
after meals. 



38 OUR FAMILY PHYSICIAN, 

Sudden determination of blood to the heart, or other organs, which, 
in females, should apprize us of an approaching menstrual crisis (if in 
due season : or of— 

Organic disease of the heart, when it will be characterized by con- 
tinuance, or very frequent recurrence, constantly terminating in loss of 
consciousness. 

2. The pulse — will serve to determine the most essential questions 
respecting disease, such as (1) the degree of vital power possessed by the 
patient; (2) the nature of the disease, that is, whether or not inflammato- 
ry action i>c present; (3) specific characteristics of the disease, that is, 
whether it be the result of superabundant strength of the blood and sys- 
tem, or whether it be occasioned by, or attended with, a depressed con- 
dition of vital energy ; (4) the degree of progress made by disease upon the 
vital power, and consequently the greater or less degree of urgency; (5) 
especially in highly critical cases, when no other distinct index is afford- 
ed, the selection of the appropriate reactionary remedy ; (6) according to the 
greater or less degree of impression made upon the pulse by such admin- 
istration, whether or not we have properly selected, and how far we 
should be justified in changing the medicine. 

4. VARIOUS NAMES OK ALTERATIONS OF THE PULSE. 

1. Frequent i>uls< — A term applied to the succession of the beats. P>y 
this we understand simply an increased rapidity of repetition. 

2. Slow pulse— The designation of a pulse less rapid than in health. 

3. Quick pulsi — A term which designates the rapidity with which 
the current passes through the artery at each beat, qualifying the charac- 
ter of the beat ; whereas freqverwy (as above) is a term denoting the rapid- 
ity with which one heat follows another. 

1. Sluggish or Tardy pulsi — Expresssive of the languid, extended na- 
ture of the heats. 

5. Hard pulse — Expressive of the sensation or firmness and posi- 
liveness which it conveys to the touch. 

<;. Soft pulSi expressive of the smooth How (so to speak) of the 

blood beneath the pressure of the lingers. 

7. Strong pulse— The denomination of a pulse, which seems to hound 
beneath the touch, ami repel compression. 

8. Feeble pulsi Thai which yields to compression, apparently defi- 
cient of vigor to force it- way in spite of pressure. 

!». Largi pulse- Expressive of the dilation and expansion of the 
arterj , ae <'\ Lnced to the touch. 

10. Small jmlsi Expressive of the apparent retraction of the artery, 
and the minute channel through which theblood passes, as (winced to 

the touch. 

11. Full pulse A. denomination applied to a pulsation which seems 
thoroughly to flU the arterj at each beat; whereas the large pulse is only 
understood ol .•« dilating current, without conveying the idea of solidity, 
an of a well-filled vessel. 



INVESTIGATION OF THE DISEASE. 39 

12. Empty pulse — When the beats do not seem to convey a very dis- 
tinct elevation to the artery, and which appears as a combination of the 
characteristics of the soft and small pulse. 

13. Unequal pulse — That which, without being suspended, does not 
beat at regular intervals of time, or in which the quality of the current 
(as hard, soft, feeble, full, etc.,) differs with different beats. 

14. Intermittent pulse— Or that which is characterized by the occasion- 
al suspension of beats. 

5. INDICATIONS ATTRIBUTABLE TO TIISE VARIETIES, RESPECTIVELY 

AND JOINTLY. 

1. A very important distinction to be determined, namely: whether 
the disease is characterized or engendered by excess or deficiency of vital 
power ; that is, by over-luxuriance, or poorness of blood, is to be evinced 
by the strong-, hard, (incompressible) pulse on the one hand, and by the soft 
feeble (compressible) pulse on the other hand; the first being indicative of 
excess, and the second of deficiency of strength. 

2. xlnother distinction in determining the nature of the disease con- 
sists in the explicit indications afforded by an unequal, or cliangeable pulse, 
which, in acute cases, identifies the malady as nervous, not inflammatory, 
and, in chronic cases, as irrespective of the circulation, and associated with 
the nervous system only. Thus we should be most cautions not to mistake 
cutting, stitching, pricking, or shooting pains in the chest, or violent fixed 
pains (even with violent throbbing), or pains in the chest, (as just des- 
cribed), with suffocative oppression of breath, accompanied with such a 
state of pulse, for inflammation; for the pulse would herein distinctly iden- 
tify purely spasmodic or neuralgic suffering. 

3. A healthy pulse, or a pulse of a purely nervous character, as just 
described, attending affections of the chest, and especially of the air-pas- 
sages, is precisely, in some cases, the unmistakeable index of Asthma, in 
contra-distinction to Consumptive affections, which are ever characterized 
by a feverish, feeble, irritative, accelerated pulse. 

4. The accelerated pulse, if unqualified by any other feature, exhibits 
irritation, or fever (properly so called), or increased susceptibility to irrita- 
tion, which may result from mechanical causes, tending to lessen the scope 
of the heart as (tight-lacing, etc) ; or from cold in particular, which has 
caused an irregular retrocession or congestion of blood; or again, from an 
increase in the richness or quantity of the blood, which destroys the equili- 
brium between the motive action and the current of blood. Increasing 
acceleration is indicative of increasing inflammatory action; subsiding ra- 
pidity is indicative of the removal of the irritation and analogously of its 
cause. If the frequency of the pulse continues or returns after a crisis (re- 
sulting in perspiration, sleep, etc.), we may judge that the effort of nature 
was incomplete, and that therefore a continued effort remains. Frequency 
of pulse may be associated with the over-strong or over-feeble state of the 
circulation, and will be more continuous and difficult to subdue when 
qualified by feebleness than by strength; it will also in many cases be 
more excessive. Thus, incases in which the pulse is very frequent, (as, 



40 OUB FAMILY PHYSICIAN. 

for instance, 120 to I80„or even 200 beats in the minute,) it is also small 
and then points out the lowest state of debility, or what is called a pu- 
trid condition. This is, indeed, an imperfect pulse, and sometimes pro- 
ceeds to a mere thrill of vibration, when it is totally Indistinct. An anal- 
ogous sensation may, however, be conveyed in very severe cases of 
" inflammation of the substance of the lungs." as an inflammatory pulse; 
hut then the artery will be dilated said full, if a long breath be drawn and 
held: whereas the pulse of debility is qualified by a small, retracted, artery- 
Again, if the pulse be accelerated, and also strong", or full, and hard, we 
may distinguish a decidedly inflammatory condition— inflammatory fever. 

5. The small juris?, unqualified by any other condition, is indicative 
either of weakness or of spasmodic condition, which may he easily deter- 
mined by the accompanying or antecedent circumstances, and by the follow- 
ing distinctions: — 

Lf associated with hardness (small and hard) it is especially indicative 
of a convulsive state. 

If associated with softness (small and soft), it is especially characteris- 
tic of debility. 

Further we may study the following distinctions, either singly or in 
iation:-- 

The slow pulse (if not habitual— some adult subjects, especially males, 
haying habitually a pulse varying from thirty to fifty beats in the minute, 
without disease), is indicative of insufficient quantity of blood— as after 
severe depletion— of advancing age. of the subsidence of fever (which fre- 
quently leaves a reactionary pulse btlow the standard of health), or of pres- 
sure on the brain, as in cases of congestion, water in the head, etc. Asso- 
ciated with the following variety, especially after concussion of the brain 
etc.. it is of a serious character. 

The sluggish or tardy pulse particularly distinguishes a torpid condition 
and a low typhoid character assumed by the disease, and pressure on the 
brain, when it is of more serious import than the slo in pulse, and of still 
more serious consequence when associated with the last. 

The hard pulst (simply) indicates especially inflammation, (as in fever, 
etc.; or a convulsive condition (when qualified by evidences resulting from 
the investigation of the nervous symptoms distinguishing this condition. 
In old age again, the hardpulse (especially if large) is of very frequent oc- 
currence, as caused by the drying, contraction, or even ossification of the 
arteries, which convey this sensation to the touch, owing to a decrease of 
BUppleneSS or elasticity. 

The snft pals, (simply) proves the absence both of inflammation and 
com lllsive condition. 

The strong pulse, which indicates superfluity of blood, a full habit, 
Th.-y;,/,/. pulse, indicating deficiency of blood, an attenuated habit. 
The Jargi pulse (simply) indicates an unimpeded elasticity of action, 
and is the truest index of the absence of cramp, irritation, or excessive irri- 
tability; It is the distinctive feature, especially after acute inilammations, 
of a vigorous operation of the heart, and proves that there is an ample 
sufficiency of blood /„ aetln circulation (consequently no local or organic 
iiinationi; the hi,,,, puis, (when unqualified b> other features) is 



INVESTIGATION OF THE DISEASE. 41 

therefore to be considered as a proof of the effectual resolution of an irrita- 
tive effort, (such as fever), when it sets in at the crisis. 

The large pulse may, however, be associated with fullness (only) when 
it points out the insufficient liquefaction of blood (or thickness) in which 
case it is easily compressed, as often occurs in typhoid fevers, (with debil- 
ity), and when it is a spurious f uliness ; or, again, the large pulse may be 
associated with fullness and hardness, when it clearly indicates irritation of 
a peculiar kind. 

The full pulse distinguishes a plethoric or full condition or habit of 
body. 

The empty pulse offers indications analogous to the "small ami soft? 
(as above stated). 

The unequal or changeable pulse generally characterizes a universal ner- 
vous condition, and is one of the distinctive features of nervous fevers, or 
of fevers resulting from, or accompanying deficient vital energy. It also 
indicates spasm at the heart, or even a deeper and organic derangement of 
the heart, or deficiency of elasticity or energy in the action of the heart ; 
and it may also, in cases of inflammation of the substance of the lungs, be 
held to indicate such a state of congestive or other obstruction as impedes 
the progress of the current through those organs, when, consequently, it is 
a most serious symptom. 

The intermittent pulse. In this we may especially distinguish a spas- 
modic condition of the heart, (sometimes organic disease), particularly sym- 
pathetic, as resulting from intestinal affections, such as congestive deter- 
mination of blood, or such as excessive relaxation of the bowels, or predis- 
position to relaxation. 

THE CONDITION OF THE BLOOD. 

By this division of investigation it must not be suspected that the 
inspection of blood abstracted by venesection is indicated, for the use of 
the lancet is the great and grievous error which has been effectually super- 
seded. The artificial abstraction of blood is, therefore, as an all but invari- 
able rule, out of the question. But it will often occur, when the condition 
of the blood aifords very distinctive indications of the nature of the disease 
or of the system generally, that spontaneous or casual discharges take place* 
which we may have an opportunity of investigating. We should princi- 
pally notice a tendency to coagulate very quickly, or too firmly, or in too 
great a relative proportion to the fluid residue ; or, on the other hand, an 
excessive predominance of the fluid proportion or absence of coagulation. 

1. Coagulation which is too rapid, firm, or too great in proportion 
to the fluid residue, especially if further qualified by the superficial float- 
ing of very little of the watery humor, (which is one of its constituents), 
that, again, being coated over the surface with a verv firm white skim, is 
positively indicative of inflammation, tendency of the disease to develop 
inflammation, or predisposition of the patient (if in health) to attacks of 
inflammatory disease. Coagulation, in general aspect as just stated, but 
which throws up a superficial skim, of detached, unconnected, woolly, or 
yellowish, or sometimes greenish appearance, distinguishes an irritation of 
a nervous rather than of a specifically inflammatory character. 



-i- OUR FAMILY PHYSICTAN. 

•2. Insufficiency of the watery constituent, that is, when all or al- 
most all of the blood is dark and thick, indicates a highly bilious habit 
of body. 

:). Superabundance of the watery humor as a constituent of the blood, 
that is. when the tendency to coagulate is slow, and affects only a small 
portion and that often of a paler color than is usual), and when the 
greater part resolves itself into a watery superfluid, indicates a deficiency 
of power to appropriate and distribute the nourishing portion of the food 
for the sustenance and uses of the system ; and (if of menstrual blood) a 
constitutional disposition to debile disorders, such as ''green sickness." 

4. Absence of healthy coagulation, the blood being dark, but remain- 
ing entirely commingled in all its component parts, not separating the 
watery humor, and remaining in a thick inadhesive condition, (not 
jelly-like, indicates what is termed a putrid condition, or that stage of 
dissolution in which the vital energy sinks from deficiency of power to ex- 
pel what is mischievous (as in putrid typhus); and, in general, a scorbutic 
habit of body, which involves a predisposition in every disease to assume 
a putrescent character. 

•"). A dark, yet dear, red blood, indicates strength, and a sufficiency 
of reactionary power. 

6. Black, or very 7 dark purple blood: — which is associated with such 
diseases a- result in predominance of venous over arterial blood, and 
w liieli may indicate organic defect of the structure of the heart, particu- 
larly if the complexion have a bluish or purplish hue; and which ma}' 
also indicate a highly bilious complication of intestinal derangement in 
scorbutic subjects (particularly), more especially if the blood be*muddy, 
thick, and black. 

7. Pale blood, from superabundance of watery fluid, also characterized 
by excessive liquidity, indicates constitutional weakness in the predomi- 
nance of the watery humor as a constituent. 

Pale blood (from light redness of the coagulating portion,) indicates a 
pernicious constitutional habit, such as the constitution heretofore de- 
- 1 i ibtii a- " Rheum at ie." 

s. The watery humor (as a constituent of the blood) thoroughly and 
distinctly separated from the coagulating portion, which is deposited in a 
firm jelly and without any of the unhealthy manifestations described 
under l - above, may be assumed as an index of a,}iealthy process of circula- 
tion. 

9. The watery humor as a constituent of the blood) appearing whit- 
ish and thick, indicates deficiency of constitutional vigor, especially in 
i he dist Pibul ion of nut rhneiil. 

10. The watery humor as a constituent of the blood) appearing of a 
distinctly yellowish hue, indicates an admixture of bile with tin- blood. 

SPONTANEOUS DISCHARGES OF BLOOD GENERALLY. 

if tin- discharge be from the nose, in cases or Inflammation of the 
•n.nn tevere determination of the blood to the brain, or of inflaoEnatory 



THE INVESTIGATION OF THE DISEASE. 48 

fever of any kind, the symptom is to be considered as a wholesome 
crisis. 

In general, discharges of blood may appear as the crisis of a disease, 
particularly of severe fever ; but they may occur as the result of local de- 
terminations of blood or inflammations, of over-due fullness and disten- 
sion of the vessels, of precipitation of blood upon a weak part, (or, gener- 
ally, of comparative deficiency of firmness and strength in such part, as 
when a blood-vessel is broken); or again (as a most critical symptom) of a 
putrid condition. 

THE URINE, ITS VARIETIES AND THEIR INDICATIONS. 

From the consideration of the blood and its appearances, we cannot 
transfer our attention more appropriately than to the like variations in 
the urine, as the discharge, the processes attending the secretion of which 
are most intimately connected with the blood. 

1. THE HEALTHY APPEARANCE OF THE URINE. 

Unaffected by any of the subjoined or other particular circumstances 
of age, sex, method of living, active, or sedentary, particular articles of 
food or drink, the season of the year, and as a most important excep- 
tional condition, the constitution of the patient— the urine should be of 
a pale, brightish yellow or straw-colored, remaining clear after standing, 
precipitating no sediment, and of the peculiar ammoniacal smell, but de- 
void of all loathsome odor. 

Exception 1. However, in old age, it is consistent with health that 
the urine should be offensive, lessened in quantity, and deepened in 
color. 

Exception 2. Amongst females a degree of sediment is not always an 
unhealthy sign, and the urine is habitually of a paler hue. 

Exception 3. With respect to the habits of life, it may be reserved 
that a person leading a very active life, with especial predominance of 
physical exertion, should emit darker and more scanty urine than the 
stated standard— and, that in an individual of very sedentary habits, it 
should be characterized by more copious but paler discharge. 

Exception 4. As to eating and drinking, it may be stated as an excep- 
tion to the general rule, above, that certain vegetables (especially those of 
a diuretic nature), such as asparagus, will usually cause the discharge to 
be offensive; other substances will give it a bright, gold yellow; excess 
of stimulating liquor will render the discharge pale and copious, etc.; 
whereas, also, within about six hours after eating, it will commonly be 
cloudy. 

Exception 5. The increase of constitutional vigor, or perhaps more 
immediately the greater enjoyment of open-air exercise which the sum- 
mer affords, tends to render the urine darker and more scanty, whereas, 
in winter (that is, under contrary circumstances,) it is usually less highly 
colored and more abundant. 



44 OTTB FAMILY PHYSICIAN. 

2. THE PROPER TIME AXD METHOD OF INVESTIGATION. 

The urine should not be examined, or at least no reliance .should be 
placed upon its manifestations, within less than six hours after a meal; 
and such of the urine as is reserved for investigation should then be set 
aside in a place where the temperature is even and moderate for at least 
two hours, not being at all exposed to sudden transitions of temperature 
in the interval, aft er which we may examine whether any of the sub- 
joined evidences be present. 

:',. THE VARIATIONS APPARENT IN THE URINE, AND THEIR INDICATIONS. 

1. With respect to the progress of fevers, the urine affords the most 
valuable characteristics, varying with each stage, as the result of the 
febrile course is developed ; as, for instance: 

Before the fever has taken any turn towards i>sue, that is, so long as 
it continues to rage without any tendency to a crisis, the urine, of what- 
ever color, is emitted (and remains after standing) perfectly transparent 
and clear; or, in other cases, (especially nervous fevers, and fevers in 
which the digestive functions are predominantly implicated,) the urine 
will be emitted (and will continue the same, and without deposit after 
standing,). thick and cloudy. 

2. A- the determination of the fever approaches, the urine, which 
was previously dear, will become thick, and will begin to form a small 
half-floating cloud, or sometimes even a similar cloud completely buoy- 
ant, or which, should it sink for a time, will rise again completely to the 
surface. The two latter are, however, indicative of a somewhat unfavor- 
able issue in the imperfect completion of the crisis, whereas, if, on the 
other hand, the cloud formed in the urine sinks, we have reason to an- 
ticipate a wholesome resolution. 

:;. The actual determination or crisis of the fever is distinguishable 
by the precipitation of a sediment (simply),— in cases in which the urine 
had previously been clear,- and by the like precipitation of a sediment, 
and the complete clearness and transparency (as if filtered) of the over- 
floating fluid, in eases in which the urine had previously been muddy 
ami thick. 

But for this precipitation of a sediment to constitute a wholesome indi- 
"/ti'jH. it should, also, be smooth, undisturbed, light,— assuming an appa- 
rent, slight, rounded, elevation towards the center,— white, or of a 
slightly gray color. It should not constitute more than one-fifth or one- 
fourth (at the most) of the whole volume discharged, and it should be 
deposited quickly after the emission. For, otherwise, it is a bad sign ; as, 
for instance : 

I f black, or srery dark, it indicates a putrid condition. 
I f of the color of bile, or red, it characterizes an intermittent type of 
disease, or sometimes of a rheumatic tendency. 

I f white ami gritty, or deposited from dark, turbid urine, there is de- 
praved habit of body, or perhaps some concreting substance in the 
urinary canal. 



THE INVESTIGATION OF THE DISEASE. 45 

Or, generally, if disturbed, irregular, of a purple hue, muddy, heavy 
and constituting from one-half to two-thirds of the whole volume dis- 
charged, it is a bad sign. 

4. In general: 

If the urine be red when the pulse is accelerated, there is a de- 
cisive and positive indication whereby to distinguish constitutional fever, 
inflammatory action, and increased development of internal heat, — from 
a similar condition of pulse, which might otherwise characterize a purely 
spasmodic affection. 

If of a deep saffron-color, it represents the admixture of bile in 
the blood, etc.; and if this hue be conveyed to white absorbent surfaces 
moistened with it, it decisively indicates jaundice. 

If it be thick and black, here is an indication of such a degree of 
inflammatory or putrid condition, as resolves itself into gangrene. 

If bloody, turbid, thick, and depositing an excessive proportion 
of sediment, we have an evidence of approaching decomposition of the 
blood. 

If, other things being equal, it be characterized by the floating of 
an apparently oily substance on its surface, we have an evidence of what 
may be termed advanced constitutional decay. 

If matter be mingled with it, there must be internal suppuration. 

If the urine (of children) appear, as it were, milky, we have rea- 
son to deduce the presence of worms in the intestines. 

If it be thick, but pale, or still more, if it be very changeable in 
appearance, during the course of a fever, we have reason to look upon the 
disease as of a nervous kind. 

If it be clear, transparent, and watery, and there be continual 
urging to discharge it, the nature of the affection is distinctly spasmodic. 

If it be bloody, there is probably a degree of inflammation about 
the bladder or kidneys. 

If slimy, we deduce a discharge of the character of phlegm from 
the bladder, or obstruction of the neck of the bladder by some concreting 
substance. 

Or, again, as regards the manner or sensations which character- 
ize the discharge : 

If the discharge be involuntary, the affection is of a paralytic 
character ; but it should, also, be noticed that in such cases of fever as 
evince this symptom, it is sometimes very difficult to ascertain whether 
it is really involuntary (in the true sense of the term). If really so, it is a 
serious manifestation. 

If, on the other hand, the discharge be either difficult, painful, 
or impeded, it variously represents disease of a locally, inflammatory, or 
spasmodic nature. 

6. Or, further, as to the antecedent circumstances : 

It should be noticed that sudden check of perspiration will often 
occasion an exceedingly copious and watery discharge of urine. 



46 OUK FAMILY PHXSICIAN. 

Whereas excessive relaxation of the bowels, the previous use of 
drastic purgatives, or profuse sweating, will frequently cause a darker 
and more scanty discharge. 

Chemical and Microscopic Distincitons, and the distinctive 
features of other varieties in respect of the urine, have been intentionally 
omitted, as calculated to lead unprofessional persons into erroneous ex- 
periments. 

THE FUNCTION OF BREATHING: ITS VARIETIES AND 
T H E IB IND1 CAT I ONS. 

[n many diseases, especially those whose seat is in the respiratory 
apparatus, the manner of breathing, the pains, etc., developed by the act, 
of breathing, the sound emitted by the inward and outward passage of 
the breath, etc., aretheonly signs upon which we can rely for a thor- 
ough and distinctive appreciation of the nature of the affection, with the 
ation, however, that the relations between thepulse and respiration 
are never to be overlooked. In all diseases, especially in those of an in- 
flammatory or putrid character, there is much important insight into 
the direction, etc., of the malady, acquired by a careful consideration of 
the operation of this vital function. 

1. TIIK BREATH IN HEALTH. 

The frequency, and even the manner, of breathing, in individual 
is best determined by the habitual conditions of both. But, inas- 
much as there should he about four pulsations to every act of respiration, 
II may be deduced that, in health, supposing the medium standard of the 
adult pulse to be 80 beats in the minute, there would be 20 inspirations 
and 20 respirations in the same time: and in the like proportion. 

The breathing would also be easy, slow in repetition, and in inhaling 
and exhaling equal and full. It is not, however, to be inferred that the 
■' equality of proportion between the beating of the pulse and the 
< gpansion of the Lungs is in itself a sign of health ms will presently trans- 
pire), although it may be assumed therefrom that the blood is not deteri- 
orated in quality, on the one hand, and that the operation of the lungs is 
not organically affected, <>n the other hand. 

_. 'till: variations to which breathing is subject, and their 

[NDICATIONS. 

Frequent respiration — by which is understood a rapid and contin- 
uous succession of inspirations and respirations— is an evidence either of 
accelerated circulation or i ever, and consequently of organic inflamma- 
tory affections, or of inflammatory affections of any kind, involving con- 
stitutional disturbance; and also of insufficient (elasticity) strength of 
the lungs. Frequency of respiration, when associated with smallness or 
s?wrtiu8s; that is, with inadequate expansion, is an evidence of some ob- 
struction which oppresses the operation of the Lungs; as, for instance, 
"\ by congested blood (as in inflammation of the lungs), by the 
►f water in i\>> i th< chest, (or even, in severe cases, in 

tin cavity of the belly), by inflation with wind (the oppression being 



THE INVESTIGATION OF THE DISEASE. 4t 

communicated by the contiguity of the lungs to the inflated parts of the 
stomach), or by the alteration of the substance of the lungs, etc. 

This variety is opposed to the habitual degree of slowness in the 
breathing of health. 

The slow (unfrequent) breathing, when less frequent than in health, 
and further qualified, by deep breathing at remote intervals as if 
in a convulsive effort, is frequently associated with spasmodic affections, 
swooning, etc., and is an evidence of want of strength. 

The quick respired foil— & term by which is understood that the 
Wi-spiration is incomplete, and is quickly succeeded by the /'e-spiration 
— is occasioned by the presence of some oppression or obstruction, which 
renders the expansion of the chest so painful as to hurry the operation 
of decreasing the pressure by expelling the air; it is almost invariably the 
result of any severe inflammatory affection of the intestines, or apparatus 
of respiration, and commonly occasions a more sudden and spasmodic 
effort to expel the air, as manifested in cough. It is opposed to the 
healthy tardiness of respiration; that is, to the deep, slow, protracted 
inspiration, and respiration, with power to IvJld the breath (full) for a 
length of time. 

Tardiness— may, however, be excessive, as resulting from weak- 
ness. 

The deep or long breath— when even, protracted— as to the inhal- 
ing, and exhaling— noiseless, and evidently without effort, is one of the 
characteristic features of healthy respiration; but, when deep, long 
breath, is evidently the result of a severe effort, somewhat difficult, irreg- 
ular, sonorous, and sometimes abrupt, it becomes an evidence of spasmodic 
affection,— especially involving the anterior portion of the cavity of the 
chest and abdomen, or, sometimes, of great fullness of the vessels about 
those regions ; or, again, (as if there be a long pause between the explo- 
sion of one draught, and the re-inspiration of another) of a condition of 
stupor and delirium. 

The small or short breath (simply) — may be considered an evi- 
dence either of weakness, or of spasm, We have already noticed this 
variety, as associated with frequency. 

Dijffimlt breathing— implies several distinct varieties, either of which 
may appropriately bear this name. In any degree, difficulty of breath- 
ing may be associated with coldness of the extremities (especially 
the feet), confusion and heat of the head, and empty, small and remittent 
pulse, owing to the obstructed and dilatory progress of the blood through 
the lungs. If casual, difficult respiration may be attributed to some acci- 
dental or even mechanical cause of oppression. As a symptom of disease, 
it would arise from the presence of any obstructing matter, blood or 
water, etc., Impeding the action of the lungs and air-passages, etc.; or as 
a symptom, unattended with any evidence of inflammation, it would be 
occasioned by spasmodic affection of the respiratory apparatus. 

Moaning or sighing breath is a variety of difficult respiration, and 
seems rather to identify the enveloping membranes of the lungs as the 
seat of the affection. 



48 OUR FAMILY PHYSICIAN. 

Oppressed breath (simply) may arise either from impeded digestion, 
from particular conditions of atmosphere, or from affections of the air- 
passages. 

Pantin!/ Breath rather identifies obstructions (such as thickening of 
the lining membrane) in the windpipe, and air-tubes. 

Suffocativt breath— tha\ is, when the breath is totally arrested by re- 
cumbency—may result from extravasation (pouring out) of blood on the 
longs, etc., from the accumulation of water, from alteration of the sub- 
stance of the lungs, or from what is termed paralysis of those organs; in 
any case it is a mosl urgent symptom. In all respects it is opposed to the 
easy breathing, or to the habitual degree of ease in breathing, which char- 
acterizes the healthy state of the patient. 

Warm breath (simply)— indicates a degree of fever; if very hot par- 
ticularly if the extremities be cold, it is a positive index of general, inter- 
nal inflammatory action, or more particularly of inflammation of the 
substance of the lungs, or of some of the adjacent intestinal parts. 

Cold breath— indicates a deficiency of vigor (superfluity of watery 
humor) in the blood, and consequently sluggish, languid circulation. It 
may result, however, from obstruction which prevents the effectual pas- 
sage of the blood through the lungs. As a symptom appearing with the 
sudden suspension of pain, and with general dullness of sensation in severe 
organic inflammation, it indicates internal mortification; in any case, as 
attendant upon the last stage of a very critical disease, it is a fatal sign. 

Unequal breath — an expression which conveys its meaning — may, 
in very severe cases, result from obstructions impeding the inhalation 
or exhalation of the air (chiefly in the windpipe and air-tubes), or it may 
kx occasioned by purely casual circumstances ; as, for instance, spasmodic 
affection of the nerves connected with the respiratory apparatus. It is 
opposed to the equal breathing of health. 

Noisy respiration— or that which is attended with unnatural sounds, 
is subject to several modifications— as, for instance, whistling breath, 
which, in the majority of cases, indicates the result of spasm, or of accu- 
mulation of phlegm, etc., in the windpipe. Battling breath, which may 
result from the presence of matter, blood, or phlegm, partly obstructing 
the air-tubes ; or, a- a fatal sign, it is the result of paralysis of the lungs. 
Flapping breath, or that which is accompanied with an occasional sound, 
as of the sharp flapping to and fro of a dry valve, indicates the presence of 
very adhesive matter or phlegm in delicate cells connected with the air- 
;es. Crackling or crepitating breath, which, as associated with in- 
flammation "t 'the lungs, would be qualified by the other distinctive symp- 
toms of that disease, may (particularly in aged persons) indicate deficien- 
cy of moisture in the lining membrane of the air-passages. 

Oppressed breathing, or oppression of the chest, will be treated of 
under tin- bead of anxiet . (see " rain." etc. 

Offensive or fetid breath a symptom which requires no further de- 
scription, hut which musl be considered in due relation to other circum- 
Btanoea as, for instance, going too Inn- without food, will engender it. 



INVESTIGATION OF THE DIGESTIVE FUNCTIONS. 49 

The menstrual periods are sometimes attended with it. Excessive use of 
mercury, under any treatment, is another ascertainable cause. 

A scorbutic habit of body (or that in which every affection has a dispo- 
sition to resolve itself into a greater or less degree of putrescence) is 
unmistakeably discernible from this symptom, when continual and habit- 
ual. Excess of animal food may occasion it. Decay of the teeth and inat- 
tention to' the proper cleansing of the mouth and teeth, will almost 
inevitably induce it. In typhus, it characterizes the putrid degeneracy 
of the disease. In affections of the chest it usually characterizes suppur- 
ative processes in the lungs, etc. As a general rule, especially in the 
absence of any particular conditions, such as have been stated— foulness 
of the stomach, or the presence of worms, or other impure substances in 
the intestines, may be distinguishable by offensive breath. 

THE DIGESTIVE FUNCTIONS, AND THE INDICATIONS 
WHICH THEY AFFORD. 

The digestive functions, as is well known, afford some of the most pal- 
pable indications of derangement ; and inasmuch as the nutritive or tri- 
butary process is entirely centered in this portion of the system, one very 
important deduction is dependent upon its condition ; namely, the suffici- 
ent or insufficient degree in which the subsistence of the whole constitu- 
tion is provided for by the processes acting upon the food, and, in the 
habitual state of the digestive process. 

Persons of habitually strong digestive powers are more likely to resist 
the injurious effects of external circumstances ; such as heat, cold, infec- 
tion, sorrow, etc., etc.; but once attacked with disease (especially inflam- 
mation), they are prone to be very seriously affected. At the same time 
disease will be more likely to run a rapid course with such subjects, and to 
terminate promptly, than to degenerate into chronic disease. 

If the digestive process be habitually weak, we have a general indica- 
tion of precisely contrary conditions. 

1. THE EVACUATIONS AND THEIR INDICATIONS. 

Costiveness. — Suspended or deficient evacuations may be the 
effect of inflammatory tendencj^ ; or of muscular debility ; or of inaction 
of the lower intestines ; or, again, of deficient or altered discharge of 
bile from the liver into the intestines ; or of general debility of the sys- 
tem and poverty of blood. Suspended evacuations may, however, be occa- 
sioned by mechanical obstruction of the bowels, as the lodgment of 
improper substances, etc.; whereas deficiency of discharge may result 
from excessive discharges or transpirations of another kind. 

Very dark evacuations may be either associated with costiveness or 
relaxation, and in both instances they usually, when not induced by the 
nature of the food, evince an exuberance of bile. 

Hard evacuations are of various kinds : — as hard and large, hard and 
small (detached), hard and knotty, etc.; in general they exhibit a 
deficient degree of natural irritability in the lining membranes, more or 
less excess of internal heat, and deficiency of moisture. 

Relaxation, as understood, not only of less consistent, but of 
more copious evacuations, is also subject to variations in the frequency, 

4 



50 OUR FAMILY PHYSICIAN. 

color. od<>r. etc., of the motion. In general, it may result from inflamma- 
tory or nervous irritability of the intestinal canal ; or from the presence 
of obnoxious, irritating substances, impurities, etc.,— such as undigested 
food, worm-, etc.,— therein; or from suppression of other discharges; or 
emotion-: or again, from a debilitated condition of the bowels, or of the 
entire system. 

If the discharge be green (of an infant), acidity is commonly exhib- 
ited ; if dark, predominance of bile; if pale, deficiency of bile. 

Spontaneous discharge should be distinguished from involuntary dis- 
charge, the former being of little importance, and being a common result 
of unconsciousness (when relaxation is present) and occurring, also, 
owing to the excremental matter being completely liquefied. 

Involuntary evacuations, properly so called, and attendant upon 
the la>t stage of severe fevers, especially fevers of a typhoid character, 
are indicative of paralysis, and are to be looked upon with great appre- 
hension. 

Diminished evacuations are not necessarily opposed to the lessened 
consistency, and may occur either with highly consistent or very liquid 
motions ; in the latter ease, however, they generally exhibit an imperfect 
expulsion of the matter to be evacuted, and, in such instances, of the 
presence of some irritative substances in the canal. If unqualified by 
any other manifestation (such as hardness, or those already stated) and 
especially if there be a constriction of the passage, the decreased quantity 
of the evacuation may be attributed to spasm. 

5 raining to evacuate, is sometimes of spasmodic character, espe- 
cially if the motion be only partial, very scanty, or totally suppressed. 
Hut without spasm, or especially nervous character, such straining may 
result from a greater or less degree of inflammation and its sequels, or 
from the peculiar susceptibility of the canal to irritations. 

Of painful evacuation we shall have occasion to speak under the head 
of ■ Pains. 1 

L'. II. All I. KM Y— WIND IN THE STOMACH AND INTESTINES— AND ITS 

INDICATIONS. 

The generation of wind either in the stomach or in the bowels, 
arises from the production of the elements, in the form of gases of the 
norma] phlegm which is secreted from the blood. If habitual and ex- 
cessive, it is clearly indicative of weakness or derangement (of nervous 
action or lone in the stomach, if the wind be expelled upwards, — or in 
the bowels, it the intestines become inflated, or the wind be expelled 
downwards. 

Flatulent distension of the belly, occurring in children, often iden- 
tiflee .hi additional morbid -late, characterized by the presence of worms 
in the intestinal canal. 

Flatulent, drum-like distension of the belly during the course of 
i i\i a, betraye want of vigor which may occasion serious results. If, 
at the same time, the belly thus distended be very tender, and severe 
pain be caused i»\ pressure, a tendency to local inflammation is clearly 

. xhihiled 



NAUSEA AND VOMITING AS SYMPTOMS. 51 

3. NAUSEA AND VOMITING, AND THEIR INDICATIONS, 

1. These symptoms especially point out either original, local, or 
sympathetic affections of the stomach, or superior portion of the digest- 
ive apparatus, as opposed to the bowels or intestinal canal, which consti- 
tute the second division of this portion of the system. If, therefore, these 
symptoms be simvltaneovs with unhealthy evacuations, it is to be deduced 
that both the stomach and bowels are affected either simultaneously or 
sympathetically, or by communication of the irritability from the one to 
the other. 

But they may be occasioned by mere sympathy, without any 
actual local affection, as:— 1, by sympathy with the womb in females, 
and indicative of the earliest stage of pregnancy; or, 2, by sympathy 
with the liver, as evinced by the pain or other symptoms emanating 
from that organ ; or, 3, by sympathy with the brain, as the result of irri- 
tation, or of oppression occasioned by determination of blood, concussion 
or water; or, 4, by sympathy with the intestines, as particularly 
evinced by perverse and continued constipation. All these relations 
should be duly considered ; and, in the absence of any such remote causes, 
we may trace the origin of these symptoms to the stomach itself, as :— 

If habitval, 1, to an organic derangement of that and the neighbor- 
ing portions of the system. 

2. If both food and drink are thrown up as soon as swallowed, to 
inflammation. 

3. If accompanied with foulness or enlargement of the tongue, and 
evinced in the state of the matter thrown up, especially if the suffering 
be immediately relieved after vomiting, to the presence of obnoxious and 
indigestible substances in the stomach. 

4. If attended with sudden paroxysms of cramp-like pain, and abrupt 
suspension of breath, to increased irritability of a purely spasmodic char- 
acter. 

5. If both symptoms occur habitually in the morning, and there be no 
further indication of irritation of the stomach itself, and if further ex- 
amination of the urine, and other symptoms lead to the same conclusion, 
they may be attributable to gravel. 

4. THE APPETITE, AND ITS INDICATIONS. 

The appetite may be equally great, or greater, in disease than in 
health, but there are very distinct indications which distinguish these op- 
posite conditions. The appetite of health should be even, regular, (not 
capricious or fitful) varing in the frequency of its return only according to 
the habitual periods of meals; but, if not governed by any habit calculat- 
ed to modify the intervals between the returns of hunger, it should recur, 
in the adult, about every four to five hours, and in infants and children at 
intervals of from one to three hoars; and satiation (that is. the meal), 
should not be accompanied with flushing of heat, but rather with a sen- 
sation of chilliness. As an indication of disease we find the appetite de- 
ficient, or absent,— excessive and irregular— fitful— capricious— craving 
after particular substances, with absolute repugnance to others— charac- 
terized by a desire for unnatural things, as chalk— or by a particular long- 



52 OUR FAMILY PHYSICIAN. 

ing for stimulants, etc., in the majority of which cases the stomach is the 
seat of derangement, but occasionally, also the bowels (as when worms are 
present in the intestinal canal); except as regards suspension of appetite, 
which, in most cases (particularly if supplanted by thirst), indicates con- 
stitutional irritation (fever), whatever be the original seat of the af- 
fection. In other instances, we may remark an habitually excessive or 
craving hunger (not neccessarilt/ either capricious or fitful), but particularly 
qualified if flushing of lieat, or peculiar heat of the hands follow a meal 
when we may have reason to apprehend a hectic or consumptive dis- 
position. In some cases, however, in which excess of appetite occurs 
(unaccomp anied with these qualifying conditions) especially in young 
persons, it may be attributed to worms alone — to over-rapid growth — to 
violent exercise and excessive transpiration, or to any other cause which 
would tend to absorb or to consume the substance and nutriment of the 
body. 

Absence of appetite may more particularly be attributed: 
1. To organic derangement of the stomach or simply to weakness of 
the first process of digestion. 

•i. And more frequently, to the overcharge of the stomach, or the 
pressure of injurious and indigestible substances, even in moderate or 
small quantities. 

3. To fever of any kind, otherwise determinable by the pulse, etc., 
except, indeed, to hectic or rheumatic fever, neither of which necessarily 
subdue the appetite. 

4. To nervous, hysterical, and hypochondriacal conditions— or to 
nervous derangement resulting from emotions, as from excessive grief, 
alarm, etc.; or to the like, resulting (without fever) from undue physical 
exertion (a rare case) when the nerves of the stomach are implicated; or 

I lently from undue mental labor or anxiety. 

Natural appetite, that is, appetite neither increased nor decreased, 
may occur, associated with hectic or rheumatic fever; when, however, it 
is generally qualified by other circumstances :— in both cases it is more 
likely to be irregular or excessive. 

Excess of appetite, as a symptom of disease, is an evidence of poorness 
of blood, frequently attended with the secretion of an acrid, irritating 
phlegm ; but, without such conditions, it may result from purely nervous 
and sympathetic irritability— as during pregnancy, or in diseases of a 
purely hysterical character;— or again, from some habitual cause of irri- 
tation, such as worms., In hectic or consumptive complaints it indicates 
the insufficient distribution of nutriment by the tributary apparatus, that 
rant of proper action in the digestive function to appropriate the 
nutritive constitutent of the f ood. Excess of appetite will also often ap- 
eiated with habitual vomiting, or continued relaxation of the 
bowels, owing to the deficient distribution of nourishment. 

5. THIRST AND ITS INDICATIONS. 

[n the majoritj of cases, continued thirst Indicates fever or inflam- 
mation; but, inasmuch as it will result from any dryness of the mouth 
and throat, and from lack of moisture in thestomach (without disease), we 
be careful to distinguish the thirst of health. 



THE TONGUE. 53 

The thirst of health may be the consequence of any condition cal- 
culated to absorb the moisture of the mouth, throat, gullet, and stomach- 
such as.— severe physical exertion, greatly elevated temperature, par- 
ticularly in a dry state of the atmosphere, or even when the temperature 
is much depressed by the deficiency of moisture in the air, particularly if 
strong exercise be taken during the prevalence of such atmospheric con- 
ditions;— or, again, eating salt food, or eating solid food, especially heating 
food (chiefly animal) in excess, or continuing too long without food (with- 
out necessary abatement of appetite) after the return of hunger, whereby 
the saliva has been exhausted, etc. 

When, however, there is no apparent cause for the thirst, especially if 
accompanied with increased heat or dryness of the skin, etc., and if, upon 
investigation of other symptoms, further indications should warrant the 
conclusion, we may infer that the thirst arises from internal heat, and is 
consequently a symptom of fever. If in such a case the thirst be intense 
and insatiable (the pulse being full, hard, and frequent), the character of 
the fever is distinctly indicated— it is inflammatory ; that is, there is a 
deficiency of the watery constituent in the blood. 

Thirst may, however, arise purely from acidity ; when it will be charac- 
terized by the risings and acrid sensations in the gullet, etc. 

It may also be associated with spasm; when, however, it will be 
characterized by deficiency, not by excess of heat. 

THE TONGUE, AND ITS INDICATIONS. 

The tongue affords many of the most important indications associated 
with derangement of the digestive functions. 

Tongue thickly furred, dirty white, or brownish white, without either 
unusual dryness, enlargement or redness, indicates that the derangement 
involves rather the lining membranes than the nerves of the stomach, 
and that not to a serious extent. The derangement is. then identified as 
comparatively recent, and easily remediable. 

Tongue furred with slimy matter, and with vivid red, tip and margins, 
indicates also an affection of the lining membrane, but one of a more 
serious and continuous character. 

Yellow tongtw, also qualified by one or more of the last-stated condi- 
tions, indicates the liver, etc., as implicated. 

Clean tongue, of bright redness, naturally moist, but with the papilla? 
unnaturally prominent, indicates that the derangement affects the nerves 
of the stomach, and is of recent date. 

Dry, red, glazed tongue represents a similar affection to the last, but 
more severe, and of longer standing. 

Swollen, red tongue, but slightly charged with white fur, represents 
such a degree of nervous derangement of the digestive organs as to react 
congestively upon the brain, and implicate that organ. 

Cracked, furrowed, fissured, swollen tongue, conveys to our apprehen- 
sion the most severe degree of derangement of the nerves of the stomach. 
. Swollen tongue, thinly coated, white but bright red at the tip and 
margins, indicates a complication of both varieties of indigestion— viz., 



54 OUB FAMILY PHXSlf'IAN. 

that of the lining membranes, and that of the nerves of the stomach, 
which is of old standing, and of an obstinate character. We may look 
for irregular operation of the brain, as associated with this symptom, as 
well as extreme despondency, nervous irritability, and depression of 
spirits and activity. 

T'>n:j\it< indented on either side is a modification of the swollen tongue, 
already mentioned as associated with derangement of the nerves of the 
stomach, and consists of a very severe degree of tumefaction. 

Tremulous tongue, or tongue trembling when protruded, is often dis- 
tinguished amongst habitual drunkards, and distinctly indicates a com- 
plex variety of the tienxms form of indigestion, implicating the spinal 
marrow. 

Blai-kixh, dry, fur red, and tremulous tongue, is a symptom in abdominal 
or putrid typhus. 

THE NERVES, BRAIN, SENSATIONS, AND SENSES, AND 
THEIR INDICATIONS. 

This section includes the consideration of suspension, or acuteness of 
sensation, perception, consciousness, volition, motion, rest, etc. 

1. LOSS OK CONSCIOUSNESS, DELIRIUM, FAINTING, ETC., AND THEIB IN- 
DICATIONS. 

Los* of consciousness may be of three kinds (as we shall have occasion 
to consider it), two of which are primarily referable to the brain, and one 
to the heart, namely : Aploplexy (considered as a symptom), which con- 
sists iu total tftispeiision of the activity of the brain, and consequently also 
of nervous irritability and vitality; Delirium, which consists in disturb- 
ance or irregularity in the activity of the brain; and Fainting, which 
consists of temporary suspension of the activity of the heart, but which 
also involves the like prostration of general nervous activity. 

APOPLEXY, which is distinguishable by unaltered strength, or 
by increased strength of pulsation, accompanying total suspension of mo- 
tion, or motive power (which does not always return with consciousness), 
indicate- an organic affection of the substance of the brain more or less 
critical. 

Delirium, which is distinguishable by loss of consciousness or more 
properly, perhaps, of connected ideas (generally of the nature of sleep, 
without rest), with or without frantic movements, hut always with 
Increased or diminished activity of the brain of an irregular nature, af- 
fords various indications, according to the particular conditions and cir- 
cumstances which precede, accompany, or follow it, or to the particular 
disposition of the patient, which may serve to qualify it. 

i. When ii becomes continuous, and is divested of any other symp- 
tom Of derangement, and the functions of the system continue in regular 
operation, it ceases t«» be a symptom, assumes the individual character of 
an independent disease, and wrould seem to indicate a greater or less al- 
teration «>i' the substance of the brain. 



INVESTIGATION OF DELIRIUM. 55 

2. When there is a continual predisposition to the return of attacks 
of delirium, without a permanent and continual duration, qualified, 
moreover, by other symptoms of hysterical or hypochondriacal suscepti- 
bility, it is of comparatively little importance as a symptom of diseases 
which exhibit that character (hysterical, etc\ 

3. Persons of a habit of body and temperament, characterized by a 
peculiar activity, susceptibility, and excitement (easily provoked or aggra- 
vated) of the brain, so invariably exhibit this symptom with the least 
acceleration of circulation, and are so prone to become wholly abstracted 
by the continued activity of the organ in question, that we should weigh 
well the accompanying indications, which further characterize disease, 
before attaching much importance to delirium alone, in patients of such 
a disposition. 

4. If, however, there be active delirium — that is raving, occasioned by 
sudden determination of blood to the brain, with or without frantic 
action, with considerable derangement of the system, as evinced by other 
symptoms, especially if this symptom occur in persons who are not 
subject to a manifestation of the kind, we should first consider — whether 
there be continuous and active fever, in which case we have an 
indication of the most inflammatory disposition of disease, and it 
remains to be considered whether the brain itself, or its membranes 
be the primary seat of inflammation, — or whether there has previously 
been some cutaneous eruption or efflorescence, which has suddenly dis- 
appeared, or whether there are such symptoms as forebode an eruption ; 
or whether, again, there have been evidences of inflammation, developed 
in some other organ, which suddenly subsided or disappeared. Or, if no 
such manifestations be present, we may consider the delirium as result- 
ing from a sympathetic affection of the brain, of which the primary 
cause is seated in some other part, — such as the stomach or the bowels, or 
both, arising from the presence of irritative matters (as, for instance, 
worms, bile, etc.); or, again, — if any such cause can be identified, — the 
influence of narcotic and poisonous drugs, etc. 

5. There is also another kind of delirium which appears as a very 
important symptom, especially associated with any cause of pressure on 
the brain, generally the immediate or remote result of— 

Inflammation : — Immediate, when it appears as a concomitant symp- 
tom of the actual disease,— in which case it distinctly indicates the pres- 
ence of blood disengaged, and accumulating in the substance of the brain, 
or suffusion of extravasated blood in the enveloping membrane ; — Remote, 
when acute organic inflammation is not present, in which case it identi- 
fies the presence of water. 

This is what is termed drowsy delirium. It is identified by a de- 
ficiency of nervous and cerebral activity, the absence, even iin many 
cases i, of any motion of the body, a species of dull, inanimate sleep, total 
helplessness, and complete silence, or, at the most, a low internal mur- 
mur ; and it is characterized by prostration of nervous action. 

Drowsy delirium, moreover, may appear in nervous and typhoid 
fevers, as an indication of general debility. 



56 OUR FAMILY PHYSICIAN. 

In any case it may be considered as a more critical manifestation, 
than actixx delirium. 

Painting,— swooning, should also be considered with due regard to 
the disposition of the patient, and to the circumstances which qualify it. 

1. If it be habitual, especially as the termination of violent attacks 
of palpitation of the heart, which generally, if not invariably, lead to 
this is> U e, there is reason to apprehend organic derangement of the 
heart. 

2. If, on the other hand, it should occur casually, after violent emo- 
tion—as joy, fear, grief, etc., or after severe loss of blood, etc., or as the 
result <>f casual, but very excruciating pain, or as the consequence of an 
accidental injury of no great moment, it is not to be looked upon as a 
very important symptom. 

:>. If, again, it be the habitual result of mere nervous excitement in 
persons of a highly susceptible hysterical or hypochondriacal disposi- 
tion, — in which case it is merely spasmodic, — it is not of great moment. 

4. I f, however, one or more fainting fits should usher in an attack of 
FEVER, we have a positive indication of the subsequent nervous type of 
The disease. 

2. MOTION OR MUSCULAR ACTION, REST— AND THEIR INDICATIONS. 

Although not in accordance with technical classification, we shall 
include under this head of " motion and rest," every circumstance, inter- 
nal as well as external, in which the motary power is called into play, 
or subdued. Wherefore, it must be premised, that motion and rest are 
either healthy and natural, or symptomatic of derangement, and conse- 
quently unnatural. 

A nd, first, with respect to motion :— it is clear that to be healthy and 
natural, it must be subject to the will, and the consciousness; that is, 
that until the resolution to effect a certain movement (as of the arm or 
Leg Instinctively calls the proper muscle into play, that muscle should 
remain inactive (but not incapable of action). It is also clear that it 
should not exceed the limit prescribed by the will (except in so far as the 
physical impulse prevents an abrupt arrest— as, for instance, if running 
at great speed, the runner should be unable to stop himself suddenly, 
when at the top of his speed upon the sudden intervention of circum- 
stances requiring it. It is further evidently clear, that even if the will, 
excited by sensations (which are painful), does prompt motion — such as 
change of position such motion is not to be considered as a healthy 
movement properly bo called. An apposite instance of this occurs in any 
restlessness caused by suffering. With respect to motion, which occurs 
when nature in health would have prescribed rest— as in the case of rest- 
lessnessal night, this is evidently a casein which the motion is not 
subject to the will, and therefore unhealthy and unnatural; because 
Bleep Is totally Independent of volition. The active and motary con- 
dition of health, as the general rule for an adult male, should not con- 
tinue in 9piU of the WILL) more than from sixteen to eighteen hours out 

of th»- twenty-four. In the earliest days of infancy, it should occur 
during little more than the time required for feeding. Young persons 



INVESTIGATION OF MOTION AND REST. 57 

under twelve or fourteen years of age, should have a natural tendency to 
activity during about fourteen to sixteen hours out of the twenty-four. 

Secondly, with respect to rest : — if understood purely in the sense of 
muscular inactivity, during the active and conscious operation of the 
will, it is also clear, that in order to be truly denominated as healthy 
and natural, it must, likewise, be subject to the will, which has the 
power of determining its duration, and of prescribing its recom- 
mencement at any moment. Even if prompted or disturbed by the 
sensations, the will is yet, to a certain extent, the mediating pow- 
er. As sleep is not purely a degree of muscular inactivity (which it 
does not even necessarily induce) it is totally exceptional. But, even 
here, if the will be retained in proper ascendency, by being habit- 
ually exerted, it is well known that it has the power of determin- 
ing the duration of sleep ; for many persons can wake precisely at a 
given moment after many hours 7 sleep, merely by having previously 
resolved to wake at such a moment. It is even admissible, that the 
will has an initiating power in inducing sleep, because sleep would 
not in many cases occur, without a resolution to permit it ; and, if it 
occurs in spite of the will, it is exceptional, because it must either be an 
unhealthy symptom in itself, or the absence of it must have been an 
excess of exertion forced upon nature by the will. That sleep can be 
induced even with a disposition to rest — by a mere resolution of the will 
—has been asserted, but is far more problematical. If, however, it does 
not occur when the will composes the body for it, it is again exceptional 
and the absence of it is a symptom of derangement (not healthy). It can 
not, nevertheless, be denied that the avill cannot coerce it; and if the 
will, which is refinement of nervous power, combat the irritation and 
irritability which repels sleep, it becomes a mere combat between one 
portion of the nervous system and another (resulting perhaps in fever), 
both become more and more irritated, and each repels the other more 
violently. Thus the very thought that one cannot sleep, and the wish to 
do so, makes one more restless. 

The sleep of persons of all ages should be calm, neither interrupted, 
nor of too long duration, undisturbed, evincing a placid countenance and 
no evidenee of pain, uneasiness, or fantastic dreams and visions. The 
only motion which does not identify irregularity during sleep, is the 
occasional turn from side to side. The more noiseless the breathing, the 
more perfectly healthy the sleep. The skin during sleep should be warm, 
but neither very hot, dry, nor excessively moist. 

Restlessness, therefore— that is, doubly, the inability to rest, in 
spite of the will, and the muscular motion prompted by the will (under 
such conditions), may be considered as an unhealthy and unnatural con- 
dition of activity or motion (either internal or external). As a symptom 
of fevee, it identifies an excessive susceptibility or irregularity, and ir- 
ritative activity of sensation. It is a symptom rather of an inflammatory 
than of a debilitated state. 

Contraction of the extremeties towards the belly, identifies pain in those 
parts (chiefly colicky pains). 



58 on: family physician. 

Continual starting up in bed, indicates great oppression and anxiety, 
or simply delirium. 

Continual sinking down towards the foot of the bed, denotes great 
prostration of vital energy. 

Throwing off the clothes— when the patient lays himself bare, denotes 
excessive oppression and anxiety, or simply active delirium, w r hich may 
likewise be identified by evident inability on the part of the patient to 
bear the bed-clothes upon the body, or when they seem to oppress him 
like heavy weights. 

Grasping at imaginary objects, may be considered as one of the most 
severe indications of utter failure of vital energy, if not of approach- 
ing dissolution. 

Position of the Patient— a question which is distinctly dependent 
upon the questions of motion and rest, and which evinces some very im- 
portant manifestations— as, for instance : 

1. Severe suffering, provoked by lying on one side, which constitutes 
inability to lie on that side, generally denotes internal derangement of 
organs, whose seat is in the opposite si<fc. 

2. Immovable retention of one position, identities either excessive 
weakness or stupor, according to the associated symptoms, and the pre- 
vious duration or nature of the disease. 

Repeated change of position — in some measure distinct from what has 
been more generally described as restlesssness — if occurring on what are 
termed the "critical days" (as the seventh or fourteenth), or anticipated 
periods of determinative issue, in fevers which run a regular course, 
especially eruptive fevers), may be assumed to indicate the approach of 
the eri>is: or, if occurring early in, or during, the course of a fever, which 
has not been accompanied by an eruption, we may infer the necessity for 
such a development ; or, again, if unattended with the general indications 
of a forthcoming eruption, or unconnected with any period of crisis, and 
characterized either by determination of blood to important organs, or by 
deficiency or suspension of natural discharges or evacuations, this symp- 
tom may variously indicate the lodgment of oppressive matters in the 
Btomach, or -imply internal pain, or anxiety. 

4. The favorable indications connected with the position, consist of 
BUCh a position as is least inconsistent with that usually assumed by the 
patient when in health, and ability of the patient equally to lie on one 
side or the other, or upon the back, which is decisive in determining the 
absence of disease of the organs of the chest (especially if, moreover, the 
breatb i> not impeded or oppressed, when the head is bent backwards), or 
of tin- Intestines. 

Bleep, when unhealthy, i> distinguishable by any circumstance con- 
trary to those above stated, or opposed to the habitual condition of the 
pat lent in beall h . 

l. Or | again, when it is characterized by delirium, under the head 
of whicb tin- particular Indications afforded by this symptom will be 
found. 



SPASMS AND CONVULSIONS, 59 

2. When it is impossible to rouse the patient ; in which ease fever 
being present, it is identified as of a typhoid character, or we may other- 
wise infer that there is an inflammation of the brain. This is especially 
an ill omen when it is manifested at the commencement of the fever. 

3. When the sleep is disturbed by the least noise, but relapses imme- 
diately. 

4. When it is interrupted by muscular twitches, convulsive move- 
ments, and repeated starting, or when there is grinding of the teeth dur- 
ing sleep, all of which occur associated with a high degree of hysterical 
excitement in females, when they are not serious evidences of disease, but 
which may occur in consequence of sympathetic irritation, resulting from 
oppression or irritation of the stomach. 

Spasms and Convulsions should, according to our purpose, be classi- 
fied under the head of motion. Indeed they constitute muscular motion, 
both internal and external ; but in order justly to discriminate their 
symptomatic importance, we must have due regard to the general circum- 
stances, age, sex, disposition, etc., which may qualify them, for : 

1. As occurring in females of a highly susceptible or hysterical dis- 
position, or in children, they are usually provoked by such trivial causes 
(often unattended with such constitutional disturbance), that they are 
commonly not to be considered as of great moment, and may generally be 
traced to some source of irritation of the bowels. 

2. If, however, they occur in consequence of wounds, by which im- 
portant tendons have been seriously injured, spasms may be considered as 
highly momentous, and may result in lock-jaw, or, at all events, in per- 
manent rigidity of the parts injured, or of other parts. 

3. If again, they should occur (in persons of mature years, and of ro- 
bust habit), as resulting from severe loss of blood, etc., they are of por- 
tentous import. In this case they are the result of exhaustion of the vital 
energy. 

4. If, again, they appear as the effect produced by determination of 
blood to the brain or to the spinal marrow, or are derived from the pres- 
ence of obnoxious matters or foreign bodies, they are not to be neglected. 
In the first of these cases, they are caused by super-abundance of blood, 
etc., in the second by nervous irritation. 

5. If they occur at the point of issue in typhus fever, they may 
either be critical, (terminating in conmlesence), or fatal (when the vital en- 
ergy sinks in this last effort). 

6. If they appear associated with contagion, or the irregular develop- 
mentof eruptions or efflorescences, as with purple rash, smallpox, etc., they 
are attributable to nervous irritation. 

7. They may be attributed to the presence of worms in the intestines, 
or to any other obnoxious or irritating matter, either in the stomach or 
intestines, in which case, also, they are directly occasioned by nervous 
irritation. 

8. Convulsions resulting from the pressure of extraneous matter 
(such as water) on the brain, or otherwise traceable to irritation of the 
brain primarily, may result in the highest degree of which they are sus- 
ceptible, namely epilepsy. 



GO OUR FAMILY PHYSICIAN. 

9. Spasms, particularly if caused by tendinous injuries, may terminate 
in the highest degree of which they are susceptible, namely, permanent 
rigidity, (such as lock-jaw or the contraction of any limb, or part of a 
limb.) 

10. Spasms which affect the muscles of any limb are commonly called 
"Cramp? The distinctive feature of a spasm is gathered therefrom, 
namely, an uninterrupted muscular contraction. 

11. ( 'owmilsions, consist in the alternate contraction and relaxation of 
one or more muscles. 

12. Spasms and Convulsions, internally, include such affections asww- 
iting, already separately considered, (when they affect the stomach); Colic, 
exemplified under the head of "Pain," (when they affect the bowels) , Pal- 
pitation, considered under the head of "Pulse," when they affect the 
heart) ; Cough, separately considered hereafter, and also under the head of 
"Breath," (when they affect the chest); Retention of urine, considered under 
the head of 'Trine," (when they affect the bladder); Hiccup or Hiccough, 
separately considered, (when they affect the midriff.) 

Pa n a lysis,— which may be confined to muscular power, or which may 
extend to the superior faculties of the brain, and to all power of sensation 
and perception,— must be considered with due regard to every circum- 
stance connected with it, in order to form a just idea of its indications. In 
any case, the brain must be considered as the seat whence this symptom, 
either directly or indirectly, springs. But it may either appear as the re- 
sult of some external oppression, or from internal and organic affection of 
the brain and spinal marrow. 

1. if it be purely occasioned by external causes, or by causes which 
are external as regards the organic substance, as for instance, if the op- 
pression arise from congestion of an enveloping membrane, it will be easily 
distinguishable by being transitory, and consequently the more simple 
remediable. In the majority of such cases the paralysis will be local, leav- 
ing the superior faculties, and all other physical parts of the organism, un- 
affected. Very severe cases hold as an exception. 

2. If it be the resull of internal affectien of the organic substance, as 
of disengaged accumulation of blood in the substance of the brain, it will 
be continuous, and will almost invariably impair, if not destroy, the 
memory, and permanently detract from the powers of perception and 
sensation 

Hiccup or Hiccough,— an internal development of muscular action, 
-musl also be considered with due regard to the conditions and circum- 
stances of age, and of the symptoms with which it is associated. Simply 
described, it is a convulsion affecting the midriff. 

1. [f it occurs in children, and can be associated with cold, or with 
distension of tie- stomach, (thai is, llatulency). it is casual and of little 
moment. 

2. [f however, it Should he associated with nervous FEVER it indi- 
cates a malignanl type. 

:;. [f associated with Inflammatory fever, it identities, to a certain 
e, the tendency to Inflammation of the bowels. 



INVESTIGATION OF THE SENSATIONS. 61 

Trembling is a symptom which is of various import, according to the 
circumstances and conditions under which it appears, and according to the 
disposition of the patient. 

1. For if the patient be of the highly nervous susceptibility, and it 
cannot be traced to any of the other causes mentioned, it may be attribu- 
ted to a degree of nervous excitement or irritation, which may result from 
emotions of any kind,— abuse of stimulants, whether medicinally adminis- 
tered (under foolish treatment) or not, or to excess of physical exertion, but 
more frequently of mental labor. 

2. If the antecedent circumstances be characterized by loss of blood, 
or any animal fluid, it may unquestionably be attributed to debility, as also 
if it attend every attempt at exertion after severe acute disease. 

3. If it be distinctly manifested, as unconnected with other direct 
causes at the outset of a fever, here is an unquestionable premonition of 
the subsequent nervous character of the disease. 

4. If it should appear in a person of a full habit of body, or otherwise, 
with evident distension of the bowels, and unconnected with any other ap- 
parent cause, it may with propriety be attributed to superabundance of 
blood in the vessels. 

I. THE SENSATIONS, AND THEIB INDICATIONS. 
The sensations need not necessarily be painful to afford a distinctive 
symptomatic indication, although it be true that, as an index of disease, 
every particular or characteristic sensation is generally painful, or at all 
events disagreeable. The most distinct sensation as a symptom of dis- 
ease, however, is pain, or the painful operation of a function, — or ab- 
sence of pain when there is disease which should cause pain ; but we may 
also divide these sensations into two further distinctive subdivisions, 
namely, sensations of discomfort or uneasiness, and sensations of 
anxiety. 

PAIN, ETC., DISCOMFORT AND ANXIETY, AND THEIR INDICATIONS. 

Pain, as a distinguishing symptom, in whatever part or organ it 
may have its seat, is to be divided into (1) that which continues unin- 
terruptedly, which if persistently in the same part or parts, and con- 
tinues to become aggravated (until resolution takes place), and which is 
further qualified by being aggravated by the touch, and still more by 
severe pressure and temporarily by the application of heat, which is the 
general distinctive indication of inflammation of the part or parts 
whence the pain originates: (2) Pain which is chiefly developed in a 
particular course or direction, (the course or direction of a nerve,) or 
which is changeable as to the part in which it occurs, but which, in 
either case, is generally characterized by aggravation from apparent con- 
tact or slight touch, and relieved, or not aggravated, by severe pressure, 
conditions which variously identify pain of a nervous character : and (3) 
Pain which comes and goes in the same part or parts, partakes of a con- 
tractive or cramp-like character, is relieved by pressure, or warmth) or fric- 
tion, is often intermittent and always irregular, and which is rarely contin- 
uous and never psrsistently continuing to become aggravated, conditions 
which identify pain of a spasmodic character, that is, spasm of the 
part or parts affected. 



62 OUR FAMILY PHYSICIAN. 

1. Pain in the chest, or painful respiration, may be the result of an 
overloaded stomach and impeded digestion, or may be occasioned either 
by a rheumatic, by a spasmodic, by an inflammatory affection, or by occa- 
sional determination of blood to the part of the enveloping membrane of 
the lungs, etc 

[f it communicate a sensation of being bruised, or of a stiffness, as if 
the muscles could not bear the expansion of the chest; and again, if the 
pain is of a shifting character, or if touching and pressing the chest 
causes pain, it may be identified as of a rheumatic character. 

If it be casual stitching, as, for instance, suddenly interrupting the 
respiration, without returning regularly, or being regularly provoked by 
a similar eflbrt in breathing, it may be considered as of a neuralgic 
character. 

rf there be persistent stitching pain, whenever a certain degree of ex- 
pansiorj take- place, with a dull, heavy pain, (without progressive aggra- 
mti)ii in the intervals between such expansion, we may identify deter- 
mination of blood to the enveloping membranes of the lungs. 

If, again, there be a continual acute pain, growing progressively 
worse and worse, and further qualified by a general and severe degree of 
fever, which has been preceded by chills, and is associated with more or 
less prostration of strength, inflammation of the membranes in question 
is clearly identified. 

2. Pain in the bowels, or painful evacuation, is either of (1) a nerv- 
ous character, when it will be fugitive, returning when the attention of 
the patient is directed to it, fugitive and aggravated by apparent contact 
or by slight touch, and relieved by severe pressure ; or, (2) spasmodic, ia 
modification of the nervous,) but relieved by contact and pressure of 
every kind, by lying on the belly, and by drawing the legs up, and other- 
wise contracting the body, which may, by continuance, become inflamma- 
tory ; or (3) inflammatory, when it will be readily distinguished by per- 
sistency, accurate locality, progressive aggravation, and by excessive 
tenderness of touch, and still more of pressure, etc. 

Colic, properly so called, is, strictly speaking, a spasmodic pain, but 
by long continuance may become inflammatory. 

:;. Painful discharge of urine may appear as the symptom either of 
inflammation or irritability of the passage, or of the bladder or neck of 
the bladder, distinguishable by the locality of the pain and the nature of 
rhc discharge; Cor * 1 > it" the pain arise from inflammation of the bladder, 
or neck of the bladder, it will be associated with fever and hard pulse, 
and the pain mosl severely fell at the bottom of the belly, and the dis- 
charge w ill usually be cither mingled with blood, or blood will predomi- 
/er the urine, or the discharge of urine will be followed by that of 
pure blood, with excruciating, twinging pain; (2) If the pain be occa- 
sioned by inflammation, irritation, or irritability of the passage, it will 
be qualified bj a scalding sensation when urinating) towards the termi- 
nal part of the passage, With or without discharge of matter; (3) if the 

pain be dependent upon Inflammation, irritation, or irritability of the 
kidneys, the water evacuated will be hot, and the scat of pain will be 



INVESTIGATION OF PAIN. 63 

chiefly in the loins and small of the back ; or, (4) if the pain be occa- 
sioned by spasm of the bladder, or neck of the bladder, there will be 
continual urging to pass water, but total inability to effect it ; that is sus- 
pension of urine, with cutting, cramp-like, agonizing pain in the part, 
relieved, however, by pressure ; that is, by doubling the body forward, 
and pressing the hands firmly upon the lower part of the belly. 

4. Absence or sudden suspension of pain, in severe cases of organic 
inflammation, is, in all instances, a most ominous manifestation, but it 
may indicate two distinct conditions, namely, (1) the sudden transition 
of the inflammation to another organ, (in most cases to the brain,) when 
it requires the utmost care, but is, nevertheless, not so alarming as when 
such reappearance of the disease in another quarter does not quickly 
follow ; for, in this case, the change, in the majority of cases, has been 
one from inflammation to mortification, (and consequent loss of 
sensation.) 

5. Intermittent pain, which is also either periodical or irregular, or 
that which is very severe for a certain period, often accompanied by 
local heat or general flushes of heat, sometimes by the palpitation of the 
heart, and frequently by a degree of irritative fever during its continu- 
ance, and terminating with local or general sweat (and that only), and by 
an acute degree of nervous susceptibility and irritability, often aggravated 
by heat, or by slight contact, (the patient having, however, an inclination 
to press severely upon the part), but which totally subsides during regu- 
lar or irregular intervals, and which is of a nervous character. 

6. Remittent pain, or that which becomes modified from time to time 
for certain intervals, especially at certain periods of the day, or under 
particular conditions of heat, cold, access or exclusion of air, or owing to 
palliative measures, but which never totally subsides during the intervals, 
but continues dull, heavy, and persistent, instead of being highly acute, 
pulsating, or shooting, and which is further qualified by severe feverish 
symptoms during the acute stages, which, however, also become modified 
though never wholly subdued, during the intervals of comparative relief. 
This description of pain is generally associated with organic inflamma- 
tions or with obstructive causes of irritation, with a strong tendency to 
organic inflammation, and identifies a tendency to chronic or continued 
inflammatory action in such parts or organs. 

7. Inflammatory pain, in its genuine distinctive character, is very 
plainly distinguishable from pain of any other nature, as, for instance : 

It is ever accompanied with increased heat of the particular part af- 
fected (if purely local), and then even in some cases, especially, if it be of 
long continuance, by general increased heat of the body, or alternate heat 
and chills, frequent and hard pulse, and other signs of fever. 

And if it be internal, and affecting one or more of the important or- 
gans, the adjacent parts, as also the whole body (except the lower 
extremeties), will manifest greatly increased heat, and the general symp- 
toms of fever will run high, the thirst being generally considerable, and 
often intense and insatiable, (in highly inflammatory subjects). 

It will be continuous, proceeding from bad to worse, until the crisis 
or other issue. 



64 OUR FAMILY PHYSICIAN. 

It will be relieved by moisture of the skin, and general or even local 
perspiration. 

It will be greatly aggravated by pressure, or even by the least touch, 
as of the clothes or bed clothes, but still more so by severe pressure, which 
is usually insupportable. 

If local, there will be redness and often swelling of the parts ; if affect- 
ing the outer membranes, particularly of the intestines, again, redness 
will often be discernible externally. 

There will be sometimes more or less strong development of the adja- 
cent vessels, which will be observed to be swollen and dark, their course 
being palpable, where in general they are externally imperceptible. 

There will be often more or less throbbing or pulsation in the part 
with the pain, especially in the after or suppurative stage, (although this 
symptom may also accompany nervous pain.) 

If local, it will usually be much aggravated immediately by warm 
applications, such as fomentations, but will afterwards decrease, and it 
will be generally relieved as first by cold applications, but in such cases 
the pain will often return more severely, as soon as the cold application is 
removed. 

Whether local or affecting internal and important organs, it will be 
aggravated by stimulants, motion, exertion, mental or nervous excite- 
ment, fatigue, etc., and will have a tendency to grow worse towards night. 

If natural discharges have occasion to pass over the inflamed sur- 
faces, as, for instance, of the bladder or bowels, the pain will usually 
become excruciating. 

If internal, the natural discharges will be qualified by the evacuation 
of blood, mid either by being very liquid (of the excrements), or very dry; 
in any case (of all discharges) they will be deficient in quantity, occur fre- 
quently, and there will be continued urging to discharge, 

The external surface, whether attending local or internal inflamma- 
tory pain, will invariably be dry until the cbisis, when the pain will 
subside, with the development of moisture. 

The pain will insuperably prevent or disturb proper rest, (sleep; a con- 
dition which only applies to inflammatory pain, because pains, either of a 
nervous or spasmodic character, may be overcome by sleep, which fre- 
quently occurs in spite of them, especially of the latter). Consequently ex- 
breme and insuperable restlessness, with such indications as above stated, 
ident Ifles pain a- inflammatory. 

The most perfect cbisis, or resolution of inflammatory pains of any 
kind, consists in gentle, undisturbed, and placid sleep, with proper mois- 
ture of the skin. 

Veroounpains are of a fugitive, irregular or periodical, pulsating, 

in-, darting character, with or without local heat during the entire 

continuance Of local suffering, but then often attended with local sweat 

(simultaneously which never occurs of inflammatory pain), (lushes of 



PAIN AS A SYMPTOM OF DISEASE. 65 

heat without fever or with temporary irritative fever (in modified degree) 
restlessness, depression of spirits, hysterical disposition, or fantastic ideas, 
aggravated by thinking of them, and relieved when the attention is dis- 
tracted by objects of interest, or aggravated by apparent contact, or slight 
touch, and relieved by pressure, unattended with any variations of appe- 
tite or thirst ; characterized by the occurrence of involuntary motions, as 
by jerking-, or the sensation of twittering (vibrating) in particular parts, 
in the latter case, frequently without external perceptibility of such 
action — by extreme restlessness and uneasiness, with or without a degree 
of irritative fever (and often with a peculiarly low pulse), by intermittency 
or periodicity, by being usually dispelled during motion, or absorbing oc- 
cupation, and by a peculiarly intractable persistency continuing to recur, 
in spite of every resource, (when they cannot be traced to a precise point 
or cause), without, however, affecting the general health, or detracting 
from the vigor of the functions. 

9. Spasmodic pains are of a cramp-like, contractive, and very severe 
cutting character, but they are usually of brief duration, though they 
may be of frequent recurrence. In their distinctive and peculiar qualifica- 
tions they are totally unassociated with heat, or any other inflammatory 
symptom, and are rather, except in highly excitable subjects, habitually at- 
tended with depressed than over-active circulation; but by long continu- 
ance they will frequently engender a reactionary inflammation, and assume 
all the characteristic features of inflammatory pain, sometimes becoming, in 
such cases, very severe and intractable. As affecting important organs, 
they may first accelerate, then temporarily suspend the circulation and 
breath. In their distinctive character they are relieved by stimulants, 
heat, contraction of the parts, or of the whole body (doubling up), pressure, 
and especially friction. In their excess they render expansion of the 
parts impossible. They are either local, affecting particular motaory 
muscles, or they are internal, affecting the muscles which are connected 
with or constitute important organs. A constant and severe degree of 
spasmodic pain, affecting important organs (as, for instance, the heart or 
stomach), is indicative of organic derangement. A casual spasmodic pain, 
however severe, is attributable chiefly to the accidental presence of irrita- 
tive matters, especially in the stomach or bowels. 

10. Partial pain in the head, that is, if developed in one spot, or on one 
side of the head, is indicative of hysterical (in the female), or if hypochon- 
driacal condition (in the male). 

11. Pain in the back of the head usually denotes determination of blood 
to the head. 

12. Pressing pain in the forehead, accompanied with giddiness, com- 
monly implies the presence of irritative or impure substances in the stom- 
ach ; or, in some cases, excessive weakness :— that is, if it occur after a 
severe attack of illness, confinement to the bed, or more especially loss of 
blood, or other animal fluids. 

13. Pain, particularly and persistently occurring in the back or loins, 
may (in females) be associated with pregnancy, or with a high degree of 
hysterical excitement, but in such cases as in the more general definition, 
it may be held to intimate the presence of, or a tendency to piles. 

5 



66 OUR FAMILY PHYSICIAN. 

14. Pain, in the anterior part of the stomach, etc., occasioned by pres- 
sure (although there be no actual or positive pain without pressure), when 
occurring as associated with fever, or at the onset of fever, and further 
qualified by heat of the parts, and retahing (if of the stomach), or straining 
(if of the bowels),— denotes respectively inflammation of such part or organ 
as thereby typifies the FEA r ER. 

15. Stitching, or prickling pain, may denote a spasm, but more fre- 
quently determination of blood to a part,- -or inflammation, especially of 
the enveloping membrane of an organic part. 

If it be occasioned by spasm— as of the stomach— it will be casual, 
generally severe, sometimes even to the degree of suspending the breath, 
but passing off without return, or with a similarly casual return, in the 
majority of cases, upon the dislodgement of wind, especially belching ; 
pressure and friction will relieve it. 

If it be the result of determination of blood, such as when it occurs 
on the right or left side (about the spleen), provoked by rapid motion im- 
mediately after eating, or the like conditions,— or when it occurs without 
such immediate causes (as in the right side), and continues to be percep- 
tible upon drawing a deep breath for some time without striking consti- 
tutional derangement, — pressure does not always aggravate it, unless 
severe, motion does : relaxation of the parts, as by bending the body for- 
ward, relieves. 

If it be the decisive symptom of inflammation, as in pleurisy, we may 
thereby distinguish inflammation of the pleura (the membrane which 
covers the lungs, etc., and lines the cavity of the chest) from inflammation 
of the substance of the lungs, especially if there be little (if any) pain, 
until the parts are expanded, as by drawing breath deeply; and its inflam- 
matory character will be distinguishable in the general derangement and 
high degree of fever which accompanies it, with local and general in- 
crease of heat (except sometimes of the extremities), dryness of the skin, 
thirst, etc. 

Sensations OF discomfort, such as the following: 

1. Restlessness has been already mentioned under the head of Motion. 

2. Giddiness (simply), except in the cases reserved as important, is a 
symptom of no great moment, but it often serves to determine the indi- 
viduality of disease. 

It may Identify a nervous condition, generally speaking, occasioned by 
an irritation of the stomach, when we may identify the cause as an over- 
loaded stomach, with a tendency toexpelthe irritating substances, upward. 

In many cases, particularly as occurring in persons of a full habit of 
body, it denotes congestion of blood to the head. 

;:. Iii persons of advanced age, or of apoplectic tendency, it may be 
looked upon as one of the unpropiUous indications of imminent apoplexy. 

St nsatUms qf heai and cold are of two kinds,— those (l)with which there 
is actual heal or coldness, and those (-2) which merely convey these sensa- 
Mtm*, the parts affected with such feeling being neither hotter nor colder 
(neccessarily) in a degree which should occasion such feeling. These are 



HEAT AS A SYMPTOM. 67 

subject to many modifying conditions— of which we shall briefly notice the 
most important— and are generally to be held as of very great importance 
in the investigation of disease. 

Actual increase of heat, if unqualified by any particular local determin- 
ation, or by particular and local pains, etc., denotes (1) increased activity of 
circulation, that is, fever (simply), more or less inflammatory, as the de- 
gree of heat is greater or less ; (2) local inflammation, whether of particular 
parts, if purely local, or attended with general inflammatory action 
throughout the system, if the heat be general, and simply characterized by 
local determination and other particular identifying symptoms. This 
heat, as regards a particular spot, may or may not be externally apparent 
to another person, — it is sufficient that it is internally felt by the patient; 

(3) a dermination of blood to particular parts or organs, without active 
inflammation, when che heat, whether internal or external, is confined to 
the spot, part, or organ affected, and to those which are contiguous, 

(4) when inflammatory and general heat is present, it is identified by 
the simultaneous frequency, hardness and strength of the pulse, which 
increase with tlie increase of heat, and by its conveying no unpleasant sen- 
sation on contact to a healthy person ; and further, by the part of the 
healthy body thus brought into contact with it becoming so accustomed 
to it, after a short duration of contact, as to lose the distinct sensation of 
greater heat in the sick body ; or (5) in the last stage of putrid fever, or 
as an indication that fever has assumed a portentous putrid character, it 
may signify incipient decomposition, in which case, however, it will in- 
crease as the pulse becomes more and more feeble, it will convey a most 
disagreeable sensation of a burning, stinging character to the part of a 
healthy body on contact, becoming more and more disagreeable the 
longer the contact continues, and leaving the same unpleasant sensations 
for some time after the contact has ceased ; this is a chemical, not an 
animal heat. 

Heat in the anterior portions of the stomach, etc., and chest, and 
especially if conveying a burning sensation internally, to the patient, 
accompanying a high degree of fever, identifies, especially a general, 
inflammatory condition of the tributary organs of life. 

Heat of the hands, after eating, denotes a disposition in the disease to 
become habitual, or if there be no distinct disease, a predisposition to 
hectic complaints. 

Fugitive heat is particularly associated with a hysterical condition ; 
it is, therefore, more common among females, (at certain periods espe- 
cially), but it may occur in either sex, associated with nervous debility, 
irritability, or susceptibility. 

Coldness of the extremities, associated with a severe degree of fever, 
denotes a high degree of inflammation in one or more of the important 
organs of life, such as may impede the thorough distribution of the blood 
throughout the system. Wherefore, it is one of the distinctive features of 
inflammation of the lungs, etc. But it may also denote deficient circula- 
tion or deficient strength of the blood, as associated with other symp- 
toms of an enfeebled condition, and as such it identifies depression of 



HS OUR FAMILY PHYSICIAN. 

vital energy. Or, again, it may be the result of spasm, either of partic- 
ular parts or of a superior organ (as of the heart in particular), if associ- 
ated with other spasmodic symptoms. 

Numbness or deadness of particular parts may (1) be indicative of 
latent and insiduous gout, and if from other symptoms there be such 
further analogy as to identify this condition, it may be of much eonse- 
quence; or (2) it may be purely nervous, and then quite superficial, in 
which case it will generally be palliated by cold applications; or (3) it 
may bo occasioned by temporary arrest of circulation in the parts, in 
which ease there will be no contraction or rigidity, and hot applications, 
friction, or rapid motion will palliate or remove it ; or (4) it may be the 
result of spasm, in which case there will generally be contraction and 
rigidity, and heat or friction will likewise relieve, but motion will be, 
commonly, arrested. 

Itching (without the presence of any eruption), especially if preceded 
by chill, and accompanied by heat (as associated Avith fever) usually 
announces the approach of a critical sweat ; or if unattended with fever, 
commonly denotes an acrid condition of the humors. 

Chill (or the sensation of coldness without actual coldness), is a 
purely nervous indication of irregularity. It may consist of a spasm of. 
the skin. The conditions which precede, accompany, and folio w t it, 
must indispensably be considered, in order to form a correct judgment of 
the various important indications which it affords, and which qualify 
• very FEVER; as for instance : 

1. Acute FEVERS are characterized by the single and unrepeated 
occurrence of the chill. Intermittent fevers by the more or less fre- 
quent repetition of this symptom, according as the repetition of the fever 
lit- return. 

2. If the FEVER be of an intermittent character, and the chill be slight 
with great predominance of heat, there is reason to anticipate that the 
disease will run into a distinctly acute character; but if the chill be 
severe, of long duration, and very predominant, the occurrence of heat 
being imperfectly developed, the disease exhibits a tendency to become 
sluggish and of Ion-- duration, and to assume a chronic form. 

:;. ('bill, which i> very severe, and which precedes the heat, may first 
be generally designated as identifying either violent, acute, or even in- 
flammatory fever, or, on the other band, intermittent fever. 

L ('bill, which is imperfect, or comparatively feebly developed, and 
which alternates with heat, (that is, is successively preceding and suc- 
ceeding it , usually identifies, lirst : FEVEE of a nervous character, or of a 
rheumatic, or, Becondly, catarrhal description. 

5. (bill (rigor, coldness attended with shivering), which occurs 
the course of an acute fever, possesses many important significa- 
tions ; as, for instance : [f there be inflammation of any particular and 
Important organ, especially of the lungs, we may anticipate an issue into 
suppuration, or the still more urgent result of mortification, which will 
be further identified by subsidence of pain; or, in cases, particularly .in 
\sbi«-b do decided and Local Inflammation has existed, or in which the 



INVESTIGATION OF THE SENSATIONS. 69 

general symptoms are favorable, the approach of the crisis is identified, 
namely, the thorough development of an eruption, or, more frequently, 
the occurrence of copious perspiration, followed by general abatement of 
the disease; or, when inflammation of one particular organ has existed, 
and any abrupt arrest has taken place, such as the irregular suppression 
of discharge, etc., we may anticipate a transition to other organs; if no 
inflammation of any particular organ has existed, and there be evident 
susceptibility of any particular part, or evident tendency to determin- 
ation of blood to such part, or obstruction to the operation of its func- 
tions, we may anticipate inflammation of such part ; or, if none of these 
circumstances be so combined as to warrant deductions, such as have 
been suggested, the oh ill may forebode the succession of intermittent 

FEVER. 

Sensations of anxiety: a name which is applied to a cer- 
tain feeling of weight or pressure, with oppression of the breath, of 
which the seat appears to be the anterior part of the stomach and 
chest. No paius (or very few) are so distressing as these sensations, 
in which there almost appears to be a struggle for life, although, 
except in cases of organic disease of the heart or lungs, or of inflam- 
mation of some important organ, or of general dropsy, etc., they are not 
so immediately urgent as they appear. 

They may be the result of an accumulation of blood in the lungs, 
^ congestion), in which case, if the patient were of a consumptive habit, 
the symptom would be urgent. 

They may occur as a spasmodic affection of the lungs : or, again, from 
local derangement of the same organs, such as irregular reception and 
expulsion of the blood, owing, perhaps, to the obstruction occasioned by 
enlargements, (as of any important gland), deposits of matter, etc., in which 
last case, as distinguishable by the puese, etc., much importance should 
be attached to them. 

Such sensations may be the result of merely sympathetic nervous ir- 
ritation of the lungs, most frequently when the stomach is affected, as by 
deleterious drugs, tobacco, coffee, excess of fermented liquor, or obstruc- 
tive and indigestible substances, in which case the affection must not be 
attributed to the lungs. 

They may be occasioned, as last indirectly stated, by overcharging or 
overtaxing the powers of digestion, especially if the stomach be weak, a 
condition easily identified in those who have been treated with copious use 
of purgatives, emetics, or even tonics, or who have been addicted to ex- 
cesses in eating or drinking, or in young persons affected with worms ; in 
such cases, if the patient has partaken of flatulent substances, or of very 
rich, heavy, or irritating food, or of mixed liquors, or has been affected 
with bilious symptoms, the occasion of the anxiety is sufficiently ap- 
parent. 

They may be associated with inflammation of the heart, stomach, 
liver, lungs, or bowels, or with dropsy of the belly, general dropsy of the 
system, or water on the chest ; or, again, with permanent or organic dis- 
ease of the heart or lungs, or with determination of blood to any of these 
organs, in the majority of which cases they are of great consequence, 



70 . OUR FAMILY PHYSICIAN. 

They may be purely spasmodic, in which case the apparent suffering 
of the patient will be gieater than in any other, and it is not uncom- 
mon, even without serious disturbance of pulse, to see the patient, as if 
in the last struggle of existence, either speechless and prostrate, or occa- 
sionally grasping at the bystanders, and feebly expressing an apprehension 
of immed iate death. Such rases especially occur from comparatively slight 
causes of derangement (of the stomach in particular) in subjects of a high- 
ly hypochondriacal disposition, if males, or amongst females of excessive 
hysterica] susceptibility, particularly if there be actually some affection of 
the womb. Women subject to frequent miscarriages are particularly sub- 
ject to be affected in this manner. Under such circumstances, these 
symptoms are of comparatively slight importance. 

2. THE ORGANS OF SENSE AND THEIR INDICATIONS. 

This section involves, to a certain extent, not only the investigation 
of the condition of the sense, which may be deranged without apparent 
derangement of its organ, but also of the external manifestation of one 
organ itself | especially;— namely, of the eye, as well as of the sight. The 
other organs of sense— namely, the ears, nose, and palate, convey 
no such very distinct or important external manifestations, or none which 
are not included under various heads in the course of this article ; and we 
shall, therefore, rest contented, in alluding to these, to treat of the senses 
which they convey — namely, hearing, smell, and taste. 

The eye affords a multitude of external evidences of derangement — 
;t-. tor instance: 

1. A dilated pupil may be engendered by sympathetic irritation of 
the brain, as associated with irritation of the stomach and bow T els, par- 
ticularly from the presence of worms ; or it may indicate a local affection 
of the brain itself— as inflammation of the membranes— or water— and 
is then the result of direct pressure upon the brain ; or, again, it may re- 
sult from total inaction, or suspended action of the bowels, in which case 
the symptom would identify a sympathetic affection of the brain; or it 
may be associated with insensibility of the nerve, which communicates 
the representations of the eye to the brain, in which case it need not be 
otherwise than a purely local symptom. 

2. A contracted pupil may be caused by great tenderness of light, when 
it consists of :t convulsive effort to exclude the light from acting too 
powerfully upon the eye. 

[f attended with sensibility to light, it exhibits over-due irritability 
of the nerves connected with the sight, and consequently an irritative 
in flamma tory tendency, rf attended with insensibility to light and as- 
sociated With FEVER, it IS an indication of the utter prostration of the vital 

energy. 

Languid expression of the eyes, occurring as a distinct and appreciable 

Symptom, may Indicate n I if associated wit \\<m.riety— overloaded stomach, 
or sometimes the action of fermented liquor on the stomach, or of deleter- 
Lous substances, or of heavy and Indigestible food; in such cases it fore- 
bodes vomiting, especially if cold sweat transpire from the forehead; (2) 



THE EYE AND TASTE AS SYMPTOMS. 71 

if associated with general debility as the result of sudden and severe loss 
of animal fluids, or of very severe acute disease, it denotes the sinking of 
the vital energy, and often forebodes fainting. 

Squinting or distorted sight, is always symptomatic, when it is not 
habitual, and constitutes a very important indication in children, especi- 
ally, and affords a decisive index to the case, when other symptoms con- 
spire to evince the probability of acute water on the brain. Otherwise, it 
exhibits a sympathetic affection of the brain, originating in irritation of 
the stomach and bowels, especially, if wokms be the direct cause of such 
irritation. 

Staring expression of the eye, or fixed stare at one object, with or with- 
out raving, or muttering, if consciousness be absent, identifies delirium ; 
or even if consciousness be not absent (in the usual acceptation of the 
phrase), there is a degree of abstraction amounting, to momentary and 
accidental suspension of consciousness, absorbed by a fixed thought, or 
with vacancy of thought, in which case also it may be termed the indi- 
cation of a degree or species of delirium (in its strict sense). 

Sunken or retracted eyes denote debility. 

Protruding or prominent eyes, particularly if they be glittering, and 
characterized by suffusion of redness, combine to identify considerable 
congestion of blood in the head. 

The .sight is attended with some variations of distinctive import- 
ance — as, for instance : 

1. Double sight, or half-sight, either of which may exhibit a degree 
of spasm, and which may be simply associated with a hyporchondriacal 
or hysterical disposition, but which may also arise from irritation of the 
stomach, especially, as the result of very stimulating food or drink ; in 
which case, however, it is usually characterized by giddiness, drowsiness, 
dread of motion, talkativeness or extreme taciturnity, or excessive rest- 
lessness, and excitement ; or, again, as one of the premonitory symptoms 
of imminent apoplexy. 

2. The appearance of a profusion of dark spots before the eyes, gen- 
erally conveying the idea of a slow descending movement aggregately ; 
but sometimes also of irregular oscillation, which, even when the patient 
wanders, is often to be distinguished in some fantastical expression of 
dread of insects, as, in health, he or she abhors, may (according to other 
symptoms present) identify or forebode:— depression of vital energy, and 
fainting, if the patient has suffered from very debilitating affections- 
such as excessive loss of blood or other animal fluids, or from very rapid 
or severe acute disease — determination of blood to the head— or a de- 
ranged or over-loaded stomach ; and, perhaps, in the latter case vom- 
iting. 

3 Obscuration of sight, affords indications analogous to those of dark 
spots before the eyes, as just stated : 

The taste affords very important indications in respect of its alter- 
ations, — as, for instance : 

1. Foul taste may originate either in local affections of the mouth, 
teeth, throat, etc., or in irregularities of the nervous system, as occurs 



1-1 OUR FAMILY PHYSICIAN. 

particularly amongst women of a highly susceptible, hysterical disposi- 
tion, or, sometimes, also, without such causes, during pregnancy ;— or, 
again. a< associated with fever, in a tendency to putridity in the blood, 
which ir. therefore, denotes to a certain extent;— or again, if saltish and 
putrid, as occurring in persons of a consumptive constitution, or under 
circumstances likely to provoke consumption, it may originate in a 
suppurative condition of the last-named disease. Furthermore, a sweet- 
ish, salme, bitter, slimy, or harsh and acrid taste, especially if consider- 
able phlegm be constantly in the throat, may be traced to the presence of 
an irritative condition of the stomach, occasioned by the presence of im- 
pure matters. 

2. Loss or absence of taste may arise from some organic nervous 
affection ; or, again, from cold, or derangements dependent upon cold. 

Tin: hearing may constitute a characteristic symptom, either in its 
excessive or deficient sensibility. 

1. If deficient, as associated with FEVERS, and particularly with 
typhus, this very irregularity constitutes a wholsome indication. 

2. [f excessive, as associated with fever, we may identify either a 
degree of inflammatory action involving the brain, or, in general, too 
acute a susceptibility of the nervous system. 

3. Buzzing or ringing in the ears, as associated with inflammatory 
action, or occurring without any apparent cause, or without either of the 
other conditions here mentioned — in persons of a full habit of body, may 
be attributed to congestion of the blood in the part ; or. if associated with 
cold, to that with or without increased secretion ; or again, to determin- 
ation of humors to the ears, when more or less deafness usually qualifies 
the case. 

The SENSE of smell is also qualified by two chief conditions, name- 
ly : (1) deficiency or loss of smell, which is attributable to nervous dis- 
turbance, or to the effect of cold (when associated with cold), or to indi- 
gestion; and (2) unnatural conditions of smell; as for instance :— the 
prevalence of putrid smell in the nose, which is attributable either to 
local disease of an ulcerative and putrid character, in the nose or palate, 
«»r to tendency to putridity in the blood, or developed as an early mani- 
festation of disposition to apoplexy ;— or peculiar smell (which is not 
putrid, hut may be very disagreeable), and which consists of an affection 
of the olfactory apparatus of a spasmodic character. 



CHAPTER III 



GENERALITIES. 

I. COUGHS, AND THEIE INDICATIONS. 

Coughs are of various significance, and point to various derange* 
mente, or -"'is of derangement, according to the conditions which 
precede, accompany or follow them, or by which they are immediately 
provoked. They constitute a series of manifestations which should 
never b»- overlooked in i he Invest igation of disease, because it is clear that 
whether associated witb direct or local inflammation of the respiratory 
apparatus, and of the lungs in particular, or with sympathetic affections 



COUGH AS A SYMPTOM. 78 

of these organs, originating in other organic causes of irritation, whether 
in the stomach and digestive process generally, or particularly in the 
spleen, liver, etc.; the presence of cough indicates, for the time being, 
one of two conditions respecting the respiratory apparatus, namely:— 
either 1) that there is in the system some cause of irritation oppressing 
these organs directly, or reacting upon them from other parts. 

If the affection be merely sympathetic, caused, as is very frequently 
the case, by irregularity in the process of digestion, chronic derange- 
ment of the lining membrane of the stomach, etc., or by the presence 
of any impure substance in the stomach or bowels, either received from 
without, or spontaneously engendered from within, it does not indicate 
circumstances of much consequence, as regards the organs of respiration, 
and should be dealt with purely as an affection of the stomach or 
bowels, etc. ; with this reservation, however, that if the increased' irrita- 
tion of the lungs, etc., be allowed to continue too long, for want of the 
removal of such provoking cause in the digestive process, it may lead to 
congestion of blood to the lungs themselves. 

If the respiratory organs themselves be clearly the seat of the 
affection, it may be the product of the congestion of blood, suppuration, 
tubercles, etc., or of a purely nervous affection ; or, again, of inflammatory 
action in the lungs, or the ramifications of the wind-pipe, or primarily of 
common catarrh, etc. 

The condition of perfect health, as respects the respiratory or- 
gans, is, therefore, in any case, inconsistent with the presence of cough ; 
for when no cause of irritation, either local or sympathetic, is present, 
there will be no cough, nor anything to impede the breath, and a deep in- 
halation may take place, the air being retained for many seconds in the 
lungs, without the slighest disposition to cough. 

If the habit of body be such as to lead to the suspicion that there is 
some latent taint in the system ; or, if again, the taint be testified by 
morbid affections of the glands, skin, or bones, or by tendency in every 
affection to assume a sluggish, chronic character, or by continual inflam- 
matory or ulcerative affections of the eyelids or gums, every cough may be 
of momentous importance, and should lead us to investigate its cause, 
and to treat the affection, of whatever character, without delay, lest, 
while we pause, it should run on to organic affection of the lungs, and 
degenerate into consumption. 

Short dry cough, accompanied by watering of the eyes, and frequent 
fits of sneezing, in the early stage of acute fever, usually prognosticates 
measles. It may likewise (without such particular accompaniments) 
announce an eruption of another character. 

Cough, (generally), painful, hacking cough, associated with acute fevers 
(other than those originating in, or associated with cold), may often be 
the foreboding symptom of incipient inflammation of the lungs ; when 
the manifestation of crepitating (crackling) breath will frequently be 
decisive. 

Predisposition to cough, as the result of every exertion of the lungs — 
such as the accelerated breathing caused by the rapid motion, or speaking, 
or laughing; or even as occasioned by mental or moral excitement— such 



74 OUR FAMILY PHYSICIAN 

as emotions, etc., or, again, as the result of every derangement of the sys- 
tem, usually identifies a tendency to organic affections of the lungs. 

Chronic, dry cough, especially if associated with more or less difficulty 
in breathing, and readily provoked by the slightest causes, and accom- 
panied from time to time with stitching sensations, or pains in the chest, 
would lead to the belief that tuberculous disease had set in. 

'2. TRANSPIRATION FROM THE SKIN, AND SWEAT, AND THEIR INDI- 
CATIONS. 

The more distinctive method of dividing the consideration of this 
cutaneous process, would be to consider "transpiration," properly so 
called, as a healthy, natural operation— indicative of derangement only, 
when qualified by excess or deficiency. Excess of transpiration, under 
the name of sweat, and deficiency of transpiration, under the name, 
of dryness of the skin. 

1. The transpiration of health, is evinced by softness, with slight 
moisture of the whole surface of the skin, in an eqiml degree, and without 
any roughness, crackling, extreme tension, shriveling, or withering, or 
flaccid, flabby looseness of the skin, but with natural fullness and elastic- 
ity ; and it consists of a continual, imperceptible, gaseous exudation. 

2. Stoeat is a disturbed degree of transpiration, characterized by ex- 
cessive discharge of humor of the skin; it may be perfectly consistent 
with health as the result of severe corporeal exertion; but in relation 
to disease, sweat must be considered as of two distinct kinds: (1) that 
which accompanies the healthy determination or crisis of disease, or by 
which such healthy determination is effected, which is called critical, and 
(2) that which occurs before the critical period, which is followed by no 
relief, but rather by aggravation, or which is excessively profuse, which 
forebodes, or ushers in, or originates from the peculiar operation oi' disease 
itself, especially characterized by the eruption of pimples (and not of a 
healthy reaction), which is (tailed symptomatic. 

Of the latter variety — symptomatic sweats — we may particularly no- 
tice (1) sweal occurring in the morning (without previous habit of the 
kind) and whicb, if associated with fever, identifies its hectic character; 

•1) offensive sweats, which, as associated with fever, identify putrid 
typhus ; (3) sweat emitting a sour smell, which commonly characterizes the 
Fever as miliary ; (4) local sweats, as, for instance, on the chest, or about the 
bead, which are characteristic of determination of blood to those parts; 

5) cold sweats, w bich denote a depression of vital energy, and which, in 
the last stage of prostration, forebode dissolution; (6) transitory sweats, 
;i- opposed to the continuous sweat of a wholesome crisis. (7) Symptoma- 
tic sweats may, however, be caused by a mere accessory mismanagement 
Midi ;i- want of ventilation, and excessive heat of the apartment. The 
use of feather-beds, which Is much to be deprecated, especially in cases in 
which fever becomes developed, or the superfluous (and very mistaken) 
excess of covering; (8) otherwise we may generally attribute them either to 
great debility of the whole system, as associated with depressed pulse, etc., 

especially it occurring after long and debilitating diseases, severe loss of 

blood or other animal fluids, or other exhausting causes ; or to accumula- 



THE COMPLEXION AND ITS INDICATIONS. 75 

tion of noxious matters or substances in the stomach, when they will 
appear more particularly about the foreheadsaid face, and will usually be 
cold and clammy ; or again, to overdue activity of the circulation, ac- 
companied with comparative deficiency of energy in the functional [pro- 
cesses of the skin. 

Critical Sweat, on the other hand, is to be distinguished (1) by 
affording general relief, and by the simultaneous modification of every 
source of suffering and the subsidence of the irregularities of the pulse ; 
(2) by being warm and clammy, (3) by being developed over the whole 
surface of the body simultaneously ; (4) by the subsidence of all restless- 
ness, nervous irritation, or mental uneasiness, and the occurrence of calm, 
even, undisturbed sleep ; (5) by continuity ; (6) by the period of its develop- 
ment, in relation to the duration and course of a fever — viz., on what is 
termed the critical day of those fevers which run a regular course, and 
usually resolve themselves into an issue about a given period, as on the 
seventh or fourteenth day, etc. 

3. THE COMPLEXION, AND ITS INDICATIONS. 

Red florid complexion, commonly identifies determination of blood to 
the head, or a full habit of body in general. 

White (cold, dead white) complexion of young females at the critical 
age, denotes a difficulty in the sexual transition — green sickness. 

Fai7it-yellow complexion, usually denotes intestinal disease— disease of 
the bowels. 

Deep-yelloio complexion, on the other hand, identifies jaundice, or even 
organic disease of the liver. 

Pallid complexion, with (more usually) meagreness, want of fullness 
of the skin, commonly identifies the stomach and intestinal canal as the 
seat of disorder, and may be caused by any obnoxious or impure matters 
therein — such as worms (in particular), or associated with acidity of the 
stomach ; with a drawn, sunken appearance (especially), it denotes 
spasm ; with (more usually) puffiness of the flesh, it is associated with 
constitutional weakness, qualified by sluggish circulation or congestion, 
or excess of watery humor (as a constituent) in the blood, or by deficiency 
of blood 

6. Patchy redness of the complexion — that is, redness as of a flush- 
spot on the cheek, denotes a hectic disposition. 

7. Sudde?i and total change in the appearance of the complexion, is 
often to be considered as a very serious manifestation. 

8. Livid spots, may, in advanced age, lead to an apprehension of ap- 
oplexy, as indicating inactive accumulations of blood upon important 
organs (with stagnant circulation); the general indication, however, 
afforded by this manifestation, is that of a putrescent condition of the 
blood (as associated with scorbutic habit of body). 

9. Blue, or livid complexion (habitual)— organic affection of the heart, 

4. SOUNDS EVINCED BY THE CHEST, AND THEIR INDICATIONS. 

The only varieties which have been considered susceptible of general 
investigation, or which appear appropriate for the consideration of un- 



70 OT'R FAMILY PHYSICIAN. 

professional persons, are such as are plainly manifested, by what is 
termed percussion — that is, by tapping upon the chest, etc., with the tips 
of the first two fingers of the right hand, or upon the index finger of 
the lrii hand being laid flat upon the surface, — and which we shall con- 
fine to the clear and <lnll sounds. Auscultation, or the act of listening by 
the application of the ear to the chest, (immediate, or by the unassisted 
ear — mediate, or by the stethoscope), requires anatomical knowledge, and 
considerable experience, to insure a correct interpretation. 

1. 1'J/f clear sound— or that which conveys the idea of an unoccupied 
cavity,— is a sufficient evidence that the cavity of the chest and the lungs 
are free from any abnormal formations or accumulations of obnoxious 
matters — such as blood, matter, water, etc.; and therefore indicates 
soundness. 

2. The dull or muffled sound, or that which conveys the idea of a 
cavity, the resonance of which is impeded by repletion, indicates the 
presence of accumulations, whether of blood, matter, or water, etc., — and 
consequently unsoundness. The sounds elicited anteriorly, posteriorly, 
and laterally, on one-half of the chest, ought to be carefully compared 
with those of the other, but as the sound is naturally dull, over the re- 
gion of the liver, we must not expect to find it clear below the sixth rib 
anteriorly, the eighth rib laterally, and immediately beneath the shoul- 
der-blade posteriorly. 

•"). THE VOICE, A XI) SPEECH, AND THEIR INDICATIONS. 

1. Loss of voice, — which may be occasioned by paralysis, or by sim- 
ple spasm in the organ of voice, — generally, however, indicates inflam- 
mation of the upper part of the wind-pipe; and if this symptom become 
permanent or chronic, it denotes organic disease of the part, 

_!. Hoarseness— is likewise a symptom which originates in the upper 
part of the wind-pipe; and may consist of a temporary congestion or in- 
flammation resulting from cold, or may denote organic disease of the 
part. 

:;. Stammering,— as associated with fever, is a symptom of great 
moment, and which may sometimes be distinguished and foreshadowed 
in i he earlg stage <>!' disease, by the imperfect pronunciation of particular 
vowels or syllables,— in which case it should be held to forebode severe 
affection of the brain. It is a frequent premonitory symptom of ap- 
oplexy. 

4. Loss of speech,— isa very grave symptom when it occurs associ- 
ated with concussion of the brain, apoplexy or typhus. Or it may he 
associated with worms or other noxious matters in the intestines, or 
simply wiili hysterical disposition: or, again, it may he the result of 
spasm, In which case it may assume a periodicity. 

ti. TEARFULNESS AND LAUGHTER, AND THEIR [NDICATIONS. 

l. Copious watering of the eyes, —in the early stage of fever, common- 
i> forebodes measles; <>r, if occurring in the course of acute i'ex^-v it 
usuallj denotes determination of blood in the head 



SNEEZING, YAWNING, GROANING, ETC. 77 

2, Tearfulness or weeping— provoked by the most trivial causes, is 
one of the chief manifestations of hysterical disposition, the same being 
the case of laughing ; wherefore, the two symptoms are generally com- 
bined, and the one succeeds or runs on into the other. In such cases 
however, laughter is generally the first symptom, which, becoming pro- 
longed and convulsive, is converted into weeping. 

An excessive susceptibility and tearfulness, or weeping upon the 
slightest vexation, or upon fantastical grounds of vexation, is similarly 
indicative of a hysterical disposition, and is one of its chief indications. 

3. Laughter — -in every case denotes a great degree of nervous irrita- 
tion, both as regards the superior faculties, and the animal functions ; if 
there be a predisposition to laughter, which is provoked by very trifling 
causes, a hysterical disposition is clearly identified, as already stated, un- 
der the head of tearfulness,— if associated with fever, this symptom 
often forebodes convulsions or delirium. 

7. LOSS AND UNHEALTHY INCREASE OF FLESH, AND THEIR INDICATIONS. 

1. Accumulation of flesh (fat),*— which is sudden, excessive, or other- 
wise irregular, is usually associated with organic disease of the liver, but 
may, at any rate, be very closely watched to detect the first manifestations 
of distinctive indications of disease. 

2. Emaciation, or loss of flesh, when it does not occur as the result of 
fever, or of distressing affection of the mind— such as deep and gnawing 
grief, or continued mental excitement, etc.,— may be attributable (I) to 
undue and irregular discharges of blood, etc., evacuation of water, and the 
like ; (2) to disease of the lungs, or of other organs connected with the res- 
piratory apparatus ; (3) and most frequently to derangements involving 
the digestive functions, and seated either in the stomach or bowels. 

8. SNEEZING, YAWNING, GROANING, ETC., AND THEIR INDICATIONS. 

1. Sneezing is directly caused by irritation of the nerves connected with 
the lining membranes of the nose, and consists of a convulsive resjriratiou ; 
—it may be the result of irritation in the bowels, and as such, when it 
occurs very frequently in children, without being associated with any 
more direct cause (as here stated) we may infer the presence of worms, as 
the provoking cause;— or it may occur as an incipient symptom of measles, 
if associated with fever which cannot be traced to cold; or again, it may 
be the mere manifestation of cold in the head. 

2. Yawning is the result of sluggish passage of blood through the 
lungs, and if associated with fever, whether acute or intermittent, in its 
incipient stage, it identifies one of two cenditions, either a spasmodic or a 
debilitated state. 

3. Groaning may be attributable to purely mental causes, with which, 
indeed, this symptom is generally associated:— otherwise it affords the 
same clue to the distinctive nature of the affection as the preceding sym- 
tom (yawning). 

* It is not unworthy of notice, that the same symptom has been identified amongst the inferior 
animals as accompanying the earliest stage of diseases, resulting from obstruction oi the biliary ducts. 



78 OUR FAMILY PHYSICIAN. 

0. THE SALIVA, AND ITS INDICATIONS. 

The distinctive features respecting the saliva, as indicative of more or 
less derangement, are either an increased or a deficient and diseased flow 
of this fluid, as compared with the habitual condition of health respect- 
ing it. 

1. Deficiency of Saliva, or dryness of the mouth and throat, denotes 
either (Da deficiency of the watery humor as a constituent of the blood, 
and consequently an inflammatory or feverish condition,— in which case it 
will occur as a continuous symptom, associated with extreme thirst;— or 
(2) may orginate purely in spasm, in which case it will occur but casually, 
and if attended with unnatural thirst, the latter symptom will disappear 
with the direct cause, and with the resumed action of the salivary glands. 
A diseased state of the saliva, which is so frequently associated with indi- 
gestion, may be manifested in the form of a thick and tenacious, or — 
though less often,— a thin and acrid fluid. 

2. Increased flow of Saliva may either be critical, as, for instance, in 
smallpox, or in sluggish nervous fevers, or in fevers generally, as occa- 
sioned by, suppression of transpiration (through the skin); or it may be 
symptomatic (in which case it may either identify a purely local affection 
of the salivary glands, or be associated with sympathetic disorders orgina- 
ting in the stomach or intestines,— such, for instance, as that deranged 
state which gives rise to the existence of worms); or again, it may be asso- 
ciated with sore throat. 

10. T 1 1 E EX PECT< )RATlON, AND ITS INDICATIONS . 

1. Expectoration, which indicates a wholesome determination or crisis 
of disease, especially inflammatory diseases affecting the lungs, is technic- 
ally termed '-critical," is identified by the facility with which it is detached 
and expelled, by the absence of pain associated with it, and, on the con- 
trary, by the relief which it affords — and by exhibiting a thick aggloiner- 
ative consistency and yellowish color, occasionally modified by a few slight 
streaks of blood. 

■i. Expectation, which is expelled by an effort, such as repeated hawk- 
ing or coughing, or which causes more or less acute pain or soreness in the 
effort to detach it, may either denote the presence of accumulations of 
obstructive and obstructed matters in any of the air-cells or tubes, or in the 
windpipe, or whence the discharge of expectorated matter proceeds, as 
the result of a continued irritation. 

If jelly-like, or sticky and rusty-colored, it will usually indicate infiam- 
mation of the lungs. 

[f transparent, stringy, or sticky, sometimes streaked with blood, and 
expectorated with much difficulty and without relief to the patient, it 
commonly identifies acme inflammation of the tubes of the lungs (bron- 
chitis);h] which affection ;» change in the expectoration to that of an 
opaque yellow, or greenish-white colored substance, which is easily 
coughed ii]), and is followed by considerable relief, gives evidence of sub^ 
siding inflammation. 

11 il be of the character of matter, or if whitish streaks are seen, or 
small whitish-yellow, sometimes globular, masses, connected together by 



DIET AND REGIMEN. 79 

or floating amongst sticky phlegm (continuously), it is usually a symptom 
of suppurative (the second stage of) consumption ; again, if it consist of 
masses of substance of a brown or greenish-white color, and which flatten 
at the bottom of the vessel, into a shape resembling a piece of coin, it is an 
indication of an advanced stage of consumption. 

If it be of pure blood, it may be the result of inflammatory action, or 
of consumption ; but it is very frequently the offspring of congestion, or an 
overcharged state of the vessels of the lungs. If a permanent symptom 
(and not a critical expectoration), it is generally of much import. 

If yellow, and particularly if also bitterish, affection of the liver is 
identified. 



CHAPTER IV. 



DIET AND REGIMEN. 

These excellent rules on diet have received the approbation of all 
classes ; the self-denial imposed seems more stringent than it will prove 
on being carried into effect. Many individuals, in the author's own ex- 
perience, have pursued the same system of diet, after they had no further 
occasion for medical assistance, thus continuing from choice what they 
had begun from necessity. 

These dietetic rules consist merely in the avoidance of medicinal and 
indigestible substances during treatment, both as calculated to interfere 
with the action of the medicines and the proper functions of the alimen- 
tary system. Consequently, among liquids, the articles generally pro- 
scribed are green tea or strong black tea, coffee, malt liquors, wine, spirits, 
and stimulants of every description ; lemonade, or other acid or alkaline 
drinks, and natural or artificial mineral waters. On the other hand, co- 
coa, unspiced chocolate, toast, rice or barley-water, oatmeal gruel sweet- 
ened with a little sugar, or raspberry or strawberry syrup, if desired ; 
whey, milk and water, or pure milk not too recent from the cow, boiled 
milk, and, in some instances, butter-milk, or, in fact, any non-medicinal 
beverage is allowable. 

The diet should, however, be accommodated to the peculiarities of 
constitution in individuals ; for instance, some persons cannot take the 
smallest quantity of milk without serious inconvenience ; others throw 
out a rash after partaking of fish ; and, again, others loathe the very sight 
of animal food. These peculiarities should also be taken into account in 
the selection of the remedies. 

Of the varieties of animal food, pork, young or salted meats, and, 
amongst poultry, ducks and geese, were better avoided, particularly when 
derangement of the digestive functions exist. Beef, mutton, venison, 
and most descriptions of game, if not too long kept (high), pigeons, larks, 
rabbits, etc., are allowable at discretion. (Refer to the Synopsis.) 

Fish is a wholesome article of diet, and may, in most cases, be par- 
taken of occasionally, with the exception of the oleaginous species— such 
as eels, salmon, etc; or shell-fish— as lobsters, etc.; and all kinds of salted, 
pickled, potted, or smoked fish. 



OUf? FAMILY PHYSICIAN, 

Eggs, when known to agree; butter, if free from rancid or unusual 
taste : cream, plain unseasoned custards, and curds, are also admissible in 
moderation. 

Stimulating soups and high-seasoned or rich-made dishes are directly 
opposed to this regimen. Beef tea, veal and chicken broth, etc., 
thickened with rice, macaroni or sago, and seasoned merely with a little 
salt, arc of course allowable. 

Amongst vegetables, all of a pungent, aromatic, medicinal, or indiges- 
tible description, or greened with copper, are prohibited; such as onions, 
garlic, eschalots, asparagus, radishes, horse-radish, celery, parsley, mint 
sage, mushrooms, etc., but others free from such qualities, such as pota- 
toes, french-beans, green peas or beans, cauliflower, spinach, seakale, mild 
turnips, carrots, etc., may be used with the needful precaution of avoid- 
ing any particular article of diet, whether of the animal or vegetable king- 
dom, that may seem to disagree in the particular casein question. Lemon 
or orange-peel, laurel leaves, bitter almonds, peach leaves or kernels, fen- 
nel, aniseed, marjoram, etc., are objectionable; acids, and the ordinary 
condiments, such as pepper, mustard, pickles, etc., and salads, ought 
either to be sparingly partaken of, or entirely abstained from, particu- 
larly by persons prediposed to indigestion. Salt and sugar in moderation 
are admissible. 

All kinds of light bread and biscuit, free from soda or potash, and 
not newly baked; also simple cakes, composed of flour or meal, eggs, su- 
gar, and a little good butter ; or light puddings, such as bread, rice, sago, 
semolino, without wines, spices, or rich sauces, are admissible; but col- 
ored confectionery, pastry, and in some cases also honey, must be rejected. 
Regularity in the hours of meals should be observed, and too long fasting, 
as well as too great quantity of food at one time, should be avoided. 

It is not sufficiently considered that excess in eating, even wholsome 
and digestible (bod, is a most grievous error. The lightest diet will impede 
the operation of the digestive functions if the stomach be overloaded. It 
were always better to leave the table unsatisfied than to indulge in any 
excess in this particular. Nor should it be forgotten, that a craving ap- 
petite, which induces an inclination to eat excessively, is in itself an un- 
healthy condition, which requires to be counteracted, rather than to be 
encouraged. 

During fevers and inflammatory affections, the patient must of course 
be kept upon a low regimen— gruel, barley-water, etc., and at the com- 
mencemenl of convalescence a light pudding, with a little weak beef tea, 
or mutton or chicken broth, should form the whole of the nourishment 
given. Nature, however, is our besl guide; and whenever she takes 
away appetite, the necessity of not taxing the digestive functions must, 
with rare exceptions, be deemed imperative. (See Fever and also Synopsis 
ofthi Rides for l>i< t . 

CLOTH [NG AN I) 1 1 A BITS. 

I pon the first point ii were searcely worth while entering into any 
observations, were it not simply to remark upon the impropriety of 
w earing garments impervious to air, and fitting closely to the shape, and 



ADMINISTRATION AND REPETITION OF HOMOEOPATHIC MEDICINES. 81 

the custom of exposing the extremities and chests of young children 
to the chilling atmosphere of our peculiarly variable climate, un- 
der the absurd idea of making them hardy. The evil consequences 
arising from the check given to perspiration, by the first-mentioned 
practice, are too well known to require any particular comment ; but as 
the other is an error widely prevalent, I consider it my duty to mention 
it ; and I feel assured, that, if mothers would only reform their system, 
and clothe their children in a more rational manner, they would make 
no slight advance towards the prevention of serious affections, not only 
during childhood, but in after life. Cotton, linen, and even leather worn 
next to the skin, are generally preferable to coarse woolens. 

As regards habits, it may be briefly observed, that a regular method 
of living, avoiding ill-ventilated apartments, late hours, dissipation, 
over-study, anxiety, and other mental emotions, and taking sufficient air 
and exercise, are the best preservatives of health. 

The frequent use of hot-baths is injurious and liable to retard the 
cure under treatment. The idea that sea-bathing is almost universally 
beneficial is exceedingly erroneous; there are many constitutions on 
which it acts prejudicially. Medical baths, either natural or artificial, 
are strictly forbidden. Bathing the whole frame daily with a sponge or 
wet towel, with cold or scarcely tepid water, and the use of the flesh- 
brush, are by no means objectionable, and frequently indeed strongly to 
be recommended. (See Notes on the Use of the Bath.) 

ADMINISTRATION AND REPETITION OF HOMCEOPATHIC 

MEDICINES. 
'The method, quantity, potency, and frequency to be selected and ob- 
served in the administration of the remedies, will be stated more explic- 
itly as regards particular cases in the subsequent directions for the 
treatment of diseases. 

There will also be additional particular in the Remarks on Internal 
and External Remedies ; and material assistance may be derived from 
the Repertory. Yet much will still be left to the discrimination and 
judgment of the administrator ; because it is obvious, that a multiplicity 
of exceptional cases and conditions will arise, to which no general rule 
and few special regulations will apply. In instances of this description 
the particular character of each symptom distinguishable by the conditions 
under which it is manifested — or still more properly the assemblage of 
symptoms similarly qualified by conditions, will be the safest guide for the 
judicious selection of the remedy ; and the continuance, return, suspen- 
sion, aggravation, palliation, modification, or change of such particular 
features of ailment, will serve to regulate the repetition, suspension, or 
change of the remedy. The same circumstances will also frequently 
guide the administrator to change the potency, when the remedy he has se- 
lected is evidently indicated, but has*not been followed by adequate results; or 
in other instances to adopt an analogous remedy, when both of the previ- 
ous methods have equally failed. 

In pursuing such changes, great care should be taken in turning to the 
Table of Analogous Remedies, and from thence to the Repertory, and in 

6 



82 OUR FAMILY PHYSICIAN. 

thereby selecting the remedy or potency whose operation assimilates most 
nearly to the aggregate features of symptoms and conditions in the case. 

The form of the medicine. — With respect to the form in which 
the medicines should be used, see the leading notification under the head 
of "Remarks and Regulations respecting Internal Remedies and Doses." 

Repetition and selection.— The following are a few of the gen- 
eral rules to be observed in the domestic employment of the homoeopathic 
medicines :— 

In diseases which are severe, and run their course rapidly, we must 
carefully watch the symptoms, and when we feel assured we have chosen 
the proper remedy, if no perceptible medicinal aggravation or improve- 
ment declare itself, but the disease seems to gain ground, repeat the med- 
icine. In cases of high inflammatory action, Aconite or Belladonna, etc., 
should sometimes be repeated at intervals, varying from fifteen minutes 
to two, four or six hours. 

If a medicinal aggravation take place, followed by improvement, we 
must let the medicine continue its action, until the improvement appears 
to cease, and the disease again makes head ; if new symptoms set in, we 
must then have recourse to the medicine thereby indicated. Should, 
however, no perceptible medicinal aggravation take place, but improve- 
ment follow, we may safely await its approach to a termination, ere we 
again administer. If any symptoms remain, from the remedy first 
selected having afforded only partial relief, we must have recourse to 
some other medicine, which seems best fitted to meet them ; but refrain 
from changing the remedy as long as benefit results from its employ- 
ment. 

In diseases whose symptoms are obstinate and long-continued, and 
in those which are virulent, but of short duration, as well as in those 
which partake somewhat of these features of violence, when a very 
striking improvement takes place, it will generally be found ad- 
vantageous to cease to administer the medicine as long as the improvement 
continues, and only to repeat as soon as the slightest symptoms of 
activity in the progress of disease reappear. But when a sudden or 
marked improvement, of comparatively short duration, follows the first 
dose of a remedy, and on repeating the dose, the symptoms of the com- 
plaint increase instead of subsiding, as they did in the first instance, it 
may be Concluded that the medicine does not answer, and that another 
musl accordingly be had recourse to, in the selection of which it will be 
i • Bsary to choose one related or analogous to the remedyflrst prescribed. 

The distinguishing of the medicinal aggravation from that of the dis- 
ease, being a point of material consequence, we shall here give the leading 
ami most usual characteristics of each. The medicinal aggravation comes 
on suddenly and without previous improvement; the aggravation of the 
disease more gradually and frequently following an amelioration. Lastly, 
the pulse la also a discriminative guide, particularly in fevers and inflam- 
mations. Thus, when it becomes less frequent, or when, at all events, it 
da - not Increase in frequency, on an accession of aggravation, the ex- 
acerbation Is to be attributed to the medicinal influence; hut when the 



SELECTING AND REPEATING HOMEOPATHIC REMEDIES. 83 

reverse is the case, the aggravation of symptoms must be considered as 
depending on the advance of the disease. 

We cannot attach too much importance to the necessity of careful 
watching the effects of each dose, as, in addition to the temporary aggra- 
vation of the symptoms which sometimes set in, a development of col- 
lateral or medicinal signs occasionally takes place, particularly after fre- 
quent repetition of different remedies, in susceptible patients. By a want 
of attention, therefore, to this important point, we may incur confusion, 
and may be unconsciously treating a temporary medicinal disease of our 
own creation. We must also guard against falling into the opposite ex- 
treme — that of allowing the disease to gain head unchecked. 

Slight diseases are often removed by a single dose of a well-chosen 
medicine ; the more severe and deeply-seated disorders are also frequently 
removed by a single dose of a well-selected, or specific remedy ; but in 
general cases, and particularly those which have been long and rudely 
treated by other means, a frequent repetition is usually required. 

As a general rule, however, a given number of repetitions, more or 
less, according to the severity of the case, will serve to place the patient 
thoroughly under the influence of the medicine, after which the pause 
may be protracted so long as the indications of progressive improvement 
are present. If, then, it becomes necessary to resume the administration, 
it will generally avail at remoter intervals than during the previous 
course. In complaints which are of a mild, though sluggish type, 
and which are unattended with any critical characteristics, the intervals, 
in the first period, may vary according to circumstances, from six to 
twelve hours. But in most complaints, in which constitutional or local 
inflammation is present, the intervals, in the first period, should not ex- 
ceed four hours, and when important organs are involved, and consti- 
tutional fever runs high, these intervals should not, at first, exceed two 
hours. 

In severe acute affections, such as inflammations, fevers, etc., we may 
often repeat the same medicine in the same dose, at regular intervals, as long 
as it does good: but this rule has many exceptions, and the directions 
already given at the commencement of this article should be borne in 
mind. 

In obstinate and lasting cases, by a long-continued administration of 
the same medicine, the patient often becomes less suscepitible to its ac- 
tion ; in such instances, if the improvement remains stationary, or pro- 
gress slowly, we may gradually increase the dose, or, still better, give, at 
suitable intervals, some other remedy or remedies, of as nearly analogous 
medicinal properties to that first administered as possible, and then return 
to the original remedy, if needful; if, on the other hand, decided amelior- 
ation follow each administration, we should allow a longer interval to 
elapse before repeating, by which means the system gradually recovers 
itself, and the susceptibility to medicinal influence remains unimpaired 
until the cure is completed. 

In rare cases, this susceptibility increases ; in such instances a higher 
potency should be selected— provided the remedy still appears to be ap- 



84 OUR FAMILY PHYSICIAN. 

propriate— and the intervals between the closes should be lengthened. This 
occasionally occurs when the medicine has been frequently repeated, and 
given in solution. When the beneficial effect of a medicine is interrup- 
ted by any intermediary irregularity, such as, attack of cold, looseness of 
the bowels, etc., some other medicine must be given for the new affection, 
on the removal of which, the medicine, which was previously acting fav- 
orably, must be again used. 

In the Selection of the Remedy, it is not necessary that all the 
symptoms noted should be present ; at the same time care must be taken 
that there are no symptoms uncovered by the medicine, or which more 
strongly indicate another remedy. 

REMARKS RESPECTING INTERNAL REMEDIES AND DOSES. 
preliminary observations as to the form of the medicines. 

The Form in which Homoeopathic Medicines are employed for inter- 
nal administration requires some particular notice, in order that the 
reader may have an additional opportunity of administering the medicine 
with the medium or vehicle which may be most likely to promote its ac- 
tive operation in the case under consideration. It is well known that the 
medicines are prepared in three distinct forms, namely : 

globules, tinctures, and triturations or powders. 

1. Globules (or pellets of sugar of milk saturated with the tincture), 
are, in the great majority of cases, the only form required for domestic 
treatment, and so greatly facilitate the explicitness of the directions for 
doses, that in the first instance, all the medicines comprised in the list of 
the remedies which are quoted in this work, must be understood to be 
recommended in globules, (at the potencies, also, stated in that list). 

Dose.— For adults eight globules, either dry or disolved in a little 

water (a teaspoonful). 
For infants two globules in the same manner. 

2. TiNOn res might, as far as practical purposes are concerned, be 
coupled with Triturations, the latter being the form in which those reme- 
dies which are insolubli are first made, and consequently which represents 
those lesser degrees of attenuation which are administered in a fluid form 
—of such remedies as do Dot require such pulverization to render them 
soluble (or approximately so;, it is this fluid form of soluble substance 
which is called the Tincture. Tinctures; at low potencies (i. e. from the 1st 
to the 3d, and even, in some exceptional cases, the mother tinctures) have, 
upon the whole dike Triturations), been found better adapted to the treat- 
menl otacub diseases and some forms of scrofula, ague, etc. 

Vose usually employ edr-T or an adult, two drops to a spoonful of water; 
or, in cases in which the substance medicating the tincture is pre- 
cipitated <i" comes thickened) by water -as, for instance, camphor- 
then give two drops on a small piece of pure loaf sugar. 

F<>r a Child ;ilio\ c two years and under twelve years old, one drop — 

constituting from two to three doses, according to the strength of 
the child. 
For an infant under two years old, one drop, similarly divided into six 
to eighl doses. 



DOSES FOR CHILDREN, POTENCIES. 85 

3. Triturations, as has already been explained in speaking- of na- 
tures, represent the lower potencies (as administered in the latter) in 
powder, of substances which are not susceptible of immediate (approx- 
imate) solution, and which require previous and repeated pulverization, 
and extreme and minute distribution. The administration of THturations 
is adapted to circumstances such as those just mentioned in relation to the 
Tinctures (of completely soluble substances). 

The objection to Triturations for unprofessional persons is, that being 
in powder, we have noother means of naming a precise quantity for the 
dose than by indicating the weight. Persons, therefore, who are in the 
habit of using them, should furnish themselves with appropriate and well- 
approved scales. 

Dose usually employed. For an adult, from half a grain to a grain, 
about what would lay on the point of a, penknife blade of medium 
size. 

For a child between two and twelve years old, half a grain distributed 
as equally as possible into three portions— one of these third por- 
tions constituting a dose. 

For an infant under two years old, one-sixth part similarly. 

1. Previous to undertaking the treatment of any affection it is advis- 
able that the article on the administration and repetion of the med- 
cine should be carefully studied. 

2. Should the progress of the malady, notwithstanding treatment, 
without a distinct change in the nature of the symptoms, indicate a change 
of the remedies, it is advisable that the table of analogous remedies 
should be consulted in the selection of the new remedy. 

3. In cases in which the distinctions between the indications for dif- 
ferent medicines prescribed are so slight as to leave the least doubt on the 
mind of the administrator, as to which he should select, the decision will 
be determined by making out the list of symptoms and referring to the 
Kepertory. 

This difficulty may frequently arise where two or more medicaments 
are of closely analogous operation. 

4. Of doses for infants and children. — Where no particular di- 
rection is given for the treatment of young children, or children under 
the age of twelve years, it is to be understood that the dose in general 
cases, should be in the proportion of one-third of that directed to be taken 
generally, or especiallg for an adult, as nearly as that proportion can be 
ascertained. 

The general dose for an infant, under six months of age, may be stated 
at the proportion of two globules to three tea-spoonsful of water, which 
solution should be administered by the tea-spoonful at each dose. 

The general dose for an infant, between six and twenty-four months 
old, may be stated at two globules to the tea-spoonful of water for each 
dose. 

5. Of potencies.— With respect to the potencies or dilutions to be 
employed, although it is by no means an essential point, still, as all the di- 
rections for treatment hereinafter given have been drawn in conformity 
with that scale, it is well that they should be in accordance with those 
quoted in the table of medicines and dilutions prescribed in this work. 



86 OUR FAMILY PHYSICIAN. 

G. Of the division of doses and solution.— The doses prescribed 
in this work are all directed to be taken in solution, as that is doubtless 
the most efficacious method of administration. But when that is not con- 
venient, or is rendered impossible by the state of the patient, the globules may 
be administered dry, by being placed on the tongue. 

When the solution of any medicine in water has to be kept more than 
three days before the whole is consumed, it is necessary to preserve the 
water from decomposition, by oddiny six drops of proof spint to the two 
table-spoonsful of solution. In very hot weather, one day should be the 
limit beyond which no solution should be kept without such infusion of 
spirit. AVhen it is not convenient to add the proof-spirit to the solution, 
the only way of obviating deterioration is to make afresh solution at the ex- 
piration of every such stated penod of time. 

The best medium of solution is distilled water; the next, filtered or 
pure rain-water; the next, water which has previously been boiled or pure 
spring water. 

7. Of the recurrence, suspension, etc., of doses.— It were im- 
possible, as has been already stated, in laying down a general rule for 
treatment, always to assign a given recurrence of the dose of any remedy, 
without being as egregiously wrong in one case as one might be positively- 
right in another. The discretion of the person who uses the med- 
icine, guided by a careful study of the article on the repetion 
of medicines must indicate the frequency of the doses— the pause- 
trie renewal— and the change — according to the conditions of each partic- 
ular case. 

As far as the frequency, suspension, and resumption in the exhibition 
of medicine can be reduced to a systematic scale, this has been done in 
the subjoined Table, from which the patient may occasionally derive assist- 
ance, but to which he must not trust in the least exceptional instances. 

Great care must be taken in distinguishing between the scale set 
forth for acute, and that designed to direct the treatment in chronic 
disease. 

The constitution, temperament, and habit of body must also 
modify all set regulations in respect of the recurrence, etc., of doses 
Highly susceptible subjects require more sparing treatment, and must be 
closely watched to observe the earliest indications in the cessation of 
effect, medicinal aggravation, or other exceptional conditions. 

S. Of < >\>i < utive treatment.— It is a manifest error, in treating 
of any malady, to direct a patient positively to begin by the administra- 
tion of this or that remedy. Every malady may develop itself in a 
variety of ways. The incipient stage of the same disease, even, is 
scarcely ever identical in two cases. In all instances, the development 
of complaint musl depend upon constitutional tendencies, atmo- 
8PHERIC OH i -i BN< ES, EXTERNAL CIRCUMSTANCES especially relating to 
each ease, condition of the system of previous treatment, etc. 

All tin remedies which arc applicable to the treatment of any com- 
plaint within i be proper province of domestic management, together with 
tin symptoms which Indicate t7u exhibition being detailed, the only way in 



MEDICINES, WHEN TAKEN, ETC. 87 

which an unprofessional person will avoid error is by invariably selecting the 

REMEDY INDICATED BY THE SYMPTOMS THAT ARE PRESENT, 'and f the 

circumstances which attend them, irrespective of any I ORDER OF 
succession, except where (as next stated) a particular course of medi- 
cines is directed to be taken in rotation. 

When the medicines prescribed in this volume are intended to be 
taken in succession, one after the other, or in alternation, etc., they will 
be invariably indicated by figures, viz.: 

(1.) MERCURIUS. (2) SUDPHUR. (3) CALCAREA. 

As a general rule, however, when consecutive treatment is required 
with medicines of analogous properties to those below stated, it will be found 
that such as are named as operatiny beneficially after others, will be prefer- 
able for selection in such relation to former treatment, viz.: 

After ACIDUM-NITRICUM— Calcarea, Petroleum, Pulsatilla, Sulphur 

" ACIDUM-PHOSPHORICUM— China, Lachesis, Rhus, Veratrum. 

■ ' ACIDUM-SULPHURICUM— Pulsatilla. 

" ACONITE — Arnica, Arsenicum, Belladonna, Bryonia, Cannabis 
Ipecacuanha, Spongia, Sulphur. 

" ALUMINA— Bryonia. 

" ANTIMONIUM CRUDUM— Pulsatilla, Mercurius. 

" ANTIMONIUM TARTARICUM— See Tartarus-emeticus. 

" ARNICA — Aconite, Ipecacuanha, Rhus, Sulphuric-acidum. 

" ARSENICUM— China, Ipecacuanha, Nux- vomica, Sulphur, Ve- 
ratum. 

" BELLADONNA— China, Conium, Dulcamara, Hepar, Lachesis, 
Rhus, Stramonium. 

" BRYONIA— Alumina, Rhus. 

11 CALCAREA-CARBONICA— Acidum-nitr., Lycopodium, Phos- 
phorus, Silicea. 

" CARBO-VEGETABILIS— Arsenicum, Kali, Mercurius, 

" CHINA — Arsenicum, Belladonna, Pulsatilla, Veratrum. 

" CUPRUM- ACET— Calcarea, Veratrum. 

u HEPAR-SULPHURIS— Acidum, Nitr., Belladonna, Mercurius, 
Spongia, Silicea. 

" IPECACUANHA— Arnica, Arsenicum, China, Cocculus Ignatia, 
Nux-vomica. 

" LACHESIS— Acidum-phosph., Alumina, Arsenicum, Belladonna, 
Carbo-veg., Causticum, Conium, Dulcamara, Mercurius, Nux- 
vomica. 

" LYCOPODIUM- -Graphites, Ledum, Phosphorus, Pulsatilla, Si- 
licea. 

11 MERCURIUS— Acidum-nitr., Belladonna, China, Dulcamara, 
Hepar, Lachesis, Sepia, Sulphur. 

11 NUX-VOMICA— Bryonia, Pulsatilla, Sulphur. 

11 OPIUM— Calcarea, Petroleum, Pulsatilla. 

" PHOSPHORUS— Petroleum, Rhus. 

11 PULSATILLA— Acidum-nitr., Bryonia, Sepia. 



OUR FAMILY PHYSICIAN. 

After RHUS-TOXICODENDRON— Aeidum-phos., Ammonium-c, Ar- 
senicum, Bryonia, Oak-area, Conium, Phosphorus, Pulsatilla, 
Sulphur. 
11 SEPIA— Carbo-Y., Causticuni, Pulsatilla. 
11 SILICEA— Hepar, Lachesis, Lycopodium, Sepia. 
SPONGIA— Hepar-sulphuris, (for instance, in croup.) 
SULPHUR— Acidum-nitr., Aconitum, Belladonna, Calcarea, Cu- 
prum, Mercurius, Pulsatilla, Rhus, Sepia, Silicea. 
11 TARTARUS-EMETICUS— Baryta-c, Ipecacuanha, Pulsatilla, 

Sepia. 
11 VERATRUM— Arsenicum, Arnica, China, Cuprum, Ipecacuanha. 

9. Of Accessory or Palliative Treatment. — In cases of obsti- 
nate constipation, the use of the injection, or lavement, is allowable. 
The injection should consist of cold water, or, if that disagree, of tepid 
water ; in some cases it may, also, be requisite to add a tablespoonful of 
sweet oil. The quantity of water necessary for the different ages may, 
under ordinary circumstances, be stated to be a pint for an adult ; f of a 
pint for a youth of ten or fifteen ; $ a pint for a child between one and 
live years of age; and about one ounce for an infant at birth, or soon 
after. 

In cases of acute, external, and local inflammation, or 
more particularly, with wounds in which there is a lodgment of foreign 
substances, which cannot be extracted, or, where suppuration is not suf- 
ficiently progressive, we may have recourse to an application, of the na- 
ture of a poultice, such as that which is described in the ensuing page, 
(93.) 

All appliances and methods, such as bleeding, cupping, leeching, 
blisters,— all medicines resorted to according to the old practice — and all 
patent medicines are strictly prohibited. 

10. Pi: k< action to insure a proper dose.— When the administra- 
tor Is not certain that the patient will adhere rigidly to the dose prescri- 
bed, or when given doses of medicines have to be sent to a distance, the 
simplest and safest expedient is to drop the globules into as much sugar 
OF .milk as will envelop them securely, fold the contents together in a 
slip of clean unylazed paper, and crush them from the outside with the 
blade ofa knife, or sonic other hard and even substance. 

11. When ifEDiciNES should be taken, etc.— The medicines should 
invariably betaken Easting (save the understated exceptions), and absti- 
nence from food or drink for about an hour after the administration, is 
equally important, it Is also of great consequence to abstain from exces- 
sive bodily or mental exertion, during treatment, and to keep perfectly 
quiet, If possible, for about an hour after the administration of medi- 
cine. 

There are exceptional cases, such as modify this rule, which may arise 
out of accidents or sudden emergencies, hut the rule should be followed as 
closely as possible, even In cases of this kind. 



HOW TO PRESERVE HOMCEOPATHIC MEDICINES. 89 

INDISPENSABLE RULES FOR THE PRESERVATION AND 

MANAGEMENT OF HOMCEOPATHIC MEDICINES, 

ANTIDOTES, ETC. 

1. Keep your chest closed or your phials in a dark, dry, clean, and 
cool place, free from odor or scent of any kind, or, if in a hot climate, in 
as regular a temperature as possible. 

2. Do not change the corks, or use the same phials to contain a dif- 
ferent remedy without having previously been assured that it has been 
thoroughly cleansed, first with boiling and then with cold water. It is 
better at all times to rinse a phial, which has already contained medicine, 
with spirits of wine, and to expose it uncorked to the action of great heat 
before it is filled with a different medicine. The cork or stopper should 
be submitted to the same process. The safest way of all is to destroy empty 
bottles. 

3. Let all the medicines be carefully marked and labelled, and 
abstain from handling two at one time. 

4. In preparing your solution for administration, be assured that the 
glass, or spoon, or other vessel in which you are about to mix it, is per- 
fectly clean. 

5. If it is necessary to prepare solutions of two or more medicines at 
one time, take care to keep them apart, and to mark them so that no 
mistake can occur. 

6. Do not use the same spoon or other vessel to administer two dif- 
ferent remedies, without having previously ascertained that it has been 
scrupulously cleaned. Porcelain spoons are preferable to any metal, on 
this account, because you are more certain of the thorough removal of any 
former medicinal substances. 

7 If you dissolve your medicines in open vessels, such as tumblers, 
take the precaution to have them well covered down during the intervals 
between the administration, and keep them in a dark, dry, clean, and 
cool place, totally free from odor or scent of any kind. 

8. Do not resort to any other medicinal agency during homoeopathic 
treatment, and abstain from any external applications, except such as 
are prescribed homoeopathically. 

9. Avoid the use of all articles of perfumery, restoratives, cosmetics, 
and the like. Camphor, and other popular appliances for cleansing the 
mouth, etc., etc., are strictly prohibited. The same may be said of smel- 
ling salts, etc., etc. 

10. The saturated tincture of camphor, as it is used homoeopathically, 
must be kept entirely apart from any other medicines, or from any ves- 
sels or vehicles, such as powders, in which it is proposed to convey or to 
administer other medicines. 

11. Do not change your course of treatment or your remedies (when 
change becomes necessary) too suddenly, or without allowing a sufficient 
pause to elapse, viz., at least two hours, if possible, six hours, in general 
cases of a severe inflammatory nature, and in malignant fevers— and at 
least from two to three days (48 to 72 hours), in disease of a chronic kind. 



90 OUR FAMILY PHYSICIAN. 

12. If the symptoms be so violent as to compel you to resort to imme- 
diate change after any previous treatment, administer one drop of spirits 
of camphor on a lump of sugar, or a teaspoonful of strong coffee, and 
then wait one hour, half an hour, or only a quarter of an hour, in urgent 
cases, before you proceed with further treatment. 

When, as occasionally happens with persons who are extremely suscep- 
tible to the effects of the homoeopathic remedies, an undue medicinal 
action is developed, giving rise to considerable local pain, or general con- 
stitutional disturbance, camphor is, generally speaking, the most effective 
antidote, particularly to the vegetable medicaments. (See the Table of 
Medicines, etc.) It may simply be inhaled by the nostrils, or a drop of 
Tincture of CampTwr may be taken on a piece or lump sugar. Coffee, with- 
out milk or sugar, is also a useful antidote, provided the patient has not 
been long accustomed to its use. The same may, in a measure, be said of 
wine. 

SYSTEMATIC TABLE, 

FORMING A SUMMAB9 OF THE RULES FOR THE ADMINISTRATION AND 
REPETITION OF THE MEDICINES. 

In summing up the general regulations for the administration and 
repetition of medicines, the following particulars may be deduced: 

OF ACUTE DISEASE, NOT CRITICAL. 

GENERAL INITIATORY REMARKS. 

In Acute Diseases, not critical, when, after the lapse of four, or at 
the most, six hours, no amendment results, another remedy should gener- 
ally be Belected, or the general state of the patient and the nature of the 
disease should be re-investigated. When, on the other hand, in the 
course of an hour or two, symptoms of improvement ensue — such as moist 
skin, a clear state of the intellectual faculties, a happier frame of mind, or 
a gentle and undisturbed slumber, no repetition or change of medicine 
must be thought of, until a cessation of the improved condition of the pa- 
tient becomes manifest. 

In Acute Diseases of a severe and critical kind, however— such as 
severe inflammatory complaints, cholera, croup, nervous fevers, asthma- 
tic affections, etc., the repetition of the dose sometimes becomes necessary, 
every live, ten, or fifteen minutes— or, at all events, at intervals of from 
one to three hours, subject to the like conditions. 

1. That there are two distinct periods in the course of treatment: — 

it period, or that in which the medicine is more rapidly repeated to 

establish a medicinal ascendency over the disease; and the second period, 

or that in which the treatment Is resumed and continued to complete the 

cure, or, until change of treatment. 

Thai these two periods arc advantageously divided by a pause, during 
which the medicine may tie Buffered to exhaust its action, and the varia- 
tion of symptoms, etc.. observed. 

Thai during the iir-t period, in the treatment of armte disease, which 
i- not of immediately <-riti<<il character, the \ntervals between doses 



SUMMARY OF RULES FOR GIVING MEDICINE. 91 

should extend over from two to four, or even six, hours, according to the 
severity of the symptoms. 

That as a general rule, a course of two, three, or four doses, according 
to the length of the intervals, will constitute the first period ; the great- 
est number of doses agreeing with the shortest intervals. 

That the pause, at the conclusion of the first period in the treatment 
of such diseases, should extend over from four to twelve hours, accord- 
ing as the progress of the disease has been checked by the previous treat 
ment or not. 

2. That the disease continuing to make head after the pause, whether 
modified or not (if no suspension or change should appear desirable in 
conformity with the exceptions below stated), the same treatment should 
be resumed during the second period. 

That during the second period in the treatment of acute disease, which 
is not of immediately critical character, the interval between doses should 
exteud over from four to eight, or even twelve hours, according to the 
severity of the symptoms. 

That, as a general rule, one, two, or three doses, according to the 
length of the intervals, will constitute the second period ; the greatest 
number of doses agreeing with the shortest intervals. 

3. That, in the event of no alteration, or, at most, a merely tempor- 
ary mitigation of the symptoms, by the remedy or remedies administered 
during the first per iod, another remedy must be selected as closely anal- 
ogous as possible to the symptoms present. 

4. That, after the completion of the second period, in the event of the 
re-appearance of symptoms, wilich have yielded to the use of the remedy 
or remedies previously administered ; the same remedy or remedies shall 
be administered at still more extended intervals. 

That, in this after-treatment, the intervals between doses shall ex- 
tend over from 12 to 48 hours. 

OF CRITICAL CASES OF ACUTE DISEASE. 

1. That critical cases of acute disease,— such, for instance, as of cholera, 
croup, or severe inflammatory disorders, which are excessively rapid in 
their issue, are not susceptible of the general rules applied to acute disease. 

That the majority of these are individually exceptional. 

That, in their critical acceptation, they are only susceptible of one 
period of treatment. 

That, in cases of this nature, such remedies as Arsenicum, Caprum, 
Digitalis, Lacliesis, Sa?nbucus, Hepar, Spongia, and Veratrum, may be ad- 
ministered at intervals, varying from five to thirty minutes, according to 
the urgency of the symptoms, until beneficial reaction takes place. 

That the evident (and progressive) decline of the vital principle, not- 
withstanding treatment, may, in such instances, warrant the change of the 
remedy, if there be any hope that the change may produce the desired 
reaction. 

That, otherwise, cases of this nature are susceptible of the same ex- 
ceptional conditions, as have been reserved for the previous class of com- 
plaints. 



U2 OUR FAMILY PHYSICIAN, 

OF CHRONIC DISEASE. 

GENERAL INITIATORY REMARKS. 

Iii Chronic Diseases of a severe and obstinate kind, it is often very 
advisable to administer a dose of the remedy selected daily, the first thing 
in the morning (fasting), for a period of from four to eight days; or, in 
short, until such time as one or more symptoms become developed, which 
the patient had not experienced, before commencing to take the remedy. 
When the remedy has been properly selected, the change in the patient's 
state will commonly occur within or shortly after the periods just named. 
Should no medicinal manifestations of any kind become apparent, an- 
other remedy may be selected; from two to four days after the last dose of 
the previous remedy has been taken. 

In chronic diseases, sulphur * is very often the most appropriate 
remedy to begin with, if no other is better indicated, and particularly if 
the patient has previously been affected with any cutaneous malady 
(itch.) As soon as the symptoms developed by Sulphur have entirely 
.subsided, a new medicament must be administered in accordance with 
the remaining symptoms (if any) ; but not for a longer period than from 
four to eight days. If improvement then sets in, the new remedy need 
not be repeated until the favorable change ceases to become progressively 
manifest. But, if no improvement ensues, although the remedy seems 
to be correctly chosen, Sulpliui may again be resorted to, for from two to 
four days ; and so on. It is frequently necessary to fall back upon Sul- 
phw 'several times in this manner during a protracted course of treat- 
ment. 

1. That there are two distinct periods in the course of treatment ; 
the first period in which the medicine is more rapidly repeated to estab- 
lish a medicinal ascendency over the disease; and the second period, or 
that in which the treatment is resumed and continued to complete the 
cure, or till change of treatment. 

These two periods are advantageously divided by a pause, during 
which the medicine may be suffered to exhaust its action and the varia- 
tion of symptoms, etc., observed. 

During the first period in the treatment of chronic disease, the inter- 
val- between doses should extend to about twelve hours, and 

As a general rule, a course of twelve doses will constitute the first 
t >d. 

Tic the conclusion of the first 'period in the treatment of 

chronic diseases, Bhould extend, for the vegetable remedies, generally, 
over from three t<> six days, according to the severity of the case, and the 
effect produced; and ibr such remedies as 8taphysagria, Coniiim, etc., 
over from four to eight days; for the mineral remedies, generally, over 
from bIz t<> ten days; and for Buch remedies as Cakarea, Hepar-sulphuris, 
araphites, SUicea, sit,,, him,, Sulphur, Zinc, etc., from eight to twelve 

day-. 



•. tin- artli I s 1 1 , i Tbsatmkmt, 



EXTERNAL REMEDIES AND APPLICATIONS. 93 

2. That the disease continuing to make head after the pause, whether 
modified or not (if no suspension or change should appear desirable, in 
conformity with the exceptions below stated), the same treatment should 
be pursued during the second period. 

During the second period in the treatment of chronic disease, th e inter- 
vals between doses should extend over from 24 to 72 hours, according to 
the severity of the case. 

As a general rule, two, four, or six doses, should constitute the second 
penod, according to the length of the intervals— the greatest number of 
doses agreeing with the shortest intervals. 

3. That in the event or mere temporary mitigation of the symptoms 
by thi remedy or remedies administered during the first period, another 
remedy must be selected as closely analogous in its properties as possible 
to the symptoms present, for further treatment. 

That, after the completion of the second period, in the event of the 
re-appearance of symptoms, which have yielded to the use of the rem- 
edy or remedies previously employed, the same remedy or remedies 
shall be administered at still more extended intervals. 

That, in this after-treatment, the intervals between doses shall ex- 
tend over from two to six days. 

CONDITIONS CREATING EXCEPTIONS TO THE FOREGOING RULES, RESPECT- 
ING CHRONIC DISEASE. 

1. That the repetition of any medicine be suspended. 

Upon the intermediate appearance of symptoms involving a com- 
plication not covered by the previous treatment. 

Or, again, as soon as a positive degree of improvement becomes ap- 
parent. 

To be renewed and re-continued upon the first indication that the 
natural and original disease is regaining its ascendency, from which we 
may judge that the medicine has exhausted its active agency. 

2. That another remedy must be selected as closely analogous in its 
action as possible to the symptoms present : 

Upon the intermediate appearance of another symptom or symp- 
toms involving a complication not covered by the previous treatment. 

If no change, take place, and the disease continue to gain ground progres- 
sively, notwithstanding the administration of ten or twelve doses. 

REMARKS AND REGULATIONS RESPECTING EXTERNAL 
REMEDIES AND APPLICATIONS. 

Any remedy, which is prescribed for internal administration as Ho- 
mceopathic to a local affection, may be applied to the parts as a lotion, 
either by dissolving the globules in water, or by using the tincture, to 
mingle with the water. 

External Application of the Nature of a Poultice— The sim- 
plest and best application which can be used in cases requiring external 
treatment of this nature, to forward and encourage suppuration, or for 



94 OUR FAMILY PHYSICIAN. 

any other reason, consists solely of a piece of lint saturated with cold wa- 
ter, applied to the parts and kept constantly wet, the whole being care- 
fully covered with oiled silk so as to exclude the air. 

» 
All medicated poultices should be avoided. 

External applicaton of the nature of fomentation. — As a 
palliative application pending the salutary action of internal treatment 
i j 1 cases in which local irritation and tension are excessive, it is allowable 
to bathe the parts with water moderately hot by means of a piece of flannel; 
or to expose the parts to the action of the steam rising from boiling toater 
poured into an open vessel. In cases of sore throat, in which the obstruc- 
tion and burning sensation in the nostrils is excessively distressing^ the 
patient may similarly inhale the steam of boiling water. Hop poultices 
and bread and milk poultices are good. 

Tincture of arnica.— This useful medicine, when employed as a 
lotion to wounds, should always be discontinued upon the appearance of 
any eruption, etc. Individuals, of what is ordinarily designated as an in- 
flammatory habit, or who have very irritable skins, and are liable to be 
affected with erysipelas, must be very cautious how they use it, and must 
modify their treatment accordingly, and abstain from the application 
upon the earliest appearance of medicinal irritation or erysipelatous swel- 
ling or redness. Such patients should invariably dilute the tincture with 
tiro-thirds more of water {in proportion) than is indicated in the directions 
which occur in various parts of this work, when they have occasion to 
employ it ; and, should this precaution not suffice to exempt them from 
excessive medicinal aggravation, they should have recourse to calendu- 
la-offkixalis as a substitute. 

General proportions of the lotion Tincture of Arnica 1 part, to water 6 parts. 

Or for very susceptible subjects Tincture of Arnica 1 part, to water 12 parts. 

For the eye, or as a gargle for the gums after dental 

treatment Tincture of Arnica 1 part, to water 20 parts. 

For an infant under six months old Tincture of Arnica 1 part, to water 32 parts. 

Koran infant over six months and under two yc&rsTincture of Arnica 1 part, to water 20 parts. 

Tincture of calendula- officinalis— may be employed in the 
treatment of wounds of every description, by those who, from constitu- 
tional causes, are unable to employ Arnica externally, without subjecting 
themselves to the inconveniences generated by the character of that reme- 
dy. ( 'alendula has moreover an important advantage over Arnica in very 
s, pert incised or lacerated wounds, where there are indications of a serious 
war being otlu noise lefl by the cut. It is also preferable in all severe wounds 
which '<tuh<>t Imd without previous suppuration. 

General proportions of the lotion— Tincture of Calendula one part, to 
water six parts: (for infants and children the same as Arnica.) 

TlNCTUR] ok RHUS-TOXICODENDRON is more especially adapted to 
the treatment of sprains, for the milder forms of which it Is a. specific 
rem* dj . 

General proportions of the lotion -Tincture of RJius-tox, one part, to 
water sis parts: (for infants and children the same as Arnica.) 

Tincture of Aconite. Aconite has been used externally with great 
success im local Inflammation arising from cheek of perspiration (or from 



EXTERNAL REMEDIES AND APPLICATIONS. 95 

other causes), in conformity with its well-known characteristic properties. 
Care must be taken to distinguish such cases of inflammation, usually ex- 
tending to the membrane which invests the bone, and affecting joints in 
particular, from erysipelatous inflammation, to which it frequently bears 
a striking resemblance. The sudden appearance of symptoms of this na- 
ture in young persons, who are particularly liable to accidents arising out 
of carelessness, etc., and who, at the same time, have no predisposition to 
erysipelas, may be a strong ground of assurance in respect to the character 
of such inflammatory action, which may further be explained by a brief 
inquiry into the previous circumstances. In such cases the external 
application of a lotion, composed of diluted Tincture of Aconite (simulta- 
neously with the internal administration of the same remedy), by means 
of a linen rag saturated therewith, and applied to the parts, will speedily 
subdue the symptoms, and preclude more serious consequences. 

General proportions of the lotion — for a person of adult age, Tincture 
of Aconite, ten drops to a wine-glassful of water. For a child under 
twelve years of age, Tincture of Aconite, six drops to a wine-glassful of 
water. 

Tincture of cantharis or cantharides.— The peculiar property 
which Cantharis, or Spanish blistering Fly, possesses of creating a severe 
burning pain, followed by the effusion of watery fluid beneath the scarf 
skin, bears so close an analogy to the effects of a burn or scald, with 
the formation of vesication or blisters, that we can readily conceive it well 
adapted, according to the homoeopathic law, to be an admirable remedy 
for injuries of the like description, or attended with similar symptoms. 
Cantharis is, in fact, specific as an external remedy, in the treatment of 
burns or scalds, and is by far the most efficacious, if applied immediately 
after the injury has been inflicted (otherwise, see Causticum), and before 
the application of cold water, acetate of lead, or similar expedients have 
been adopted. 

Cantharis is, however, objectionable for persons whose constitutional 
peculiarity renders them susceptible of erysipelatous tumefaction of the 
skin, in the place of blisters, from the effect of a burn or scald. In these 
cases, Urtica-dwica is specific. In some instances, although very rarely, 
the external application of Cantharis may produce deranged action in the 
urinary organs, (exemplified by suppression of water) ; in such cases the 
mischief is readily counteracted by the internal administration of one 
drop of Tincture of Camphor on a lump of sugar. The lotion should gener- 
ally consist of the tincture at the second dilution and water, 
wherewith a linen rag is to be saturated, the linen being so wound round 
the parts as to exclude the air, and the moistening repeated as often as it 
becomes dry. 

General proportions— three drops of the Tincture of Cantha tides, 2d, to 
every teaspoonful of water. 

Tincture of urtica-dioica, or urtica-urens— should be used in 
preference to tincture of Cantharides by those in whom a burn, or scald is 
apt to produce erysipelatous swelling in the place of blistering. But this 
is the only case in which Cantharides is superseded by Urtica. 



96 OUR FAMILY PHYSICIAN. 

General proportion of the lotion Tincture of Uritca-dioica 1 part, to water 10 parte 

F-r an infant under six months old Tincture of Uritca-dioica 1 part, to water 20 parts 

For an iulant over six months and under two 

Tin ct ure of Uritca-dioica 1 part, to water 15 parts 

Proof Spirits of Wine.— In mild cases of burns or scalds, if Spir- 
its of Wine can be procured immediately (otherwise, see Causticum), speedy 
relief may often be obtained therefrom, and often suffering avoided. 
Apply it warm to the parts (as hot as the patient can bear it), the injured 
part having meanwhile been exposed to the heat of the fire. 

Causticum or Lime water, as already intimated under the head of 
Cantharis and Spirits of Wine, is a preferable remedy to either of the fore- 
going when an hour or two may chance to liave elapsed before tlie use of any 
remedial application. The Causticum wash is also of much service in more 
serious burns, and in those of long-standing. 

General proportions of the lotion— to every teaspoonful of water, add 
six drops of the Tincture of Causticum, and apply frequently to the 
parts by means of a piece of linen rag saturated therewith. 

Raw cotton (excepting when the suppuration is excessive, and the 
weather hot, for which case see Soap), — is highly useful as an external ap- 
plication to burns or scalds of a serious nature, and more especially 
when the injury extends over a large surface. The method of use is as 
follows :— Puncture any blister which may have arisen, bathe the sore well 
with tepid water, and then cover the parts with carded cotton or wadding 
in three layers— removing the outei* layer only, and substituting a fresh one 
— when suppuration sets in. 

The soap plaster {Pure, white, Hard-Soap). This application is 
more particularly serviceable in cases of burns, where not only the outer 
or scarf skin, but also the inner or true skin has been destroyed. In 
serious cases, which have previously been treated with the lotion of Can- 
tharides, or Urtica-dtoicaj and in which the inflammation and pain have 
yielded to these remedies, but which are too severe (owing to the injuries in- 
llicted on the true skin and adjacent muscles) to heal without supperatioia, 
the soap plaster is a very useful accessory. It should be made and applied 
as follows:— Moisten the soap with tepid water, and make a thick lather 
or paste, and spread it upon linen; then puncture any blisters which may 
appear on the exposed surface, and remove all loose skin. After these 
precautions, apply the plaster to the parts, and secure it by means of a 
bandage, being careful that tlie whole of the injured surface is covered 
with theplaster. As a general rule, the plaster may remain undisturbed 
for twenty-four hours, when it should be gently removed and changed; 
but there an- many exceptional cases, and the feelings of the patient 
should guide us in the removal and change of the plaster, whenever a re- 
turnofpam iscomplianedof. This course of application should be con- 
tinued until the injured parts are completely healed. 

77/' application <>/<!,, plaster will always he attended with increased 
pain at first; but this must not deter us from the employment of it, as it 
will soon be followed by marked improvement. 

Flour max be used as a substitute Cor eoii., n or the soap plaster, 
when neither of the latter can be obtained at the moment. The method 
of application is simply t<» sprinkle the flour copiously over the injured 



THE BATH. 97 

parts, after having taken the precautions directed to be observed under the 
heads of cotton and soap plaster. When it becomes necessary to remove 
the dry paste formed by the incrustation of the flour, this should be gently 
effected by first moistening and loosening it, by means of poultices (as di- 
rected under the head of external applications of the nature of a poultice), 

Tincture of Arsenium (at the third dilution),— applicable to bed- 
sores, and as a local resource, in many cases, of malignant ulceration. 

General proportions of the lotion — to one wine-glassful of water, ten 
drops of the Tincture. 

Tincture of Carbo-vegetabilis (at the fifth dilution),— in similar 
cases, as directed for the affection in question. 

General proportions of the lotion— to two table-spoonsful of water, 
twenty drops of the Tincture. 

Tincture of Cinchona (concentrated). See "Bed-sores," after typhus, 
etc. 

General proportions of the lotion— to a wine-glassful of water, fifty 
drops of the Tincture. 

REMARKS AND REGULATIONS RESPECTING THE BATH. 

The bath may be divided, according to modern appliances, into eight 
varieties, viz:— the hot and cold salt-water bath, the hot and cold fresh- 
water bath, the tepid, the shower, the vapor, and the medicated baths. 
Of these we shall here consider the two first-named only, viz. 

THE COLD SALT-WATER AND THE COLD FRESH- WATER 

BATH; 

Except as respects new-born infants, for whom a third variety is nec- 
essary, namely: 

THE HOT FRESH-WATER BATH. 

All the other varieties, especially medicated baths, are commonly pro- 
hibited. 

The consideration of the bath is a matter of essential importance to 
health, and has been acknowledged as such, from the remotest antiquity, 
and in every climate. It is almost as much a necessary of existence as 
food and clothing. It involves what is a primarily essential, cleanliness; 
but, like all generalities, it is subject to exceptional modifications arising 
out of the condition of the system, or the temporary state of the body ; 
such, for instance, as the presence of an eruption or rash, or the exuda- 
tion of perspiration after violent and prolonged exercise, both of which 
would render the bath obnoxious for the time. But for persons who are 
free from any morbid manifestation which may render the free use of cold 
water objectionable, nothing, perhaps, will tend so much to brace the nerv- 
ous and muscular construction of the frame, and to preserve the sturdy 
physical power of youth in advanced age, as the regular observances of the 
bath. 

GENERAL EXCEPTIONAL CONDITIONS UNDER WHICH COLD BATHING 
SHOULD BE AVOIDED. 

When (as is sometimes the case) it is found to induce constitutional 
disturbance, or is invariably followed by headache, etc., of the same 
character. 

7 



98 OUR FAMILY PHYSICIAN. 

When it is followed by lasting chilliness instead of the gloio which in- 
dieates its healthy action. 

There are comparatively few instances in which the cold fresh-water 
bath disagrees with persons in good health; in such instances, however, 
when they occur, the use of a sponge or wet towel must be substituted 
for the bath, and should be followed with brisk friction. 

When any inflammatory action is present, or when from exertion or 
from any other cause, the skin is moist and the pores are open the Cold 
Hath should be avoided. 

During the presence of headache, other than headache arising from 
irregularities of digestion or nervous causes. 

Immediately, or within one hour after a meal. 

Before any meal has been partaken, or, in other words, upon first 
getting- up in the morning. 

Generally — with a declining temperature, as, for instance, late in the 
evening, when the temperature of the water will not have declined 
equally with that of the atmosphere. 

When the atmospheric temperature is not sufficiently high, as com- 
pared with that of the water; or, in other words, when the water feels 
warm and the air cold. 

Generally — during the prevalence of cold east winds. 

GENERAL CONDITIONS UNDER WHICH COLD BATHING IS BENEFICIAL. 

When the temperature of the water, relatively to that of the atmos- 
phere, is as nearly as possible that which it would reach and maintain, 
by being constantly exposed to the action of the same atmospheric tem- 
perature. 

When it is always followed by a glow. 

In affections of a purely nervous character. 

In the majority of affections resulting from debility of the digestive 
functions. 

During an ascending temperature; that is to say, in the earlier part of 
tli.' day, generally about two or three hours after the first meal, and at an 
equal distance from the second. 

When the water is cold 'compared with the air, but not so cold as to 
produot a shock of numbness. 

In this climate, from the end of June to the middle of September, 
may lie stated as the best season for out-door bathing. 

In-door bathing— -may be continued throughout the year with great 
advantage, with the precaution that the thermometer in the apartment 

stand at Iroin 50° to 60' of Fahrenheit, and that the water be exposed 

to this atmospheric temperature at least six hours (when that is possible) 
or he raised t<> from r> to 55 degrees, if below it. 

The swimming bath, or b&th in which (if not in open water) there is 
ooin to exercise tin- limbs, Is preferable. 



SALT WATER OR SEA BATHING. 99 

GENERAL PRECAUTIONS TO BE OBSERVED IN BATHING. 

Do not bathe the lower extremities first. The immersion should be 
complete at once 

This need not he effected by plunging, when, as is not unfrequently 
the case, such a method is found to induce headache or temporary deaf- 
ness. 

Diving — which is a very common amusement, is very often preju- 
dicial without sufficient attention being paid to the fact. In general, you 
should abstain from diving. 

Never leap into deep water, feet foremost and in an erect position. The 
best method is to drop into it, the body and limbs being bent together. 

Do not stand still or remain motionless in the water. 

Do not remain too long in the water. Five minutes is quite long 
enough to derive all the advantages of the bath. 

Never remain so long as to become thoroughly chilled. 

Leave the bath upon the first appearance of cramp. 

Apply a coarse towel, briskly, all over the body, as soon as you leave 
the water ; and take pains to dry yourself as thoroughly and as expedi- 
tiously as possible. 

Dress as soon as you are thoroughly dry. 

The bath should be followed by a brisk walk, but not sufficient to 
heat you. 

THE SALT-WATER BATH OR SEA-BATHING. 

There has been a popular notion that sea-bathing is always preferable 
to fresth-water bathing. Nothing can be a greater mistake, and there are 
a far greater number of exceptions to the proper use of the former than 
to that of the latter. It is indeed true, that the question of temperature 
is far less important in respect of sea-bathing, except, indeed, towards 
the fall of the year, when the temperature of the atmosphere, in our 
climate, becomes considerably depressed,— and when, in conformity 
with one of the u general exceptional conditions" above stated, it were 
advisable for those, even with whom sea-bathing generally agrees, to dis- 
continue it. 

But it is a matter of experience that there are a great number of con- 
stitutional exceptions. And it is quite as important that all those with 
whom sea-bathing is found habitually to disagree, should abstain from 
what, at certain seasons and in certain places, may be a great indulgence. 

There are instances in which sea-bathing produces a species of nau- 
sea similar to that of sea-sickness in persons who are totally exempt from 
this inconvenience on ship-board. This, then, is clearly a constitutional 
exception. 

In brief, however, it may be laid down as a rule, that when sea- 
bathing habitvaUy induces any kind of constitutional disturbance, it 

should be avoided. 

THE FRESH- WATER BATH. 

The instances in which fresh-water bathing disagrees, may almost be 
summed up under the head of the "General Exceptional Conditions" 



100 OUR FAMILY PHYSICIAN. 

above stated. The cases of constitutional exception are far less numerous 
than those which occur with respect to sea-bathing ', and there are fewer 
cases still in which persons who cannot bear fresh-water can tolerate the 
sea-bath. When, however, they occur, they should indicate the course 
of the patient. % 

TEMPERATURE OF THE BATH FOR INFANTS. 

The warm bath, which is requisite for the treatment of newly-born 
or very young infants, should never exceed 98 degrees of Fahrenheit in 
heat. It should in general range from 92 to 98 degrees, according to the 
effect produced on the child. When the bath is used as a remedial agent, 
it is important to maintain the temperature at which the immersion had 
taken place; and it will, therefore, be desirable on all occasions to have a 
thermometer within, so as to detect and regulate any variations. 

The coed bath should be, as nearly as possible, of the temperature 
at which the atmosphere would place or keep it. It is, therefore, desira- 
ble that cold spring water, which has not been exposed to the action of 
the air, for four hours at least, should be avoided in hot weather, when 
the atmospheric temperature would have materially increased the heat 
of it. 

Exceptions to the use of tlie cold bath. — In almost all cases the use of 
the coed bath, with new-born or very young infants, is reprehensible. 

OF PREVENTIVE AND ERADICATIVE TREATMENT. 

It is too true that the every-day practitioner suffers himself to be too 
completely engrossed by the actual condition of disease to investigate or 
to provide against its accessibility. The duty, however, of every man 
who deals with his profession as a noble and humane science, is rather 
to point out the method of preventing the occurrence of active disease, 
and of eradicating (if possible) the latent and slumbering defects of con- 
stitution, which may be described as dormant disease, than to confine his 
attention solely to the treatment of its active manifestation. 

This great and humane purpose should characterise the philosophy 
of every medical creed or denomination, and should ennoble, if it may 
not con-cerate any system. 

By the term Eradication, I wish to be understood to allude to the 
method of modifying or removing such unhealthy conditions of the 
system as aeccessarily predispose the subject upon whom they operate 
as particular developments of active Organic Disease. 

I would first, however, be understood to confine myself, here, to 
such genera] hints as may, with due consideration of the regulations 
hereafter laid down for the treatment of each Disease as it occurs, enable 
the non-medical reader to form some idea of the mode in which the rule 
Lb capable of being applied in the majority of individual cases, because it 
Ls obvious that thissubjeel alone might require the whole space of more 
than one of such volume- as this, ere it was considered in detail. 

I would also hint that the rule is so distinct and positive, that the 
appropriate PREVENTIVE TREATMENT Of any Disease may be readily ill- 



PREVENTIVE TREATMENT. 101 

ferred from the distinction of the medicines which are specific (that is 
of positively analogous properties) in its treatment. 

PREVENTIVE TREATMENT GENERALLY. 

In respect to the Prevention of Disease, men of all medical creeds 
who have devoted their time and toil to the consideration of the subject, 
hold opinions which are necessarily in accordance to a certain point ; 
that is, as regards the modification or removal of the external and excit- 
ing causes of disease, such as local or general climate, and the substitu- 
tion of cleanliness, pure air, drainage, etc. There is, however, a limit to 
the concurrence of opinion, even on some of these points. We are fur- 
ther agreed as regards some of those causes which proceed from irregu- 
larities of living, from excesses, and also from improper or insufficient 
food. 

Amongst these accessory measures, which are essential to the pre- 
vention of disease, I would, therefore, particularly draw the reader's 
attention to the following, — involving, first, those which concern the 
person immediately; and, secondly, those which concern the locality 
immediately, and the person indirectly. 

Those which concern the person, immediately, amongst others, are : 

1. Exercise, in proper relation to the habits of the individual, to his 
strength and capabilities of physical exertion, the state of the weather, 
the method of taking exercise, whether active or passive, (the latter be- 
ing rather a modification of the accession of pure air than an application 
of exercise properly so called), and the circumstances of climate — involv- 
ing the degree of altitude, or depression of temperature, the time of the 
day, (the evening being very adverse to health, especially in districts in 
which thick vapor, lying close to the ground, is observable at and after 
sunset, marshes, etc.), and the nature of the atmosphere at the 
time — whether unduly charged with or deficient of moisture, or again, 
whether any particular wind prevail, which is known to be charged with 
noxious exhalations, as the Sirocco of Southern Europe, etc . 

2. Cleanliness of person and habitation, which is subject to no excep- 
tional condition but those— of rare occurrence — which render it impos- 
sible. This action may also involve the free use of (cold) water in ablu- 
tion, except in particular cases. 

3. Ventilation, partly applicable to the person, and partly to the local- 
ity, by which I understand the admission and free circulation of pure air, 
without the action of a direct current or draught, and the avoidance of 
closely confined apartments, sedulously closed against the external at- 
mosphere. In ninety-nine cases out of a hundred, such exclusion would 
repulse, more probably, a restorative of health, than an aggravant of dis- 
ease. For Nature is more surely in accordance with the requirements of 
human life, than any artificial means ; and Science should be rendered 
not a repellant, but an assistant of nature. 

4. Apparel, by which should be understood all coverings,— which 
should be as light as- possible, consistently with weather, climate, and 
particular susceptibilities, or habits. The action of the skin is one of the 



102 OUB FAMILY PHYSICIAN. 

most important functions of life, inasmuch as if irregularly performed, 
ir reads upon all or any of the organs most intimately connected with 
existence. Over-clothing or covering, on the one hand, therefore, may 
promote an irregular excess of action, which will result either in contin- 
ued relaxation of the function, and consequent exhaustion; whereas 
exposure, on the other hand, may occasion a repression and suspension 
of action which will inevitably recoil upon the superior organs. The 
strict consideration of this question is more especially imperative in cli- 
mates in which the transitions of temperature are sadden, ox very con- 
siderable. 

5. AlilMENTS, — by which I here understand both food and drink, 
should in every case be modified, in relative proportion, according to the 
climate, and to exceptional conditions arising out of the particular degree 
of strength or a^a kites* oi digestion, which characterizes particular persons 
<>r to any casual circumstances which may modify, alter, or deteriorate 
the digestive functions, and consequently operate upon the appetite. 
The American native, or the habitual inhabitant of a temperate climate, 
removing into a tropical zone, should decrease (if not totally eschew) the 
admixture of animal food, or, if removing into an arctic or very cold 
climate, might, with due regard to condition (especially whether salt or 
fresh of such animal food, advantageously increase its proportion ; — the 
habitual use of very salt or otherwise highly seasoned food, is always 
uniformly prejudicial ; — he should also diminish the proportion of stim- 
ulating ingredients as the heat of the climate is increased ;— under the 
same conditions he should strictly abstain from the use of stimulating 
li<]iior. or if that has previously been habitual, he should decrease it 
gradually, until very moderate indulgence (if any) remains ;— and he 
should he very careful not to overload the stomach with either food or 
drink of any kind. It is very important that the American, transplanted 
into a tropical climate, should neither eat nor drink more than what is 
absolutely necessary,— inasmuch as every disease to which the inhabi- 
tants of temperate zones are subject between the tropics, not only assumes 
complications particularly implicating the organs of digestion, but very 
frequently springs either remotely (by predisposition thus occasioned) or 
immediately from impeded or overtaxed digestion. The person of weak 
digestion should carefully abstain from all indigestible or stimulating 
articles of food,— should select the plainest diet,— feed to supply the 
sitiea alone and not to gratify the palate,— should eat but little at a 
time, and not at all as the time of rest approaches,— should avoid all 
stimulating food or drink, and should never attempt to force <m appetite. 
Regularity i- indispensable to the health. 

n. The habits <>r living.— Regularity is a great preservative in this 
respect, including tin just appropriation of the period of rest, as indicated 
by the secession oflighl and the dormancy of nature generally, and con- 
sequently early hours, both in resting and rising, and a sufficient but not 
sive proportion of rest. The relations of night and day constitute 
the best directions for the equable adjustment of the due proportion of 
rest. Thesnmmer of temperate /.ours indicates a less proportion than 
the winter, aa also the tropical uighl and day indicate a greater equality 



CHOICE OF HABITATION, DRAINAGE. 103 

in the disposition of time. (See also, " Rest," under " Investigation of 
Disease.") Excessive disposition to rest (indolence) is as injurious, on the 
oue hand, as excessive duration of mental or bodily activity: and the 
regular return of both conditions, at corresponding and stated hours, is 
important. Regularity of habits also includes regularity in the period of 
eating or the hours of meals, which is no less important than the former. 
The art of dividing time in every way is a powerful preservative. 

The preventive measures, which involve locality amongst others, 



are 



1. Drainage.— If the locality be subject to periodical, irregular, or 
casual saturation or flooding of water; that is, if it be nearly on a level 
with some adjacent surface of water, such as lakes, rivers with sluggish 
current or the sea, the generally applicable methods of preventing the 
exhalation of noxious vapors, and the consequent impregnation of the 
atmosphere with miasma injurious to life, are (1) to create artificially, 
where practicable, such channels as shall lower the general level of the 
water, or comparatively elevate the general surface of the soil, and which 
shall prevent the stagnation of waters ; and (2) so to disturb the surface 
of the soil, as by furrowing, ploughing, etc., that the exhalations shall be 
rapidly emitted, and thereby be subject to dilution and dispersion, as 
soon as they transpire. 

Or, again, and especially to towns and crowded districts, in which the 
accumulation of decomposing or decomposed animal and vegetable matter 
must necessarily be great, to create so free a vent by means of proper sub- 
terraneous canals, and by the removal of all filth, etc., (exposed to the 
action of the atmosphere), that any such matters shall be rapidly dis- 
charged into such currents as shall remove impurities rapidly, or into 
such remote receptacles as shall secure the absorption, dilution, or dis- 
persion of all noxious vapors before they can impregnate the habitual 
atmosphere of the inhabitants. Wherefore, every dwelling, to be whole- 
some should be accessible to the free passage of natural currents of air, 
and should be provided with an ample and wholesome supply of icater, 
and an easy discharge for all refuse deposits.* 

2. Modifications of climate, by clearage, tillage, and every other 
result and accompaniment of induslry— which thereby produces a doubly 
beneficial result (1) by removing the susceptibility of the inhabitant to 
disease ; and (2) by removing the cause which too frequently generates 
disease, viz., the unhealthy exhalation of the soil. 

8. The choice of habitation as to site, which should be removed as 
much as possible from particular geological influences ; from localities in 
which the water is impregnated with mineral substances, as lead, iron, 
etc., from particular (local) and injurious currents of air, as in certain 
valleys ; from the midst of woodland (and a sufficient clearage should be 
effected) ; from the adjacency of stagnant waters, and, lastly, above the 

* Vested interests, stolid indifference, and an indolent disinclination to listen to the voice of reason, 
too often oppose a formidable barrier to the removal of crying nuisances. If there were any one act of- 
despotic government interference more capable of defence than another, it would be one which was di- 
rected towards effectual sanitary improvements. 



104 OUR FAMILY PHYSICIAN. 

level of the mist or vapor, which consists doubly of the precipitated and 
of the continued exhalation from the soil, and which is readily distin- 
guishable—in marshy districts especially— by the dense white fog, which 
lies like a separate atmosphere, an elevation of a few feet above the flat 
soil, after sunset. 

This subject has lately attracted much attention in the more populous 
countries, and is, therefore, of particular import to the colonist who may 
have to select the site of his own habitation. 

HOMOEOPATHIC MEDICINAL PREVENITVE RESOURCES. 

No medicine, unless its action upon the human organs be analogous 
to disease, can be really, truly, and invariably preventive. The preven- 
tive measures, as regards the employment of medicinal agents, consist, in 
the repeated administration, usually in somewhat large doses, at intervals 
approximately of twelve hours, of one or more of such remedies (for alter- 
nation is occasionally requisite), as most closely assimilate in their specific 
action, and according to the indications stated for their selection in the 
case of each particular disease, or which, in combination, by alternate ad- 
ministration, most completely embrace the distinctive characteristic 
features of disease, when it assumes an epidemic, or even a local preva- 
lence. The first point is, therefore, to refer to the article hereinafter de- 
voted to the treatment of such particular disease, whereby to ascertain the 
principal remedies quoted, whether any, either singly or in combination 
(by alternate administration), are described as direct specifics, and then 
compare that remedy with all the symptoms by aid of the "Repertory." 

If, under the head of the particular disease, one or more remedies, 
under certain circumstances, and qualified by the presence of certain 
symptoms, are announced direct specifics, they will, doubtless, Avhen 
early employed, be the unerring preventives or modifiers of the disease. 
Such, for instance, as vaccination against smallpox, which should be re- 
peated, if many years had elapsed since the former operation, or which 
should not fail to be resorted toby those who have not been previously vac- 
cinated:— Belladonna against Scarlet Fever cuiNAand Lobelia (chiefly) 
against Marsh Intermittent Fevers:— Mercurius-corrosivus against 
Dysentery, especially red Dysentery; Bryonta and Rlius-toxicodettdron 
and Arsenicum against some varieties of typhus; Cuprum-aceticum, 
camphor, and veratrum, against Cholera and Diarrhoea respectively, or 
againsl excessive and sudden relaxation, with spasmodic pains and cramps 
when the diseases just named are prevalent; Aconitum and Pulsatilla 
againsl measles; A'ouihi m , belladonna, and hyoscya?nus, in cases and 
in particular localities in which Inflammatory Fever, with prominent 
affection of the brain becomes prevalent, and similarly occurs amongst 
numbers of persons at once ; Bryonia in cases and in particular localities 
in which Inflammatory fever, with prominent derangement of the sto- 
mach, appears; Carbo-veg., etc., against Scurvy( see also "Eradicative 
Treatment/ 1 ); Sabina and tecale, etc., against imminent Miscarriage 

also "Eradicative Treatment," for cases in which this casualty be- 
come- habitual); Camphor against Bevere colds (influenza), when theyare 
What la termed going through the house. In fact, every remedy, as ap- 



ERADICATIVE TREATMENT. 105 

plied to the treatment of a particular disease, after it has set in under a 
particular aspect, is equally applicable to the preservation when the cur- 
rent complaint bears a similar stamp. 

The Doses— of Preventive remedies should usually be repeated at 
intervals of about' twelve hours, until a degree of medicinal action has 
set in, when the course may be considered complete ; but the action thus 
excited must be watched, lest it should occur that the prevailing disease 
(in a modified degree) has supervened. 

ERADICATIVE TREATMENT. 

No cure can be complete, where there is a latent constitutional taint, 
without proper eradicative treatment. Scrofula, in one shape or 
another (or complicated with other diseases), may be considered as the 
predisposing cause of susceptibility to the recurrence of every disease- 
that is, as the great parent of disease, and the most common source of the 
malignity and fatality of other diseases, when not itself the fell destroyer. 

Eradicative Treatment is applicable to the removal or subjugation of 
defects in constitution, habit of body, or temperament, which operate 
continually, not only as the predisposing causes of every prevalent disor- 
der, but also as the complicating accompaniment of every disease; or, on 
the other hand, which resolve or threaten to resolve, themselves into or- 
ganic decay, by attacking one or more of the important organs of life, es. 
pecially. Eradicative treatment is also applicable to the extirpation of 
those slow, latent, or occasionally more active chronic diseases which are 
gradually sapping the constitution, and which would otherwise finally 
result in general disorganization, but which have not hitherto permanent- 
ly destroyed the functions of any important organ of life. 

The space, which is necessarily confined in a work of this kind, will 
not admit of great detail, nor, indeed, could a whole volume such as this 
exhaust the subject, if compressed within the narrowest compass. We 
have the intention, therefore, of confining our remarks to such general 
relations as may afford some idea of the mode in which the treatment is 
conducted, subject to the regulations severally laid down under the head 
of each disease (in the subsequent parts of this work), or, as it would 
then appear, in the character of a symptom, development, or manifestation 
of a more deeply-seated diseased condition— in conformity with the nature 
of the parent disease. 

The reasons for suspecting, and the grounds for ascertaining the exis- 
tence of such parent disease, will be gathered from the article on " The 
Investigation of the Patient," particularly if due regard be paid to par- 
entage (including near relations— uncles or aunts) ; to the part or organ 
most susceptible to the action of morbid influences, transitions of climate, 
the nature of the locality generally inhabited, the diseases which most 
frequently affect the patient, and the inveterate or peculiar or dangerous 
form, which all maladies, affecting the patient, assume. Of these, the 
question of parentage and near (blood) relations involves the most impor- 
tant and weighty considerations, as thence we may derive the origin of 
scrofulous habits of body in all their varieties of combination, complica- 
tion, and development, 



106 OUR FAMILY PHYSICIAN. 

Indeed may not improperly attribute every family defect of constitu- 
tion, or every manifestation of a latent constitutional taint which appears 
with greater or less intensity in several, or pre-eminently in one* of the 
members of a family, to an unwholesome or scrofulous inheritance. Thus 
to Scrofula we may attribute, amongst other derangements: Rickets, 
or enlargements and curvatures of the bones, and decay or exfoliation of 
the bones resulting from comparatively trivial circumstances; chronic 
disease of the skin, or extreme susceptibility to the development of mor- 
bid appearances of the skin, of an endless variety, or especially to eruptions 
of the nature of tetters, to ringworm, etc., etc.; imperfect construction of 
the brain; and IMBECILITY, or prevalence of susceptibility to derange- 
ments of the mind, especially if complicated with glandular swellings or 
their cicatrices ; torpid, or usually painless ulcerations, frequently char- 
acterized by a degree of putrescence, and commonly discharging a thin, 
watery, corrosive fluid ; or which, if somewhat quickly dried up in one part 
are usually developed in some other ; affections of the Lining Membranes, in 
general (as of the stomach and bowels, air passage, etc.); habitual or long- 
continued discharges of thin, watery fluid from any parts as the result 
even of very slight causes of irritation, manifesting a deficiency of vigor 
in the membranes, to which may also be appended obstinate or continuous 
Whites, and chronic discharges from the Ears; chronic Inflammatory af- 
fections of the eyes and eyelids, qualified by discharge of very adhesive 
gum. and continual adhesion of the lids in the morning, by excessive sus- 
ceptibility to the action of currents of air, or to irritation by reading, by 
excessive or even continual flow of tears, or susceptibility to watery eyes, 
by excessive sensibility of light; or, again, habitual susceptibility to Styes; 
chronic Inflammatory and Suppurative affections, or chronic enlargements 
or indurations, of Glandular parts in general: as, for instance, of the neck 
and under the jaw, the groin, the armpits, etc.; or abscesses; chronic en- 
largement and habitual hardness of the Belly; the prevalence of water on 
the Brain, water on the Chest, dropsy of the Belly, or general Dropsy in 
more than one member of any family: the like of what is called Tubercu- 
lin- consumption, or of organic affection of the Mesentery, or of unaccount- 
able Emaciation and gradual decline; Worms, when they are evidently 
generated in consequence, not of casual circumstances, but of an inherited 
defect of constitution. 

The accessory means adapted to the eradication or modification of 
Scrofula, are, amongst others : 

I. DIET— the most important consideration of all— which should be 
always as nourishing, in relation to its bulk, as much compressed orre- 
duced in bulk, as light and easy of digestion, and as regularly administered 



Parent! (or a parent | possessing \\\<- semblance of Bound health, may yet carry the germs of scro- 
fub. m the system, and consequently be capable <>i transmitting the disease to the offspring, hence the 
Deofssity f'-r inquiry Into the health of blood relations. Again, although there may not be any heredi- 
tary taint In the family of either parent, the capability ot giving a scrofulous constitution to the offspring 
may be acquired by too early or too late a contraction of marriage, by disproportioned marriages (as to 
relative ages), by parental ezoesses, etc , and by any cause which may tend to Injure tin. constitution of 
tii parents— ai Impropei or Insufficient food, Impure air, etc. Lastly the germ of Bcrofu»a maj 

imitted to an infant bj the milk of a scrofulous or otherwise dineased nurse, 



AIR, WATER, CLEANLINESS. 107 

as possible— sometimes frequently, but in small quantities at a time. An 
equal proportion of animal and vegetable food, or vegetable food prepared 
with, a fair proportion of the pure gravy of sound and wholesome meat- 
Boasted meat in preference to any other— especially mutton and beef. 
Eggs, when found to agree, lightly boiled (soft), and eaten with a fair pro- 
portion of good, honw-made, stale, wheaten bread, but not in combination 
with other ingredients. Sometimes milk (when it does not disagree, as is 
sometimes the case in particular instances). Of beverages water is the only 
fluid which is universally safe. Stimulants of all kinds should usually be 
strictly avoided. 

2. Air is second only to diet in the treatment of scrofulous habits ; 
pure country air, in a healthy, dry, rather elevated situation, not exposed to 
the prevalence of bleak winds :— f ree access and circulation of air within 
doors, in all apartments inhabited, and particularly in the sleeping room ; 
as great a proportion of the day-time as possible, without severe fatigue, 
particularly in line or favorable weather, should be spent in the open air. 

3. Exercise should be as free and unrestrained as is consistent with 
the avoidance of excessive fatigue, or any of its consequences, and with 
due precaution that check of perspiration does not occur; no person should 
remain uncovered, or even still for some time after strong exercise; proper 
protection of the skin from the arrest of transpiration and gentle motion 
are indispensable ; nor should strong exercise in the open air be resorted to 
in extreme conditions of temperature, and especially when there is great 
moisture in the ground, and consequently much exhalation. But when ex- 
ercise cannot, owing to extremely unfavorable weather, be consistently 
obtained oiit of doors, it 'should be sought in doors. With these, and other 
like precautions, active sports, appropriate gymnastic or calysthenic exer- 
cises, and every such occupation as calls the muscles and sinews into play, 
will go far to promote a vigorous operation of all the organic functions. 

4. Water, used not only in the sense of ablution or cleansing, but for 
the purpose of promoting a healthy action of the skin. The mid fresh- 
water bath should be used daily (in the absence of particular reasons for 
abstaining), either in doors or out of doors according to circumstances, with 
due regard to the precautions mentioned under the head of the "Bath," 
and to the habitual temperature of the body (which at the time of bathing 
should, if possible, neither be above nor below the natural standard) and 
with careful observance of the process of brisk friction afterwards, and of 
avoiding permanent chill. Washing and rubbing the body, especially the 
chest, stomach, and neck, daily, first with a coarse wet towel, and then 
with a coarse dry one, will frequently form a good substitute for the bath. 

5. Cleanliness of person, dwelling, clothing, bed clothes, etc., is im- 
perative. If it be possible, the clothes, both of the person and bedding, 
should be frequently changed; the bed itself, even, should be frequently 
emptied, purified, and replaced, feather-beds being wholly objectionable ; 
and the greatest precaution should be observed against the use of damp ap- 
parel or bedding. 

6. Habits of regularity, mental, moral, and physical, should be 
strictly observed; excesses of all kinds are prejudicial : mental or moral ex- 
citement should be as much as possible avoided; the habitual observance 



108 OVR FAMILY PHYSICIAN. 

of duties, as tending to obviate irregular habits on the one hand, and evil 
consequences on the other, is not to be overlooked; a proper degree of 
mental and physical occupation, without either undue physical exhaustion 
or excessive mental application, and above all in a methodical and regular 
manner, is indispensable ; a proper proportion, without excess, of rest, or 
without indulging an indolent disposition, is to be enforced. (See " Investi- 
gation of the Disease," part " Rest"). Regular hours, and hours consistent 
with the natural division of night and day, should be observed, and the 
contrary strictly avoided; gloomy thoughts should, as much a possible, be 
dispelled by averting the attention to interesting occupations, but not by 
recourse to excitement; frequent change of scene is often very advanta- 
geous to those who have means to procure it, but this should be understood 
of changes which do not occasion great excitement. 

HOMOEOPATHIC MEDICINAL ERADICATIVE RESOURCES. 

In cases in which an inherent defect of constitution either provokes 
the development of particular diseases, or appears in complication with 
them, we not uncommonly find that remedies which in every respect cor- 
respond with the symptoms, and which would, under other circumstances, 
operate as specifics, are repeatedly administered without the least apparent 
eff&jt. The reconsideration of the symptoms having more than once con- 
firmed our selection, we should turn our attention to more deeply-seated 
causes which are present to thwart us. It is obvious that the presence 
of inherent constitutional defects may occasion external appearances in 
disease, which are especially susceptible of erroneous inferences, and, 
therefore, without this very important clue, the special directions for the 
treatment of any particular disease may frequently tend to discourage 
the unprofessional reader. 

In every case of disease, therefore, in which a remedy, after repeated 
reconsideration and ineffectual administration, is still apparently ho- 
moeopathic, or analogous to the manifestations present, I would beg of 
the reader to investigate very closely all details of parentage, antecedent 
circumstances, etc., (as above stated), in order to ascertain the indication 
of inherent taint, whether strikingly apparent or extremely remote and 
obscure, and as far as in him lies, to make a judicious selection from 
ERADICATIVE REMEDIES, such as Sulphur, which is especially appropri- 
ate when there are chronic affections of the skin :—Calcarea-carb, when 
tie- (.lands, in general, are particularly affected: Mercnrius, when the 
BOXES are prominently involved, unless this be traced immediately to 
abuse of mercury, in which case Nitric-acid will be particularly useful, or 
perhaps HeparstdpJiuris may be required: or again, Merewrius, when 
the SALIVARY GLANDS are especially involved, saving under the excep- 
tional condition just named: Carbo-veg, against what are termed 
scorbutic complications: Sabina and Secede occasionally, generally, how- 
ever with an occasional course of Sulphur against predisposition to mis- 
CaiTiage, These are only to he considered as a few general suggestions; 

hm i would further add, with respect to 

Bulphuh that repeated occasions in which J, in common with 
many other homoeopathic practitioners, nave employed this medicament 



THE DOSE. 109 

under the circumstances above detailed, and when the remedies seeming- 
ly appropriate to the external evidences of disease had signally failed, 
have confirmed its pre-eminent utility. Very often, after the patient 
had been submitted to a few doses of Sulphur, the dormant susceptibility 
of the system becomes awakened, and a subsequent return to the par- 
ticular and appropriate remedy which had hitherto failed, has been 
attended with the most decided benefit. In cases in which the constitu- 
tional taint is deeply seated, or very virulent, a long course of such alter- 
nations becomes necessary, continually returning to one or more doses of 
Sulphur when the effect of other remedies becomes less apparent, and 
again employing the intermediary remedies, or those appropriate to spe- 
cial indications as before, if still required. In many cases it is either 
highly beneficial or absolutely necessary, in treating chronic diseases of all 
kinds, to commence with a consecutive course of Sulphur in single daily 
doses, continuing for a week or ten days, or until a more or less distinct 
degree of medical action had set in ; then pausing for about four days to 
watch the subsidence of such medicinal action, or to detect any particu- 
lar symptoms requiring an intermediary remedy, or, sometimes suspend- 
ing treatment for several days, or even weeks. 

These variations of treatment must be subject to the discretion and 
judgment of the administrator, because no two cases are strictly analogous, 
and, therefore, a rule would be merely one of many exceptions. So long, 
however, as greater activity of the skin, etc., is manifest after a course of 
Sulphur, it will be advisable to pause in the administration. If there be 
intermediary and distinct symptoms not appertaining to Sulphur, but 
identifying a special remedy, it should be given till such particular symp- 
toms are subdued. Or, so long as general improvement makes steady 
progress, however slow, it will be advisable to abstain from repeating the 
doses of Sidphur, resuming the administration, however, immediately 
the malady becomes stationary or retrogressive. If acute or active disease 
has supervened, and yielded under the influence of intermediary or spe- 
cial treatment, we are not to consider the cure complete, but should return 
to extended courses of Sidphur at remote intervals. By persevering in 
such treatment, the most obstinate chronic diseases, short of actual organic 
decay, are overcome ; and even if actual organic decay has set in, we have 
frequently found means to arrest its progress, and to prolong existence, 
and even comparative health for a surprising length of time. 

The Doses.— As a general rule the recurrence of the administration 
should take place once in twenty-four hours, namely :— the first thing in 
the morning, fasting. The quantity should be sufficient to develop slight 
medicinal action, which is usually essential to the eradication of deeply- 
seated disease ; but avoid the error of plunging into extremes. Eight 
pills, daily. 

General conditions and injunctions respecting eradicative 
treatment. It is natural that the vigor of animal as of vegetable life is in 
the ascendant in the spring, and in the decline at the fall ;— it, therefore, 
follows that the spring will be the season in which eradicative resources, 
backed by the greater buoyancy of the vital energy, will be most success- 
ful. I would also strongly enjoin every person who has occasion to under- 



110 OUr, FAMILY PHYSICIAN. 

take the treatment of disease characterized by conditions of the nature 
above detailed, above all things not to be discouraged, but, so long as all 
circumstances correspond to identify the accuracy of his treatment, to per- 
severe steadfastly, assured that, especially if the patient does >not lose 
ground, he is pursuing a course towards ultimate success. 

When a mother has given birth to one or more sickly children, she 
ought to undergo a course of constitutional treatment forthwith, even 
though she may again have fallen into the pregnant state. In the latter 
case, however, somewhat more than ordinary caution is required in 
watching the progress of treatment. 

SYNOPSIS OF THE RULES FOR DIET UNDER TREATMENT. 

ALIMENTS ALLOWED. 

Soup or broth (in special cases of illness or indisposition) made from 
the lean of beaf, veal, or mutton ; to which may be added well-boiled 
sago, tapioca, vermicelli, rice, semolina or macaroni, pearl-barley, and 
.sometimes carrots, young peas, or cauliflower, seasoned merely with a 
Little salt. 

Meats and animal products. Mutton, beef, lean pork, of good quality, 
in a few exceptional cases in which it is known not to disagree (poultry 
rarely, except in particular cases), pigeons, larks, rabbits, (venison, and 
game in general, may, if tender, in most cases be partaken of in modera- 
tion, but never when high) plainly cooked and roasted, stewed or steam- 
ed, in preference to boiled ; further, soft-boiled eggs, good fresh butter and 
curds. 

Fish {occaswnaUyX Soles, whiting, smelts, trout, cod, haddock, mul- 
let, perch, turbot, oysters and flounders, boiled, in preference to fried; 
when cooked in the latter manner, the white must alone be partaken of 
and the outer or fried portions rejected. 

Vegetables. Potatoes, brocoli, green peas, cauliflower, spinach, mild 
turnips, carrots, parsnips, French beans, beans, seakale, vegetable marrow, 
stewed lettuce, well cooked, and prepared with the gravy of meat, where 
required, instead of butter. 

Condiments, Salt and sugar in moderation. 

Bread. All kinds of light bread, not newly-baked ; and biscuit, free 
from soda, potash, and the like ingredients. 

Light puddings, such as those made from vermicelli, semolina, corn 
starch, Bago, arrow-root, rice; macaroni (without cheese), simple.eakes, 
composed of flour or meal, eggs, sugar, and a little good butter. 

Fruit. Baked, stewed, or preserved apples and pears; also gooseber- 
ries, raspberries, -rapes or any other fruit not of an acid quality, fully 
ripe, preserved, or in the form of jelly, may occasionally be partaken of. 

Beverage. Water, toastrwater, sometimes milk, milk and water, cocoa, 
chocolate unspiced), arrow-root or gruel, made thin, barley-water, sugar 
and water, rice-water, and weak black tea in cases where it has long been 

taken habitually, and has not been productive of injurious effects. 
8alt should i«- used in great moderation. 



ALIMENTS— ACCLIMATION 111 

ALIMENTS PROHIBITED. 

Soups. Turtle, mock-turtle, ox-tail, giblet, mulligatawny, and all rich 
and seasoned soups. 

Meats. Pork, (except in the instances named as allowable), bacon, 
calf s head, veal, turkey, duck, goose, sausages, kidney, liver, tripe, and 
every kind of fat meat. 

Fish. Crab, lobster, and shellfish in general ; and almost all other 
fish not specified amongst the aliments allowed, as likewise all kinds of 
salted, smoked, potted, or pickled fish. 

Vegetables. Cucumber, celery, onions, radishes, parsley, horse-radish, 
leeks, thyme, garlic, asparagus ; and every description of pickles, salads, 
and raw vegetables, or vegetables greened with copper. 

Rich or high-seasoned made dishes. 

Pastry of all kinds, whether boiled, baked, or fried. 

Spices, aromatics, and artificial sauces of all kinds ; as also the ordin- 
ary condiments, mustard and vinegar must be used in moderation. 

Cheese. 

Chestnuts, filberts, walnuts, almonds, raisins, and indeed the entire 
complement of a dessert, except what has been mentioned amongst the 
aliments allowed, under Fruit. 

The above regulations are subject to considerable modifications in par- 
ticular cases, both as regards the aliments allowed and those which are 
prohibited. When it it necessary to make a very material alteration in 
the diet and habits of a patient, it ought, in general to be done gradually 
and cautiously. Regularity in the hours of meals should be observed j 
and too long fasting, as well as too great a quantity of food at one time 
should be avoided. 



ACCLIMATION OR ACCLIMATIZATION. 

The process by which an inividual or a species, on being removed to a 
different climate, becomes modified in constitution and adapted to the 
changed conditions. The two words, however, are not strictly synony- 
mous. Acclimation is generally used in speaking of particular individuals, 
and more especially of those belonging to the human species, and refers 
to the alterations which the system undergoes spontaneously in a foreign 
climate, by which it at last becomes no longer subject to the maladies pe- 
culiar to new comers. Acclimatization, on the contrary, expresses the ar- 
tificial care by which man succeeds in naturalizing, under his own super- 
vision, a species of animals or vegitables of exotic origin. Acclimation. 
Man inhabits all the zones and nearly every region of the earth, and has 
been enabled in repeated migrations to change the place of his habitations 
and to occupy new countries. The human species is therefore regarded 
as cosmopolitan ; and yet two facts are important to notice in this respect : 
First, most of the great migrations, historic or traditional, have been made 
in the direction of longitude, and not in that of latitude; the migrating 
tribes instinctively or intentionally keeping nearly within the same par- 
allels of latitude, and consequently not suffering very great alterations of 
temperature, nor meeting in their new homes with a flora and fauna very 



112 OUR FAMILY PHYSICIAN. 

dissimilar to those of their native country. Secondly, at the present day, 
although an individual may migrate either westward or eastward, as a 
general rule, without suffering from the change, a removal into a different 
latitude is almost always accompanied with peculiar dangers during the 
first few years of his residence in the new locality. The most marked in" 
stance of this kind is, when a person from the temperate zone visits for the 
first time to a tropical or subtropical region. The dangers that first beset 
him are fevers, which are so marked in type and so ready to attack newly 
arrived immigrants, that they are sometimes called the "strangers" fever. 
The yellow fever of ^VVest Indies and the southern United States, and the 
coast fever of western Africa, are well known examples of these affec- 
tions. They are not absolutely restricted to new comers, the natives being 
also subjected to them, but the recent immigrant is so much more likely 
to be affected, and is attacked by the disease in so much larger propor- 
tion, it is evident that his system has in it something which offers a pe- 
culiar attraction for the febrile pjison, and which does not exist, at least 
to the same extent, in that of the native or the old resident. After passing 
through a period of general ill health and debility, extending over some 
years, and perhaps one or more severe attacks of illness, the immigrant 
approximates in his appearance and habit of body to the older denizens of 
the place, and is no longer peculiarly liable to disorders which affected him 
on his arrival. He is then said to be acclimated. Xo doubt, part of the 
immunity enjoyed by old settlers in a tropical or sub-tropical climate is due 
to the fact that they have learned prudence in regard to exposure, and 
have come to regulate habitually the mode of life to correspond with the 
climate of the country. Recent immigrants often neglect these essential 
precautions, because they have not found them necessary in a temperate 
climate; and it is only after repeated experience of their value that they 
come to adopt them habitually and as a constant protection. 

APPARENT DEATH. 

Apparent Death, Asphyxia. — In every instance where an individ- 
ual has, to all appearance, suddenly expired from external causes, anima- 
tion may only be suspended. There are many cases, of course, where 
sudden death is no mere suspension of animation ; but there are others 
where apparent death is far from uncommon; in all cases, therefore, 
where there is the least uncertainty, care should be taken to do nothing 
that may cause death, and interment should be avoided until certain 
signe of putrefaction set in. 

Apparent death from hunger.— Give small injections of warm 
milk, repeatedly; great care should betaken to give the food when the 
patient begins to rally, in the smallest possible quantity at a time. Milk 
may be given, drop by drop, and gradually be increased to a teaspoonful, 
and after some interval, a small quantity of beef tea, and a few drops of 
wine. After a sound sleep has succeeded, but not till then, a small meal 
may be given; but It is best thai the patient should eat little at a time. 

Apparent death from a fall.— Place the patient cautiously on a 
bed, with his bead high, in a place where lie can remain quiet. Put a 
little Arnica on his tongue, and wait till a medical man visits him to see 



APPARENT DEATH. 113 

if there is any fracture, or whether there are still signs of life ; bleeding 
may be here some times of benefit, but it requires great caution. Arnica 
may be repeated, and also administered in injections. If the patient has 
been bled, give China or Quinine ; but it is obvious that if much blood has 
been lost by the fall or wound, venesection would be injurious. 

Apparent Death from Suffocation, (hanging, pressure, chok- 
ing).— Remove ail tight clothing. Put the patient in a proper position, 
the head and neck rather high, the neck quite easy, not bent forward. 
Begin by rubbing gently, but constantly, with cloths ;| give an injection 
of a dozen or two globules, or a few drops of Opium, dissolved in a half 
pint of water, and injected slowly. This may be repeated every quarter 
of an hour, whilst the ribs are being rubbed gently. Hold, from time to 
time, a mirror before the mouth, to see if the breath dims it ; open the 
eyelids and see if the eyes contract ; put warm cloths on ; hot stones, 
wrapped in blankets, to the feet, between the thighs, to the sides, neck, 
and shoulders. If, in an hour, no change is produced, take a bitter almond, 
pound it fine, mix it in a pint of water, put a few spoonsful into the 
mouth, or into the nose, and give the rest in injections. 

Apparent Death from Lightning.— The body should be immedi- 
ately removed into a current of fresh air ; and cold water dashed fre- 
quently on the neck, face, and breast. If the body be cold, warmth, by 
friction, must be employed in the same manner as recommended for the 
drowned, in the next article ; as well as the means therein prescribed for 
inflating the lungs. A few globules of Nux Vomica may be put upon the 
tongue, and repeated in half an hour, when, if no effect is produced, a 
little Nux Vomica, in water, rubbed on the neck, and some injected, may 
be of service. Or, better still, place the patient in a half-sitting, half- 
recumbent posture, in a cavity freshly dug in the earth, cover him over 
with newly excavated earth (leaving the face, alone, exposed, which 
should be turned towards the sun, until the first signs of returning ani- 
mation become apparent), after which, Nux V. is to be had recourse to, 
as above directed. 

Apparent Death from Drowning.— Place the body in a hori- 
zontal position, face down, with one wrist under the forehead. Now, 
with one hand upon the back, and the other upon the abdomen, press 
gently for about two seconds, then turn the body well upon its side, and 
after a couple of seconds, place it again upon the face, and repeat the 
pressing as before ; in this way strive to induce artificial respiration by 
the alternate pressure upon the abdomen, and rotation of the body. 

Again, should our efforts still fail, we may, in order to restore the 
natural heat of the body, move a heated, covered, warming pan over the 
back and spine, place bottles or bladders, filled with hot water, or hot 
bricks, to the pit of the stomach, the armpits, between the thighs, and to 
the soles of the feet;— put the body in a warm bath, in the sun, or at a 
proper distance from the fire ; use friction with hot flannels, flour of 
mustard or other stimulants ; rub the body briskly with the hand, and at 
the same time do not suspend the employment of other means. 

To restore breathing, introduce the pipe of a common bellows into 
one nostril, carefully closing the other, and also the mouth, at the same 



] 14 OUR FAMILY PHYSICIAN. 

time drawing downwards and quietly pushing backwards the upper part 
of the wind-pipe, to allow a more free admission of air; blow the bellows 
gently, in order to inflate the lungs till the chest be a little raised, the 
mouth and nostrils should then be set free, and a moderate pressure made 
with the hand upon the chest; continue this process until signs of life 
appear. 

Electricity, or a stream of galvanism passed through the chest, is of 
great service. 

Apply pungent salts, as Sal Volatile, or Spirits of Hartshorn, to the 
nostrils. The>e means should be persisted in for several hours, and till 
there are evident signs of death. 

When the patient shows signs of life, and can swallow, small quanti- 
ties of warm wine, or spirits and water, may be taken; but till then, 
nothing should even be poured down the throat, either by a flexible tube, 
or otherwise. At this period, the patient should never be left alone, as 
some have been lost from want of care, who, otherwise, might have been 
saved. 

Apparent Death fkom being Frozen.— When a patient is found 
in a state of frostbitten asphyxia, arising from exposure to intense cold, 
lie should be moved with great gentleness and caution, to guard against 
any injury, as fracture, etc., to a place of shelter, such as a barn, or un- 
heated apartment, since only a moderate degree of heat might annihilate 
all hope of restoring animation ; at the same time, the patient ought to be 
protected from the slightest draught. 

He should then, especially if the limbs have become stiffened by the 
frost, l>e covered over with snow to the height of several inches — the 
mouth and nostrils, alone, being left free. 

The patient ought to be put into such a position that the melted snow 
may inn off readily and its place be supplied by fresh. When there is no 
-now, a cold bath, the temperature of which has been reduced by ice (or 
.1 bath <>f <-old sea or salted water), may be substituted, and the body im- 
mersed therein for a few minutes. 

I'll.' process of thawing is, by these means, to be effected, and when 
< \<t\ pari has losl its rigidity, the patient should be undressed by de- 
or i he clothes cut from the body, if requisite. As the muscular, or 
Bofl parts, become pliable, they may be rubbed with snow until they be- 
come red ; or i he body should be wiped perfectly dry; if snow is not to be 
had, placed in flannel, in a moderately warm room, and rubbed with 
warm hands of several parties, simultaneously. 

In the event of no signs of returning animation declaring themselves 
soon after the foregoing treatment, small injections containing CampTwr 
maj be administered every quarter of an hour. As soon as any symp- 
toms of approaching restoration become preceptible, small injection* of 
lukewarm black coffee (coffee without milk) may be thrown up: the 
'■owe!- soon as the patient is able to swallow, a little coffee may 

be given in the quantity ofa teaspoonful at a time. 

The measures above detailed ought to be persevered in for several 
hours against the excessive pain which is generally experienced when 
life i- restored; Carbo peg, should be prescribed in repeated doses, and if it 



VERIFICATION OF DEATH. 115 

fails to relieve the suffering, Arsenicum may be given. The party rescued 
must avoid subjecting himself to the heat of fire or stove for a consider- 
able length of time after his recovery, as serious consecutive ailment, and 
particularly disease of the bones, is likely to follow. 

Apparent death from noxious vapors.— The treatment consists in 
removing the body into a cool, fresh current of air ; dashing, frequently, 
cold water on the neck, face and breast; if the body be cold, applying 
warmth, etc., as above recommended to the drowned; inflation of the 
lungs, early and judicious application of galvanism or electricity ;— after 
life has been restored, Op., or Aeon., may be given with advantage. 

VERIFICATION OF DEATH. 

The prize of five thousand francs given to the Acadamy of Medicine, 
France, to be awarded to the discoverer of a simple and easy process by 
which any illiterate person might be able to ascertain, without a doubt, 
whether death had really and irrevocably taken place, was divided among 
four competitors. 

1. If a portion of the body be rubbed with a coarse wet towel, or with 
the back of a knife, and then be left exposed to the air, in the course of a 
few hours the skin will have become transparent and like parchment, if 
death has really occurred. 

2. If a light be held to the back of a finger at a moderate distance a 
blister will be formed; if this contain serosity, there is still life in the body. 
If the skin be touched with a piece of burning charcoal, if death is com- 
plete, it will become livid, a blister will be raised filled with vapor and 
having no serosity nor appearance of reaction. Petrifacation is also satis- 
factory evidence of death, but this can not be waited for. 



110 OUR FAMI.LY PHYSICIAN. 



Part Second. 



DISEASES OF THE BRAIN, THE SPINAL CORD, AiND THE NERVOUS 

SYSTEM, GENERALLY. 



CHAPTER VI. 



MENINGITIS CEREBRO-SPINALIS. 

SPOTTED FEVER — CEREBROSPINAL MENINGITIS. 

This disease lias appeared in various parts of the United Slates and 
Europe as an epidemic. It is of a -most serious and often malignant char- 
acter. The symptoms are not constant, but vary in each epidemic ; indeed 
the variation is so great, that of the reports of some thirty physicians 
which we have consulted, we find no two alike. Our own experience in 
this disease, is confined to three cases of undoubted Spotted Fever, two of 
which recovered, the third coining into our hands after the disease had 
continued five days, and the patient was then dying. We will, therefore, 
in view of our own inexperience, transcribe the symptoms, as given by 
Professor Felix Niemeyer of Berlin, in his exhaustive report of the epi- 
demic in the Grand Duchy of Baden, 1865, and after that, the symptoms 
as given by Dr. Bushrod W. James, of Philadelphia, as he observed them 
with his very extensive opportunities, in the United States. 

Symptoms by Niemeyer: "Without any other precursory symptoms, 
the patient is at once attacked with a chill, attended with violent head- 
ache and vomiting. The headache speedily increases in intensity, the 
patient becomes exceedingly restless, tosses about, the pupils remain con- 
tracted, the Bensual consciousness remains unembarrassed. The pulse rises 
to 80 or 100 beats per minute. At the end of the first, or on the second day, 
much less frequently at a later period, we notice that the head is some- 
what drawn backwards; the patient continues to complain of violent 
headache, and the pain spreads from the head to the back of the neck and 
to the back. The restlessness becomes excessive,* the thoughts of the pa- 
tient become confused, the pupils remain contracted, the abdomen caves 
in. the bowels are constipated. The frequency of the pulsations and res- 
pirations now Increase to about one hundred and twenty of the former. 
;in<l upwards of seventy Of the latter, per minute; the bodily temperature 
continues mjoderately l<>w. In the course of the third and fourth day, the 
tetania Bpasms of the posterior cervical and dorsal muscles become more 

:ui<l more prominent, and patients are sometimes attended with lock-jaw. 
Opisthotonus (bending backward) supervenes with an extraordinary de- 
gree of Intensity ; the consciousness is gone, but the patient still continues 



SPOTTED FEVER. 117 

to toss abouvoin bed, the pupils still continue contracted, the bowels con- 
stipated, the abdomen sunken ; the urine is discharged involuntarily, or 
else the bladder remains distended and the urine has to be drawn off* 
with a catheter. The patient now lapses into a profound stupor, (unna- 
tural sleep), the moaning breathing is accompanied by a rahl (rattle), and 
death takes place with the phenomena of an acute oedema (collection of 
a liquid serum in the lungs so as to fill them up) of the lungs." 

I dislike Niemeyer's use of the word oedema here. "This picture of the 
disease is sometimes modified by the occurrence of a short preliminary 
stage, which is marked by slight pains in the head and back, or by the 
breaking out of herpatic vesicles (eruption of blisters), or of scattered, 
dark colored, roseola (red) spots on the first, second, or third day of the 
disease, or else the above described symptoms develop themselves in a 
much shorter period, which circumstance constitutes one of the most im- 
portant modifications of the disease ; so that the consciousness vanishes, 
even on the first day of the attack, and a violent tetanic spasm (spasm 
with unyielding stiffness) of the back of the neck and back begins ; or 
finally, may set in with such violence, that a fatal termination of the dis- 
ease is reached even on the first or second day. This cursory picture of 
cerebro-spinal meningitis, and of the general course of the disease, applies 
indeed to most, but not by any means, to all cases of the epidemic. This 
picture does not comprehend phenomena that occur in a varietj^ of cases, 
such as : deafness in one or both ears, diplopia (double vision), from a 
diseased condition of the optic nerves, ptosis (palsy of the upper eyelid, 
softening and destruction of the cornea (front coating of the eye), .and 
finalty, paralysis of the facial nerves and of the extremities, either on 
both or only one side of the body." 

Symptoms as quoted by B. W. James, M. D., from experience and a 
careful study of the disease, as it has appeared in the American epidemics. 
In many of the epidemics, prostration appears to have been a very prom- 
inent symptom : 

"It sometimes sets in with such a sudden violence, that persons who 
were afflicted with heart disease, dropped down dead in the street in conse- 
quence of the sudden shock. This happened in a number of cases. Many 
persons died twenty-four or forty-eight hours after being seized with the 
chill. Persons over tasked with labor would very often die in fourteen or 
sixteen hours from the chill. The general features of the disease were: 
vertigo with headache ; diarrhoea, sometimes of a very prostrating charac- 
ter, in other cases diarrhoea alternating with constipation; moderate fever, 
flashes of heat mingled with creaping chills, piercing pain thrr ugh the 
head, soreness and stiffness of the upper portion of the spine, with aching 
pains in the spine, or tingling soreness and tenderness of the skin, severe 
muscular pains, numbness of the limbs with partial paralysis; spasmodic 
twitching^ of the muscular system, sometimes amounting to tetanic con- 
vulsions with lock-jaw; the consciousness not much affected, except when 
the disease is at its night, when a more or less active delirium, and finally 
coma and death set in. In most cases the eye looked injected and red, and 
the hearing was impared, the pulse had a moderate frequency, generally 
about one hundred per minute, the tongue remained moist, and in the 



118 OUR FAMILY PHYSICIAN. 

course of the disease, became covered with a dark, brownish fur; the 
breathing was somewhat accelerated and interrupted by moaning inspira- 
tions ; during the tetanic spasms the expirations had a hissing sound, the 
air seeming to be forced out with an effort, the skin has a peculiar bluish 
pallor in this disease, owing to the general turgescence of the venous sys- 
tem; the spots which have given to this disease its name, spotted fever, 
broke out on different parts of the body, generally however on the chest, 
abdomen, and thighs; sometimes the skin had a mottled appearance, or the 
spots looked like measle-spots, or had a rose colored tint. One hour the 
patient will seem quite well, and the next the most alarming symptoms 
may be present." 

Treatment. Give, as soon as the nature of the attack is known, a 
good, full sweat; the hemlock sweats of easy application where hemlock 
branches are obtainable, are always efficacious. Two teaspoonsful of best 
alcohol to four of water, one teaspoonful of this solution every half hour, 
until there is a decided abatement of the symptoms. In cases threatening 
immediate dissolution, the dose may be doubled for a short time. 

ALLOPATHIC TREATMENT. 

This disease is an essential fever, attended with inflammation of the 
membranes of the brain and spinal cord; hence its name. It is popularly 
called spotted fever. The disease is very fatal, in some epidemics, reaching 
as high as four fifths of all the cases, in other epidemics, not over one 
fourth of the cases die. 

The bowels should at once be unloaded, but beyond that, purgation 
should not be practiced. Ice in bladders may be applied to the head and 
spine, if agreeable to the patient, otherwise they should not be used. The 
cold or warm wet pack, according to the degree of fever, should be used once 
a day. If the temperature is 104° or over, the pack should be cold. If not 
so high as this, cool sponging of the skin will suffice. When the pack is 
used, the patient is to be wrapped in a sheet wrung out of water, and then 
enveloped in blankets. In about an hour free sweating occurs. The pack 
is then removed, the patient wiped dry and placed in bed. 

Opium should always be given to the extent of relieving pain. This 
is the most useful known remedy in this disease. The physician Mill ob- 
tain the best results by the hypodermic use of morphia. When effusion 
has taken place, and there is stupor and insensibility, the usefulness of 
opiii in is at an end. Ergot is the remedy calculated to diminish the con- 
gestion ol the cord, and should be given in large dose; a teaspoonful of the 
fluid extract every six hours is a good rule. In the beginning of the dis- 
ease, quinine is useful in controlling the fever and inflammation. If, how- 
ever, asingle huge dos< — twenty grains— is not followed by benefit, if 
should not he repeated, unless malarial disease consists. In the cases 
having high fever the Fluid Extract of Gelseminum given in five drop 
doses, two or three hours apart, will be found useful in moderating the 
action "i the heart and producing a general calm. 

Ice. acid drinks, cold tea, and lemonade should be freely allowed to re- 
lieve t hirst, milk, eggs, nourishing broths should be given in sufficient variety 
and quantity t<> maintain, as far as possible, 1 lie strength of the patient. 



CONGESTION OF THE BRAIN, 119 

In case food is not taken, from vomiting or other cause, nourishment 
should be given by injection into the rectum; half a pint of strong beef 
tea with two or three tablespoonsful of rich cream, or a half teacup each 
of beef essence and milk, can be given two or three times in the twenty- 
four hours. The injected nourishment should be caused to be retained 
by pressure upon the auns with a napkin or towel. Stimulants should be 
avoided until the symptoms denote that the vital forces are beginning to 
fail, and just in proportion to this failure are they demanded. Their bene- 
ficial effect is shown by a fuller, stronger, and more regular pulse and re- 
duced febrile and nervous excitement. A tablesoonful of whisky or 
brandy, from one to three hours apart, is a good rule varied according to 
the judgment of your physician. 

In Spinal Meningitis (inflammation of the membrane of the spinal 
cord), the principles of treatment are the same as is given for acute Men- 
ingetis- Cerebral. The disease generally proves fatal within a week. 

HOMOEOPATHIC TREATMENT. 

Gelseminum, Belladonna, Veratrum Viride, Hyoscyamus, during con- 
gestive stage, when the congestive and inflammatory symptoms predom- 
inate. Gelseminum and Veratrum Viride, both of which may, without 
hesitation, be alternated with Bell., or Hyos., if the inflammatory and 
typhoid symptoms seem to co-exist. 

Bell., and Hyosc, may be relied on, if a more or less active delirium 
has set in, the patient is inclined to sleep, the conjunctiva (covering of the 
eye) is found congested, the pupils are alternately contracted or dilated, or 
one pupil contracted and the other dilated, and spasms drawing the head 
and body backward. Bryonia or Rlms-toxicodendron should be resorted 
to, when the high inflammatory condition seems to give way to one of a 
typhoid character, and more particularly when the following symptoms 
are present: Lock-jaw, partial loss of consciousness, stupor with an ex- 
pression of deep suffering in the countenance, difficulty of protruding the 
tongue, the corners of the mouth are drawn down/ the muscular pains are 
very severe. A great degree of restlessness and uneasiness is more 
especially indicative for the use of Rhus-tox. For more indications study 
the Repertory. 



HYPEREMIA OF THE BRAIN. 

EXCESS OF BLOOD IN THE BRAIN— CONGESTION OF THE BRAIN. 

By Hypesermia of the brain is generally understood an excess of blood 
in the arteries and veins (blood vessels) of the brain ; or, in other words, 
more blood in the brain than is natural in a condition of perfect health. 
This unhealthy increase of the volume of blood may be occasioned by 
three distinct causes. In the first place, the flow of the blood from the 
brain, being natural, a larger quantity of blood returns to the brain. In 
the next place, the flow of blood from the brain may be diminished by 
some disease of the blood vessels, or their surroundings, while the amount 
carried to the brain by other vessels, not so diseased, may be natural in 



120 OUR FAMILY PHYSICIAN. 

amount. Finally, the cause may be located in the brain itself, the brain 
substance (cerebral parenchyma) may become hardened or wasted away 
{atrophied) or softened ; or the capillaries (very small ends of the vessels) 
may become enlarged. 

This diseased condition of the brain is confined either to a limited 
locality, or extends throughout the whole brain. It is scarcely ever pos- 
sible to establish, during the life of the patient, a sure diagnosis regard- 
ing the exact seat and the extent of the hyperemia, for the reason that 
congestions of very limited extent frequently excite much more striking 
symptoms than more extensive congestions. So far as treatment is con- 
cerned, such a diagnosis is scarcely ever of much importance. 

The most important terminations of this engorged condition of the 
brain, which impart to it a higher significance in practice, are: sudden 
death from paralysis of the brain, in consequence of excessive pressure of 
the blood ; dilation (widening) of the vessels, especially the capillaries, by 
which the tendency to congestion is increased, exudation and extravasa- 
tion (or throwing out and collection of blood in some of the cavities, or 
collection beneath some of the covering membranes). 

The causes of cerebral hyperemia are various and important, in a 
practical point of view, since, in most cases, they determine the choice in 
t ho selection of the proper remedy. These causes are of two kinds : 

Catjsis.— 1st, Those which affect the brain directly, and 2d, Indirect 
causes, by which, through the operation of influences that are partial^ 
unknown to us, the brain becomes involved in an affection more or less 
remote from the brain. Among the direct causes affecting the brain, the 
most prominent are: Concussions of the head by a fall, blow, or like 
accident; continued, persevering and excessive mental exertions; emo- 
tional excitement, such as joy, grief, anger, disappointment, chagrin, 
etc.; exposure to excessive heat of the sun (sun stroke), or to artificial heat; 
likewise to excessive cold ; more particularly, if the influence of cold is 
suddenly followed by the action of intense heat. 

In the second class of causes, we may range, according to circum- 
stances, almost all kinds of febrile (fever) affections, since almost all of 
them may be associated with this condition of the brain ; in this place we 
will content ourselves with mentioning diseases where almost always 
congestions of the brain are present ; they are: Erysipelas of the face; 
Diphtheria; Mumps; Inflammatory diseases of the eyes and ears ; diffi- 
culties during teething. Among the more or less chronic affections that 
may be mentioned in this connection, as casual circumstances, the most, 
prominent in the list of those that impede the flow of blood from the 
brain, are: Defects of the heart, right side and tumors (morbid growths) 
<»ii the neck. In the list of those that occasion a general increase in the 
Impulse of the circulation, are: Diseases of the heart, (left side), SUp- 
pression of habitual losses of blood (such as (he menses or piles). In this 
last list, we likewise include those cases caused by the abuse of alcohol, in 
nil Its varied forms, or of other narcotic substances such as opium. 

Without doubt there also exists a tendency to congestions of the 
brain; In which case, they may he excited by any perceptible change 

from :i <on« I it ion of health. This tendency is identical with the so called 



CONGESTION OF THE BRAIN. 121 

apoplectic Jiabit, but cannot be recognized, with any certainty, before its 
occurrence, by definite diagnostic signs, but has to be determined in 
most cases by the occurrence of the actual fact; it is a certain 
fact, that it is not alone indicated, as is popularly believed, by a thick- 
set frame and a short, thick neck. On the other hand, the idea of a 
probable occurrence of hyperemia of the brain suggests itself before it 
happens, in the case of individuals, who, while consuming quantities of 
nourishing fo©d, do not take bodily exercise in a corresponding ratio, and 
in whom this mode of living develops a condition that may justly be 
termed plethora, or excessive flesh. We have already stated, that the fre- 
quent repetition of attacks of this nature leads to a dilation (widening) of 
the blood vessels, which increases the disposition to renewed attacks. 

Generally speaking, you can safely predict a favorable termination in 
this disease, since a fatal result need not be apprehended, unless some 
other complicating disease should supervene. In one respect, it depends 
upon the age of the patient. Whereas, in persons of middle age, the dan- 
ger is not very serious ; it is, on the contrary, much greater in the case of 
children and old people. In the case of children, death takes place very 
frequently in consequence of the paralysis of the brain, occasioned by the 
excess of blood in that organ ; in old people the vessels are generally so 
fragile that they easily tear, and their contents are discharged upon the 
brain. The apparent violence of the disease is no adequate guide by 
which to judge of the danger likely to result from it, but the more fre- 
quently the trouble occurs, the more dangerous it becomes. When it de- 
pends upon pre-existing derangements, the prognosis depends almost 
exclusively upon the character of these derangements. 

The Symptoms by which hyperemia manifests itself, vary according 
as one or another locality of the brain is the seat of the affection, and 
according as the pressure upon the brain is more or less violent. The 
head feels heavy, confused, or as if encircled by a tight band ; the head- 
ache, which is scarcely ever wanting, is almost always throbbing, and is 
made worse by stooping, unusual exercise, and every mental effort ; buz- 
zing in the ears, sensitiveness of the eyes, even seeing sparks and obstruc- 
tion or obscuration of sight, are generally present. 

Vertigo (giddiness, dizziness) is seldom wanting. If arising from hy- 
peremia, a characteristic sign is to become aggravated by stooping, but 
more especially by looking up. Generally the patient feels drowsy with- 
out being able to sleep, or else the sleep is anxious, disturbed, full of 
dreams. Feels very languid and his gait is rendered insecure by want of 
firmnesss in the lower limbs. The pulse may continue natural, and there 
may be no fever present. This mildest form may be combined with con- 
stant restlessness and gloomy ideas ; sleep is disturbed by anxious dreams, 
which, in the more violent cases, do not altogether disappear while the 
patient is awake; they even assume the character of hallucinations, and, 
if the trouble continues without being checked, a permanent mental de- 
rangement will not unfrequently result. Palpitation of the heart, ill 
humor, distrust, total indisposition to work, and fitful mood are almost 
always present. This form of hyperemia mostly befalls individuals, who, 
while enjoying good cheer, take but little bodily exercise, but perform a 
large amount of mental labor. 



122 OTTR FAMILY PHYSICIAN. 

The foregoing symptoms are almost characteristic, also, of hyperseniia, 
consequent upon suppression of certain forms of loss of blood. 

The trouble is much more dangerous, if it sets in as an acute disease, 
and, although violent at first, continues to increase in intensity, until it 
terminates in death. In such cases, the face looks dark-red, the eyes are 
streaked with red, the blood vessels of the head and neck pulsate violent- 
ly, the pupils of the eyes look smaller, all the senses are very sensitive, 
the headache is maddening, sometimes driving the patient to suicide. 
Delirium is apt to follow. This type of the disease is most common after 
sunstroke, and not unfrequently is an accompaniment of mental derange- 
ment, of which indeed it may frequently be said to be the cause. Not un- 
frequently the above described symptoms are suddenly followed by all 
the signs of apoplexy, regarding which the diagnosis cannot be establish- 
ed with any certainty, until the rapid course and sudden disappearance of 
the symptoms of paralysis have satisfied one that no pouring out 
of blood (extravasation) can have taken place, since the fluid could not 
have been reabsorbed so soon. In this category belong, most likely, all 
the cases that are said to have been cured so rapidly. This disease never 
exists during an epileptic attack, in which the course of the attack alone 
gives perfect certainty concerning its true nature. 

Among children hyperemia is an almost habitual accompaniment of 
all fevers, and not unfrequently conceal, the symptoms of true disease, for 
the reason that the course of the hyperemia is marked by the more 
violent symptoms. In every considerable congestion of the brain convul- 
sions of some kind almost always occur ; they are accompanied by drowsi- 
ness even to the extent of sopor (sound but unnatural sleep), delirium, 
excessive restlessness, and anxiety and vomiting, in nearly all cases. 
However threatening such a condition may seem at first sight, in most 
eases it passes off' speedily and without leaving a trace behind, so that 
the congestion seldom lasts longer than thirty-six hours, and generally 
abates alter the lapse of twelve hours. 

Treatment. In the acute form of the disease, applications of cold 
or ice water, to the head and keeping the extremities warm, is excellent. 
In the chronic form resort to frequent bathing and rubbing, and plenty 
of healthy outdoor exercise. 

ALLOPATHIC TREATMENT. 

Active congestion of the brain, not sufficient to produce apo- 
plexy or sudden coma (insensibility), is denoted by the following symp- 
toms: Pain in the head, sometimes intense, not limited to any special 
pail, with a sense of fullness, bursting, or weight and throbbing. The 
head is hoi, and the carotid, and other arteries of the neck and head, 
pulsating violently. The face is (lushed, the eyes injected, there is intol- 
erance of light. The mind is confused, and consciousness may be sus- 
pended ; there i- dizziness, ringing in the ears, and difficulty in speech. 
[f paralysis and insensibility exists, the trouble is greater than simple 
Congestion, there is apoplexy from extravasation of blood. 

These symptoms (signs) are, also, those of the beginning of inflam- 
mation of the membranes of the brain, and a discrimiuation cannot, at 



CONGESTION OP THE BRAIN. 123 

once, be made. The treatment is the same. The intensity of the con- 
gestion determines the prominence of the symptoms. 

Intense congestion calls for blood-letting, promptly, at the hands of a 
surgeon, as necessary in preventing apoplexy and sudden death, hem- 
orrhage upon the brain, watery effusion, or inflammation. Blood-letting 
gives relief by weakening the action of the heart, and diminishing the 
quantity of the blood sent to the head. If the congestion is not sufficient 
to call for bleeding, either general or by wet cups applied to the back of 
the neck, relief may be obtained by ice to the head, hot foot-baths, made 
stimulating by the addition of mustard or red pepper, and an active purga- 
tive ; one or two tablesponsful of Epsom Salts, dissolved in water, is as good 
a physic as any for the purpose, in domestic practice. The after-treat- 
ment will have reference to the removal of the causes, if possible ; they 
are, aside from enlargement of the heart and sunstroke, principally some 
form of using alcoholic stimulants and over-stimulating food, excessive 
mental or emotional activity and anger. If the patient is strong or robust, 
the diet should be less hearty, and a cathartic of a smaller dose of salts, 
or a Siedlitz powder, taken occasionally. Let all the habits of life be 
governed by the word moderation. 

Passive congestion of the brain is caused by some obstruction 
to the return of the blood from the head through the veins, except it may 
be caused by weakened arterial circulation. The trouble is distinguished 
by drowsiness, dullness of mind and perceptions, and sometimes by con- 
vulsions, in children. Active delirium, throbbing arteries and increased 
heat, are wanting. Passive congestion may lead to watery effusion or 
extravasation of blood upon the brain. When caused by disease of the 
heart, or by tumors pressing upon the veins, and so producing the con- 
gestion, treatment has reference to a removal of the obstruction. For 
treatment of disease of the heart, see Chapter xxiii. 

For the treatment, or removal of tumors, the skill of a surgeon is neces- 
sary. To overcome enfeebled circulation, everything which produces ex- 
haustion is to be avoided and its force increased, and the blood enriched 
by nutritious food and tonics. The Citrate of Iron and Quinine, one 
dram, dissolved in four ounces of simple syrup: Dose, a teaspoonful ; or 
the Soluble Citrate of Iron, dissolved in Sherry Wine, one dram to eight 
ounces : Dose, a teaspoonful, are good tonics taken before each meal. 

HOMCEOPATHIC TREATMENT. 

Belladonna. In plethoric persons disposed to rush of blood to 
the head, red, almost purple face, dilated pupils, nervous agitation, 
sensitiveness to all unusual sounds and motions, especially any sud- 
den jar, as of the bed or floor, delirium, constant or intermittent mut- 
terings, and, if present, a disposition to perspire, will be found reliable 
indications for Bell. 

Aconite. If the trouble is the result of violent emotions, such as 
fright or mortified feelings. This remedy is also very useful in alterna- 
tion with Bell., in cases of acute hyperemia among women and children, 
at times where the latter remedy is indicated, but the symptoms show 
also a high fever and excited condition of the heart. 



124 OUR FAMILY PHYSICIAN. 

Opium is a more useful remedy in this disease than either of the 
others already mentioned, provided the trouble has not been produced by 
this remedy in some of its forms. Its use is indicated by continued sopor 
(sleep) with insensibility of all the senses, dark redness of the face, with 
paleness and coldness of the rest of the body, slow pulse, slow breathing. 

Tobacco is one of two drugs which frequently cause this disease. Do 
not take or give it in any form. If this so-called innocent habit is one of 
your failings, be firm, shake off the demon you see so surely destroying 
your life, ami quit forever the habit which is costing you so dearly. 

Xux Vomica. When the disease is caused by a sedentary mode of 
life, or excessive mental labor, and more especially in the commencement, 
when caused by frequent use of spirituous liquors, attended with consti- 
patiOD or irritation of the kidneys, Xux is a, good remedy. 

Arnica. "When the derangement is the result of a concussion, fall, or 
blow on the head, etc., use Arnica. 

Veratrum Viride. When Bell, is indicated apparently, but after 
being given for twenty-four hours, a dose every half hour or hour, has 
produced no change for the better, you will And a change to Veratrum 
Virirft a good one; it has been used extensively in this affection, both in 
general and hospital practice, with the best results. It is best given in a 
low potency. 

Dose for any of the preceding remedies, eight pills in three table spoons- 
ful of water, to be given a teaspoonful every two to four hours, 
except Ver. Vir. 

Sunstroke in hyperemia from the heat of the sun, applications of ice 
or cold water to the head and along the back, and to the extremities, is in- 
dispensable to re-awaken the paralyzed reaction of the organism, but this 
should not be an entirely constant application, but should have short 
interruptions at intervals. 



AX.KM1A OF THE BRAIN. 

LACK OF liLOOl) TO THE BRAIN. 

Amenda of the brain is not, as generally considered, a separate affec- 
tion, hut rather a symptom of, or an affection caused by, some other dis- 
ease. Anaemia of the brain either consists in a diminished volume of 
blood in the brain, or in a supply of blood to the brain, destitute of red 
globules. Iu the former case, it Is caused by constriction or compression 
of the arteries througli which the blood courses toward the brain, or by 
any other circumstances, in consequence of which the space within the 
skull le narrowed. In the Becond case, all the causes of anaemia must be 
considered; whereas, the deficiency of blood consequent upon sanguin- 

0U8 lo-<cs, will have to be counted, since it is not only the decrease in the 

quantity of the blood, but, also, in the quality, that determines the 

; 1 1 1 1 I • 1 1 1 i 1 1 . 



BACK OF BLOOD TO THE BRAIN. 125 

Then, again, there is no doubt but that changes of a spasmodic na- 
ture may induce a sudden decrease of the volume of blood to the brain ; 
a greater or less degree, we have observed, in consequence of powerful 
mental emotion or excitement. 

The symptoms of anaemia of the brain differ a good deal, according as 
it develops itself more or less rapidly. If it develops quite rapidly, we 
have a most perfect image of syncope (fainting or swooning), uncon- 
sciousness, voluntary muscular movement are suspended, most gener- 
ally, amid slight convulsions, and both the breathing and the pulse are 
slower. This condition is most prominently seen, during metrorrhagia 
(hemorrhage from the womb) in confinement ; or from some other mor- 
bid discharge of blood. Evidently such accidents are attended with 
great danger to life. If the anaemia sets in more slowly, symptoms of 
stimulation always precedes the sinking of the activity of the brain. 
Here, as well as in excess of blood in the brain, we have violent head- 
ache, great irritability of the organs of sense, buzzing in the ears, dim- 
ness of sight, vertigo (dizziness); and it is only from the course, and a 
careful study of the causes of disease, that we are able to obtain light 
regarding their cause. 

It is characteristic of most cases of anaemia of the brain, that the 
symptoms either abate or disappear in the horizontal position, and that 
the partaking of food or stimulating substances, cause an improvement. 

The course and duration of this disorder depends, of course, upon the 
aggravating causes. What is certain, is, that the appearance of anaemia 
of the brain is always a very bad symptom, especially in the case of chil- 
dren. 

Treatment. — We must content ourselves with mentioning only a few 
remedies, known to be most prominent for anaemia of the brain, when 
manifesting itself as an independent, and more particularly in the form 
of an acute disease. 

Ipecac, as a remedy, is particularly suitable for children, after rapid 
losses of animal fluids, if the symptoms of convulsions are present, to- 
gether with more or less stupor. 

Dose: Eight pills, or four drops of solution, in three tablespoonsful of 
water. Give a teaspoonful every two or three hours. 

Secaee cornutum is particularly useful in the haemorrhage from the 
womb of parturient females ; here it acts in a two-fold direction, against 
the hemorrhage itself, and against the symptoms arising from the brain 
and spinal marrow ; upon both of these organs it acts in a very marked 
manner. 

Dose : As for Ipec. 

Cuprum is only suitable where the whole process is developed slowly, 
and is more especially characterized where there is some spasmodic phe- 
nomena, such as some mental excitement. 

Dose: A small powder, or eight pills, in water, as directed for Ipec. 

Home remedies— Ammonia or Camphor applied to the nose, or even a 
little cold water applied to the face, will often arouse from syncope aris- 
ing from anaemia of tlie brain. 



126 OUR FAMILY PHYSICIAN 

APOPLEXY. 

Apoplexy is a sudden loss of consciousness, beginning at the brain, 
depending upon hemorrhage upon the brain, congestion or embolism (a 
small clot from the heart lodged in an artery of the brain.) 

Characteristics.— Sudden or gradual loss of consciousness, sensa- 
tion, and motion, with greater or less disturbance of the pulse and res- 
piration. 

Few diseases offer a greater number of varieties in form than Apo- 
plexy; and there is scarcely a single classification of the many that 
eminent medical writers have given to the world, which is not more or 
Less liable to objection. 

Tt is also extremely difficult to distinguish clearly between the 
different varieties, the external symptoms not always bearing a uniform 
relation to the internal injury; thus all the indications of serious Apo- 
plexy may declare themselves from sanguineous extravasation ; and. it is 
not always possible to decide, in Apoplexy, whether effusion, or simple 
( ongestion of the vessels of the brain, has taken place. 

Premonttary symptoms. — Continued inclination to somnolence; 
heavy, profound sleep, with snoring respiration; nightmare, grinding of 
the teeth, shocks, or cramps, extreme drowsiness, or a general feeling of 
heaviness, or disinclination to the least exertion ; frequent yawning and 
fatigue after the slightest exercise. A sense of weight and fullness, and 
pains in different parts of the head, sometimes very deep-seated. Head- 
acheand megrim, or giddiness and fainting; pulsation of the arteries of 
the temples and neck, with swelling of the veins of the head and fore- 
head ; disturbance of the functions of the brain, evinced by the loss of 
>/i< mory, irritability of temper, or mildness and indifference, despondency 
and weeping; irritation of the conjunctiva, dimness of vision, specks or 
motes before the eyes, or flashes of fire or sparks during darkness ; acute- 
nese of vision, or double vision, sometimes, also, the words in a line appear 
to run into one another; difficulty of opening or closing the eyes; noises, 
humming, singing, etc., in the ears; dullness of hearing; dryness of the 
nostrils, pinched appearance of the nose, with false perception of an 
unpleasant odor; sneezing, and slight bleeding of the nose; stammering, 
and indistinct pronunciation ; difficulty of swallowing; numbness or torpor ; 
or pricking sensation in the extremities, with inarticulate speech, and oc- 
casional pari ial attacks of paralysis in the face (distorting the features), or 
in some of the muscles of the limbs; pains in the joints; weak or 
unsteady mode of progression, difficulty of passing water, etc., 

CONFIRMED ATTACK. Symptoms.— The attack itself is commonly 
ushered in by either of the following group of symptoms: 

The patient suddenly falls to the yround y and is instantaneously de- 
prived of sense and motion. The limbs are relaxed and perfectly motion- 

or lie- whole of one side is rigidly contracted, whilst the other is 
relaxed mid powerless; in some instances one limb (such as an arm) is 

alone implicated. The speech i< either entirely suppressed, or a few inar- 
ticulate sounds are all thai can be uttered; the countenance is flushed, or 
livid and puffed, and there is foaming at the mouth, with contortion 



APOPLEXY. 127 

towards the affected side. The respiration is slow, impeded, and usually 
accompanied by a rough, harsh snoring. The pulse varies, but is 
usually weak at the commencement, and fuller and stronger, but 
slower, as reaction supervenes. In other cases, again, the patient is 
suddenly seized with partial paralysis, comprising either an arm or leg, 
or the whole of one side of the body, attended with loss of the power of 
utterance, and pale, sallow, or livid and bloated countenance. In the 
course of a few hours, all or the greater part of the symptoms mentioned 
under the first variety of apoplexy, are prone to supervene. 

Issue and results. — When in either form of the disease, recovery is 
about to take place, consciousness gradually dawns upon the patient ; he 
begins to recognize persons and objects around him, answers when spoken 
to, or makes signs for writing materials, in order to express his wants on 
paper, when the power of speech is still denied him. 

But when a fatal termination is to be apprehended, the breathing 
becomes more and more oppressed, the face becomes pallid, and a cold, 
clammy sweat bedews the brow ; the act of swallowing is rendered difficult 
or impracticable, the teeth become clenched, the eyes dim and glazed, and 
the evacuations are passed involuntarily. 

Predisposing causes. — Chronic derangement of the primary organs 
of digestion, and, in some cases, disease of the heart, are the principal 
predisposing causes of Apoplexy. The conformation of the frame is also 
considered to predispose persons to attacks of Appolexy. Old age is 
more subject to this disease than the robust or mature periods of life. 
Particular seasons, such as the equinoxes (the transition from winter to 
summer, and from autumn to winter), increase the predisposition to at- 
tacks of Apoplexy. Sudden changes of the barometric conditions of 
atmosphere are also known to operate as predisponents. 

Exciting causes. — The exciting causes of Apoplexy are intemper- 
ance in eating and drinking; mental emotions; obstructed circulation, 
arising from tight articles of dress around the neck or waist, or from pro- 
longed stooping, or keeping the head in a dependent » position ; intense 
study ; blows on the head ; the use of opiates ; baths at too high a temper- 
ature ; violent vomiting, or strong muscular efforts ; the suppression of 
habitual discharges ; exposures to the rays of the sun ; extremes of tem- 
perature ; accidental loss of blood, or excessive venesection. 

ALLOPATHIC TREATMENT. 

Treatment of apoplexy will have reference to the period of at- 
tack, and to its prevention. If an attack has occurred, the patient is to 
be placed in a cool, well aired room, with the head raised and cold appli- 
cations applied. If the head is hot, and the arteries throbbing, and the 
face flushed, ice should be applied to the head, and hot foot-baths with 
mustard, or mustard plasters, to the feet and legs. The dress about the 
chest and neck loosened. 

If the stomach is full, a vomit (emetic) should be given ; but not oth- 
erwise. A tablespoonful of mustard, in water, is as good as any. An 
emetic which produces straining should not be given. 



128 OUR FAMILY PHYSICIAN. 

There is, generally, an advantage in an active cathartic. For this 
purpose thret drops of Croton Oil is the best cathartic, on account of the 
briskness and quickness of its action. It can be given in a little syrup 
or glycerine. If free purgation does not occur in four hours, the dose 
should 1 »e repeated. The action of the physic can be hastened by injections 
of soap suds having a little salt added; one pint is the usual size for an 
injection. If the pulse is small or feeble, or the patient weak, a cathartic 
should not be given ; but if it is known that the bowels have been consti- 
pated, they should be moved by an injection. 

If the patient is below middle life, the condition is probably active 
congestion, particularly if the symptoms characteristic of this condition 
obtain, such as Hushed face, congested eyes, throbbing carotids and other 
arteries of the head and neck, and a hard, resisting pulse, the life of the 
patient may depend on the immediate abstraction of blood. 

When paralysis exists, the apoplexy depends upon extravasation of 
blood from the rupture of an artery within the skull, or upon embolism 
plugging of an artery in the brain by a small clot from the heart), bleeding 
should not be resorted to. In the latter case, it can do no good, and in 
the former may do positive harm, by so weakening the patient that he 
cannot survive long enough for the clot of blood to absorb. 

If the patient regains consciousness, and paralysis of one side of the 
body hemiplegia) remains, there is a clot. Cooling washes should be 
applied to the head, the bowels kept open, and the food nutritious, but 
unstimulating. Recovery will depend upon the absorption of the clot by 
the efforts of nature. The paralysis will be treated of, under that 
disease. 

Pjreventive tbeatment— As there is liability of apoplexy recur- 
ring, after recovery from an attack, all possible precautions should be 
observed. The individual should avoid violent bodily exertion, or strong 
mental labor, venereal excitement, the use of alcohol in any form, the 
stooping posture, and tight neck cloths. The head should be well ele- 
vated at sleep, and every morning the head bathed in cold water. AVhen 
dizziness, headache, with throbbing of the arteries, occur, a brisk cathar- 
i i«- should be taken. The rule of life, as stated in the treatment of acute 
congestion, is moderation. 

Head symptoms are sufficiently common without being followed by 
apoplexy, so that those who experience them need not become unhappy 
from leai- of apoplexy, especially if they have never had the disease. 

HOMOEOPATHIC TEEATMENT. 

Homoeopathy possesses many remedies, by means of which it is fre- 
quent ly possible to ward off an impending attack of Apoplexy. 

In order the beiier to facilitate the selection of the appropriate med- 
icines, inasmuch as the immediately exciting cause frequently serves to 
modify the course to be adopted, t be subjoined table of medicines, espec- 
ially appropriate for the treatment of cases distinctly traced to particular 
causes, has been pre-attached to the distinctive indications afforded for 
'.eh medicine, separately, further on tins article. 



APOPLEXY. 129 

But it is, at the same time, necessary to caution the reader against hold- 
ing the cause as paramount to the particular indications present, for the 
cause is ever the subordinate reason for selection. But when any one of the 
remedies named as appropriate for the treatment of cases traceable to par- 
ticular causes, is also found upon reference to particular and distinc- 
tive indications, to correspond with the requirements of the case, we have 
thus ascertained a double reason for being assured that the selection is correct. 

INDICATIONS AFFORDED BY PARTICULAR CAUSES, 

DURING THE PRESENCE OF PREMONITORY SYMPTOMS. 

When the attack is directly traced to a chide, select especially from : * 
Aconitum, Opium, Nux-vomica, and Mercurius. 

When the attack is traceable to a sudden fright, select especially 
either: * Aconitum or Opium, or both alternately. 

When concentrated grief is ascertained to be the exciting cause, 
select especially from : * Ignatia and Lachesis. 

When sedentary habits or over-application to study is distin- 
guished as the exciting cause, select especially:* Nux-vomica. 

When the attack is directly traced to a fit of passion, select espe- 
cially from : * Aconitum, Bryonia, and Nux-vomica. 

When excessive joy is distinguished as the exciting cause, select 
especially from : * Coffea and Opium. 

When the attack is directly traced to over-indulgence in vinous 
and spirituous liquors, select especially from: * Nux-vomica, Opium, 
Lachesis, and Pulsatilla. 

When derangement, from overloading the stomach, is recognized 
as the exciting cause, select especially from: * Pulsatilla, Ipecacu- 
anha, and Nux-vomica. 

When exposure to the sun or a hot bath (too hot) is distinguished 
as the exciting cause, select especially from : * Belladonna and Aconite, 
or both alternately. 

When the attack is directly traced to suppression of an habitual 
evacuation of blood, select especially from : * Nux-vomica and Pul- 
satilla. 

Aconitum is required in all cases where there are evident symp- 
toms of fullness of the vessels, determination of blood to the head, char- 
acterized by redness and fullness of the face, distension of the veins of 
the forehead, quick, full pulse, restlessness, and anxiety. 

Dose : Of a solution of six pills to two tablespoonsful of water, give a 
teaspoonful every hour, until amelioration or change ; but if, after 
three doses have been given, the improvement does not become 
speedily progressive, proceed with the next medicine. 



* The selection from one or more of the medicines thus enumerated, must, however, as already ob- 
served, depend upon the correspondence between the symptoms of the case, and those hereinafter 
enumerated in respect of each of these medicines separately. But if the indications for two or more 
medicines (hereafter afforded) be so closely identical as not to be decisive between them — whereas both 
are not applicable to the treatment of cases arising from the same cause — then this discrepancy will be 
decisive between them, if the cause be clearly ascertained. 



180 OUR FAMILY PHYSICIAN. 

Belladonna is of essential service when the symptoms of conges- 
tion do not speedily or thoroughly yield to Aconite, or should only a par- 
tial degree of amelioration have taken place, in which case this remedy 
should be administered four hours after the last dose of the foregoing, — 
or, further, should the following symptoms present themselves: redness 
and bloatedness of the face, injection of the conjunctiva (the mucous 
membrane which lines the eyelids, and covers the front of the eyeball), 
violent beating of the arteries of the neck and temples, noises in the 
ears, darting pains in the head, with violent pressure at the forehead, 
increased by movement, the least noise or bright light; double vision, 
and almost all the symptoms relative to the eyes already mentioned; 
dryness of the nose, with unpleasant smell and bleeding of the nose; 
fiery redness of the throat; difficulty of swallowing ; slight attacks of 
paralytic weakness or heaviness in the limbs. 

Dose : Of a solution of six pills to two tablespoonsful of water, give a 
teaspoonful (or two pills dry on the tongue) every three hours, until 
improvement or change. 

Xux-vomica is particularly suited to cases in which the apoplexy 
threatens individuals of sedentary habits, addicted to the use of ardent 
spirits, or too great an indulgence in the pleasures of the table, or in 
those who have long been affected with indigestion, either bilious or 
nervous, and have, consequently more or less of the rheumatic or gouty 
constitutional tendency; and also when the following symptoms pre- 
sent themselves; headache deep-seated or frontal, but more especially 
at the r'ujht side with giddiness, confusion, and humming in the ears ; 
nausea; and inclination to vomit; turgescence of the superficial vessels 
of the face, or redness only of one cheek ; drowsiness; feeling of languor, 
with great disinclination to exertion, either mental or bodily; cramps of 
the limbs, especially at night, and weakness in the joints; constipation, 
and difficulty in passing water; irritability of temper, aggravation of the 
symptoms in the morning, or after a meal, and also in the open air; 
bilious, sanguine, or nervous temperament. 

Uoae: A solution of six pills, as directed for Belladonna. 

Opium is a most important remedy in almost all severe attacks, but 
particularly in old people, when we find the following symjrtonis: 
marked congestion to the head, indicated by stupor, giddiness, heavi- 
ness in the bead, and violent pressure in the forehead; singing in the 
ears and obtuseness of hearing; sleeplessness, or agitating dreams, or 
frequent and almost overpowering drowsiness during the day; redness 
of the face, and constipation J pulse slow but full. 

Do» : Of a solution of six pills to two tablespoonsful of water, give a 
teaspoonful (or two pills dry on the tongue), every two hours, until 
Improvement or change. 

[GKATLA ifi also indicated by many of the symptoms mentioned un- 
der the head Of NuayOOinica, but it is chiefly called for when depressing 

emotion- (particularly severe, and protracted grief)) have been the excit- 
ing Cause, and when the person affected IS of a nervous temperament. 

Dose: Six pill- in two tabespoonsfuJ of water, a teaspoonful every 

four hour-, until improvement or change. 



PARALYSIS. 131 

PARALYSIS. 

By Paralysis we understand a suspension of nervous action. It differs 
in character according as one or another or all the nerve trunks are at- 
tacked. And its symptoms must vary, just as the functions of the nerves 
vary. The name paralysis, implies the complete cessation of the action, 
both of the nerves of sense of feeling, and of the nerves of motion. "If only 
one set of nerves are affected, it is called incomplete paralysis, or paresis, 
one side of the body affected is called hemiplegia. If the upper extremities, 
or one side and the lower extremities, or the other, are the seat of disease, 
we call it transverse paralysis. 

The Causes of paralysis are various. Diseases of the brain and spinal 
cord, are the principal causes. Of these apoplexy, inflammation, and soften- 
ing of the brain, are most prominent. There are many other influences 
to which paralysis many be traced as their result. The main causes of 
this class are: excessive exertions of the parts to which the paralyzed nerve 
is distributed, in which list must appear cases resulting from convulsions, 
continued; and excessive pains, swellings, neuralgia, ligatures, a stroke of 
lightning, rheumatism, husteria, gout, pregnancy, violent acute diseases; 
among which contagious and miasmatic diseases occupy a front rank, such 
as scarlatina, measles, variola typhus dysentery and finally poisoning by 
vegetable, animal, and more particularly by mineral poisons. 

The symptoms of Paralysis may readily be understood. There can only 
be doubt, when the paralyzed part is not accessible to our vision. The 
prognosis depends on the nature of the exciting causes, and upon the pos- 
sibility of removing them. If from disease of the brain, or spinal cord, a 
cure is not impossible, but doubtful. If from some acute disease, there is 
very little doubt of an ultimate cure. That the prognosis is rendered 
much more doubtful by an advanced age, an enfeebled constitution, and an 
extension of the paralytic phenomena over a large surface, is but natural 
to expect. 

Treatment. Paralytic attacks, being almost without any exception, 
secondary affections, are results following some other disease, or injury. It 
is evident that in treating them it is of the utmost importance to learn the 
first, or primary cause of the present affection. It is not always possible 
to do this, but when the cause is once known, the treatment should be di- 
rected to its removal. If it is the result of disease, look for the treatment 
under the name of that disorder. If from some external cause, study and 
remove that. 

ALLOPATHIC TREATMENT. 

Paralysis. There are no diseases, the treatment of which ought more 
certainly to be directed by a judicious physician, than the treatment of 
the several forms of paralysis. 

The treatment, as a matter of necessity, will have reference to the 
diseased conditions causing the paralysis, the state of the system, and any 
independent affections which may be co-existing. Treatment is not to be 
addressed to the inability to make muscular movements directly, but to 
the cause and associate affections. The nature of the causes must, there- 
fore be determined with positiveness. Among the questions to be settled 



13:2 OUR FAMILY PHYSICIAN. 

before Intelligent treatment can be begun, are: Is the cause of paralysis 
inflammatory, or is there a structural change of tissue (lesion), and where 
is this lesion or inflammation situated? Is it in the course of a nerve 
within the skull or spinal canal ? If it is a lesion, what is its nature and 
extent ? Is it the result of poison, as lead or arsenic, copper or mercury? 
Or are all these causes absent and is the paralysis functional ? What in- 
fluence do co-existing diseases have on the paralysis? Is the system well 
nourished, or is there debility or anaemia ? The treatment will vary ac- 
cording to the conclusions arrived at in answer to the above questions, 
and the result will, therefore, depend upon the correctness of the conclu- 
sions, and the judgment with which the indications are carried out. 
There are eases in which the structural changes (lesions) are such as are 
beyond hope of repair ; in such cases the complete success of treatment 
cannot be hoped for. 

That part of the treatment having reference directly to the paralysis 
or to the paralyzed parts, and calculated to restore their function, promote 
the circulation in them and their healthy nutrition are chiefly electricity, 
passive motion, active exercise under the direction of the will, rubbing, 
shampooing, and stimulating applications. Strychnia is also given inter- 
nally for this purpose. 

It must be borne in mind that these measures cannot be effectual and 
may be injurious, so long as the paralysis is maintained by the lesions 
which caused it. 

The general treatment having reference to the causes of the paralysis 
is considered under their respective heads as apoplexy, as a cause of hem- 
iphlegia (paralysis of one side of the body) and myeletis (inflammation of 
the spinal cord) as the cause of paraplegia, (paralysis of the lower half of 
the body.) 

The chief remedies are Strychnine and Electricity, but their use 
should be delayed until the acute stage of the causing disease has passed, 
though later on both these agents are useful in restoring the circulation to 
the brain in eases of thrombosis (obstruction of the circulation in the 
I .rain by inflammation of an artery) or to embolism (obstruction of the 
circulation in the brain, caused by a plug lodging in an artery) 
:iikI in promote the absorption of a clot in case of hemorrhage in the 
brain. For this end, very mild galvanism (the direct electric current) 
should be used. One pole should be placed upon the nape of the neck 
ami the other upon the forehead, or upon each mastoid process. Strong 
currents may <!<> serious mischief. But sufficient time having elapsed for 
i lie immediate effects of the brain disease to subside, its judicious use will 
be beneficial, [fthereis headache or dizziness, the greatest care will be 

asary, and in all probability electricity should be discontinued. 

1 1 i- also important to remember, that part of the paralyzing eflects of 
these causing conditions i- temporary, and may be the result of shock, 
contusion, or congestion, which are temporary. Even paralysis depend- 
ing upon no appreciable Lesion (functional) is, for a time, stationary, be- 
fore improvement begins. Besides, paralyzed parts do not, of themselves, 
resume this healthy action, even after the conditions causing the paraly- 
sis are removed, BO that it will not do to trust to nature alone, but appro- 
priate efforts niud be made to restore healthy action. 



PARALYSIS. 138 

It is a serious error to begin treatment addressed directly to the paraly- 
sis, while that condition is maintained by the primary causes, further 
than to maintain the nutrition of the paralyzed muscles, by maintaining 
the circulation in them. It is a serious error to overlook the fact, that 
after the paralysis has existed some time, that recovery will not take 
place spontaneously. After paralysis has existed so long that degenera- 
tive changes have taken place in the muscles and nerves, recovery cannot 
take place. 

So long as contractions take place upon passing the electric current 
through the paralyzed muscles, they have not yet reached a condition that 
renders them hopeless. If pain is produced upon passing the electric cur- 
rent through the paralyzed part, but no contractions are produced, the 
case is less hopeful than as if both contraction and pain were produced. 
The former is called electro -muscular contractility, and the latter electro- 
muscular sensibility. When both are lacking, the case may be said to be 
hopeless. 

Electricity. — As before stated, the constant current may be applied to 
the brain for the purpose of improving the circulation and its nutrition 
(if the case is hemiplegia.) To the muscles usually the induced (or faradic) 
is used. This will prevent wasting and loss of function from disease, but as 
a rule, that current should be used which produces the greatest number of 
contractions and the least amount of pain. If the temperature of the 
paralyzed part is lowered and the muscles weak and flabby, great benefit 
in all these particulars will follow the use of the faradic current. Large, 
well-moistened electrodes should be used, one being placed over the mo- 
tor nerve affected, and the other over the belly of the muscle. Every 
affected muscle should be faradized at each setting. 

The same principle will govern the use of electricity in all forms of 
paralysis. In facial paralysis one pole should be placed on the mastoid 
process and with the other stroke the face. 

Pain is an evil and the current should not be stronger than necessary 
to produce contractions. Nor should application be made long enough to 
one muscle to tire it. From ten to twenty minutes is long enough for an 
electric setting, nor should any muscle be subjected to the electric current 
for more than five minutes, nor oftener than every day or every other 
day. 

In infantile paralysis the most decidedly beneficial results are obtained 
from electricity. The electrical treatment should be begun early, but after all 
inflammation has subsided. So long as the electro-muscular contractility 
continues, especially if the joints have not become changed, the spinal 
cord and the nerve plexases, as well as the paralyzed muscles should be 
subject to faradization or galvanization. 

Strychnine— Continuous with the use of electricity strychnine should 
be given. It is most useful in hempilegia, when the muscles are com- 
pletely relaxed ; when they are rigid it is not to be given. Alter the 
acute symptoms disappear strychnia is useful in promoting the nutri- 
tion of the nerve or nerve centers affected, as well as by kindling the 
contractile power of the muscles, whether the paralysis be hemiplegic, 
paraplegic, or of a local character. The most effectual method of admin- 
istering strychnine in paralysis is by hypodermic injection. One thirty- 



134 OUR FAMILY PHYSICIAN 

second of a grain a day, by hypodermic injection, has a better effect than 
the same or a greater quantity three times a day by the mouth. A good 
formula is : Take of Sulphate of Strychnine one and a half drams, dis- 
tilled water one ounce. Mix. Apply heat to effect a solution. A drop 
contains one thirty-second of a grain and can be given once a day by 
hypodermic injection to an adult. In infantal paralysis one drop of 
this solution, diluted by live drops of distilled water and given once a 
day, is very beneficial, if the muscles have not lost their electro-contrac- 
tility. It promotes the capillary circulation and the growth and power 
of the muscles. 

In making the injection it is best to throw the solution into the muscle 
itself, taking the paralyzed muscles each in turn. To do this dextrously 
requires the skill of a physician. 

Passice Motion in cases of complete paratysis is important, i. e. move- 
ments of the paralyzed limbs in the hands of the attendants or the patient. 
It aids the circulation and nutrition and maintains them in a state of pre- 
paration to respond to the force of the will. 

Friction of the surface of the paralyzed limbs, kneading the muscles 
with a deep pressure, and shampooing, are useful in maintaining nutri- 
tion, and should be employed with perseverance. 

Persistent voluntary motion, in all cases or incomplete paralysis, is 
very important. There is reason to believe that in some cases, paralysis 
continues at a certain point, until it becomes incurable, when persever- 
ing exercise with other treatment would have resulted in improvement 
or recovery. With this view gymnastic exercises are to be enforced. The 
simplicity of this method does not prevent its being of great benefit. 

Cases of paraplegia, in the early stages, should doubtless be treated 
with Ergot and Belladonna. A teaspoonful of the fluid extract of Ergot 
and ten drops of the fluid extract of Belladonna should be given three 
times a day, but after three or four weeks have passed, they should give 
place to electricity and strychnine. 

In paralysis of the insane, there is scarcely any hope of cure from 
treatment, much less for permanent improvement. These patients 
should be removed to insane hospitals. The treatment consists, for the 
most part, of palliative measures, and a regulation of the diet, with a 
view of retarding (he progress of the disease, and contributing, as far as 
possible, to the comfort of the patient, during the continuance of the mal- 
ady. 

II<> MYOPATHIC TREATMENT. 

Annexed are a few paralytic conditions and remedies, proven to 
be the best tor that condition; a further study may be made by 
meansof the Bbpetoby. Causticum, while not supposed to be able 
to produce a cure alone, is still one of the most substantial helps in 
almost all forma of paralysis. When caused by suppressed erup- 
tions and ulcers, Canst., Ars., Sul. After excessive podily exertions, 
Khu8-tox, t .!/>., Canst. Alter rheumatism, Cavst, Fer., Bry., China, 
Am., Rhus-t.^nd above all. electricity; after apoplexy, Bell.,Nux., Caust., 
A rn. 



INFLAMMATION OF THE BRIAN 135 

INFLAMMATION OF THE BRAINS 

BRAIN FEVER PHRENITIS. MENINGITIS 

MENINGITIS GEREBRALE. 

The causes are sometimes veiled in obscurity; at others they are 
known to be the effects of excessive mental exertions, or the use of alco- 
holic drinks, or the effect of heat, or sometimes of cold, and other like 
causes, as mentioned under "Hyperemia of the Brain." 

Symptoms.— An attack of this disease may take place either gradu- 
ally, or very suddenly; generally the former. The premonitory symp- 
toms are, at first, depression of spirits, impaired appetite, mental 
uneasiness, and confusion of ideas, especially when in the recumbent 
posture, debility, and sometimes ringing in the ears, and blindness. 
These are succeeded, in most instances, by a more or less severe chill, and 
constant headache, which are soon followed by severe fever, hot and dry 
skin, flushed face, red eyes, or a haggard, anxious, fearful expression of 
them; the pulse is quick, rapid, and forcible. The intensity of the 
headache increases, as also the ringing in the ears, sometimes changing 
to a humming or rumbling sound ; the senses become morbidly acute, as 
known by the sensitiveness or restlessness, as shown on exposure to 
either light or sound. The pupils of the eyes are constantly contracted, 
the patient is extremely restless or wakeful, with more or less deliri- 
um. They frequently imagine that some one designs to injure them and 
cannot bear restraint or contradiction, and the delirium is sometimes of 
a furious, raving nature. 

The head is remarkably hot, while the extremities are cold. The 
otngue is furred white, red at its edges, dry, pointed, and the papillae ele- 
vated ; the bowels are obstinately constipated, and nausea and vomiting 
are common. Respiration is accelerated and laborious, seldom hurried, 
as in fevers, but irregular and with frequent sighs. Generally there will 
be spasmodic movements of the muscles, and of the tendons. The urine 
is scanty and of deep color. 

As the disease advances, a change occurs in the symptoms, the pre- 
vious delirium changes for a stupor which gradually passes into coma. 
The formerly contracted pupils are now dilated, and there is less sensi- 
bility to the light, the eye loses its brightness ; sometimes there is 
squinting, and the countenance is vacant or idiotic ; picking at the 
bedclothes or grasping in the air are almost always present at this stage. 
The hearing is much diminished, and, indeed, all the senses are very 
much blunted; the limbs become perfectly relaxed, the pulse is slow, 
sluggish, and irregular or intermittent, the respiration is deep, slow, and 
often stertorous (noisy, loud) ; the urine is very scanty, if passed at all, 
and the feces are involuntarily discharged. Convulsions or paralytic 
attacks often ensue. 

Finally, the pulse becomes hurried, small, and unequal, the counte- 
nance pale and sunken, the skin has a cold and clammy perspiration 
upon it, the urine flows without any knowledge, the coma becomes more 
profound and death terminates the scene. 

It must be remembered that these symptoms vary, being very mild 



136 OUR FAMILY PHYSICIAN. 

with some, and extremely violent with others, depending upon the degree 
of the system, the severity of the cause, and other attending circum- 
stances. 

Some care is necessary in discriminating inflammation of the brain 
from fever of some other form ; the headache of brain fever is more con- 
stant than that of fever, and appears to be confined to no particular spot. 
The sleep in this disease is disturbed with bad dreams and sudden starting 
or waking in fear, and with children a scream on awakening. 

The prognosis is generally doubtful. Much depends upon the cause 
of the attack ; if it be produced accidentally by blows, etc., it is more 
favorable than when owing to some constitutional disease or difficulty. 
The milder the symptoms the more certain is a favorable termination, 
but we should not be discouraged and despair, even in the worst cases. 

ALLOPATHIC TREATMENT. 

Treatment of acute meningitis, cerebral, (inflammation of the 
membranes of the brain). In the first stage of the disease, the object of 
treatment will be to diminish the active congestion, and to limit the in- 
flammation and its products. The hair is to be cut close to the head, and 
cold applied by means of a sack of pounded ice, or constant washing with 
cold water ; the head should also be raised. An active cathartic is to be 
given : Ten drops of Croton Oil, in syrup or glycerine, is appropriate; or 
twenty grains of Calomel, in a tablespoonful of Castor Oil, may be given. 
Owing to the urgency of the case, and the extreme danger to life, if the 
patient is robust, and the arteries of the head and neck beating violently; 
in short, if the congestion is intense, blood-letting should be resorted to, 
preferably by wet cups than general bleeding. The treatment, in this 
stage, is the same as in the disease called Active Congestion. These 
measures are only proper in the beginning of the disease, as exhaustion is 
one cause of death in cases of meningitis which do not die quickly. Food 
should l>e of the blandest kind, and taken cold. The restlessness and 
excitement should be relieved by Chloral Hydrate and Bromide of Potas- 
sium: Take of Chloral Hydrate eight scruples, Elixir of Bromide of 
Potassium four ounces. Mix. Dose: one to two dessertspoonsful from two 
to four hours apart, until relief is obtained. Opium is beneficial in re- 
lieving pain, and accomplishes as much as any other remedy, in control- 
ing the inflammation. 

Alter the stage of active congestion is over, the indications for treat- 
ment arc to support the powers of life, and to promote the absorption of 
the products of inflammation (lymph and serum) The former indica- 
eation i- to be nut. as far a- possible, with nutritious, easily-digested food, 
of which meat essences and extracts, the preparations of milk, and milk 
beaten with eggs, form the principal part. 

Should the drowsiness and insensibility become so profound as to 
prevent sufficient food being given by the mouth to support life, as is 
frequently the case, half a pint of these strong liquid forms of food should 
be given, in addition, by injection into the rectum two or three times 
a day, and their retention effected by linn pressure upon the anus 
With a napkin. The absorption Of the lymph will be aided by giving 



INFLAMMATION OF THE BRAIN. 137 

Iodide of Potassium. Take of the Saturated Solution of the Iodide of Po- 
tassium one ounce, and give jive drops in sweetened water flavored with Es- 
sence of Peppermint. Strict attention should be given to the bowels, that 
they do not become constipated. If the bladder is not emptied by na- 
ture's efforts, the water should be regularly drawn, twice a day, with a 
catheter. 

Vomiting, during any period of the disease, should be met by a fly 
blister to the nape of the neck, and a mustard plaster to the stomach. 
The following mixture is as commonly successful as any internal remedy: 
Take of Carbolic Acid ten grains, Simple Syrup one ounce. Mix, and 
give a teaspoonful each hour until relieved. 

Chronic Meningitis, Cerebral: In all probability this affection is the 
result of a poison in the system, known as syphilis, either acquired or 
hereditary, and a history of this constitutional affection should always be 
sought for. Even when it is not clearly found, if the inflammation can- 
not be traced positively to another cause, the existence of syphilis is to be 
suspected and govern the treatment. Iodide of potassium should be giv- 
en. Take of the Saturate Solution of Iodide of Potassium one ounce, 
and give at first five drops in sweetened water flavored with Essence of 
Peppermint, three times a day. Increase the dose by one drop each day 
until relief is obtained. Thirty or forty drops may be given at a dose, if 
relief is not sooner obtained. Give after meals. 

Quiet of mind and body is necessary. Nutritious food and warm 
clothing should be provided, and a warm bath be given two or three 
times a week. If the patient is pale and weak, Iron and bitter tonics 
should be given. The Citrate of Iron and Quinine is an eligible form in 
two-grain doses ; one dram of the drug dissolved in four ounces of syrup 
or water, is a convenient mixture. Dose : a teaspoonful given before 
meals. 

Let us repeat, Iodide of Potassium appears to be the remedy for 
chronic meningitis not dependent upon Tubercle or an injury. 

The writer is of the opinion that cauterization, blistering, etc., in this 
disease, are not, in the slightest degree, beneficial in arresting the disease, 
but add to the discomfort of the patient. They are not to be used except 
in obstinate vomiting, when a fly blister should be applied to the nape of 
the neck. 

Treatment] of Tuber clous Meningitis: This disease, depending upon 
the presence of tubercular deposit, offers very little encouragement for 
treatment, if the diagnosis is clear. We are bound, however, to do what 
we can to give relief. The general principles of the treatment of acute 
and then of chronic meningitis obtain, that depletion should not be prac- 
ticed. Cathartics should be limited to the relief of constipation, which is 
the rule. For this purpose, Calomel, in one or two-grain doses to a child, 
and ten grains to an adult, followed, in six hours, by Castor Oil— a tea- 
spoonful to a child ; to an adult, a tablespoonful, if the bowels have not 
opened. In the main, measures to relieve pain and prolong life, are alone 
indicated. 

For the relief of pain, restlessness, etc., the use of Opium, Chloral and 
Bromide of Potassium, are indicated. The dose of Opium will vary from 



13S OUR FAMILY PHYSICIAN. 

one-tenth of a grain to a child a year old, and a grain to an adult, repeated 
at intervals of two hours, until pain is relieved. Or Chloral Hydrate can 
be given in combination with Bromide of Potassium, as follows : Take 
of Chloral Hydrate two scruples, Iodide of Potassium two scruples, Syrup 
two ounces. Mix, and give a teaspoonful, three or four hours apart, to a 
child one year old. The dose for an adult would be twenty grains of 
each drug. 

To prolong life, stimulants, in doses of a teaspoonful of whisky or 
brandy , may be given to a child, and one or two tablespoonsful to an 
adult, in addition to nourishing, easily-digested food — as milk and eggs, 
either alone or beaten together ; cream, meat essences and extracts, and 
raw lean meat, minced fine. 

Preventive treatment is bj T far the most important and hopeful. It 
is that for the consumptive predisposition, and is generallly hereditary. 
If a baby, he (or she) should be brought up by a hearty wet nurse, and 
should not be weaned until he has cut all his teeth. Flannel should be 
worn next the skin, and the clothes should be warm. Over-exertion of 
mind and body should be avoided, but free exercise taken in the open 
air. The diet should be plain and nutritious. Milk should be freely 
taken. If the patient is reduced or decreasing in strength, Cod Liver 
Oil should be given. The Syrup of the Phosphates with Iron, is, also, 
an appropriate remedy. Exposure to measles, and wmooping cough, 
should be avoided, being especially liable to be followed by some form of 
consumptive disease. 

HOMEOPATHIC TKEATMENT. 

"With regard to the treatment of this disease, we may begin by stating 
that medical aid should always be procured, if within reaceh; but when it 
is impossible or difficult to secure such assistance, the following remedies 
may be resorted to: 

Aconite is invariably required at the commencement of the attack* 
when the skin is hot and dry, and the pulse rapid, with the ordinary indi- 
cations of pure Inflammatory Fever, which is especially liable to be the 
case in young plethoric subjects. 

Dose: Dissolve six globules in three table-spoonsful of water, and 
give a teaspoonful of the solution every hour, until the pulse dimin- 
ishes in force and frequency, and the skin becomes moist or covered 
with profuse perspiration; after which the intervals may be extended 
to two hours, and the administration be proceeded with, if no other 
medicine appears to be indicated, until general and progressive im- 
provement becomes apparent. But if any of the subjoined symp- 
toms remain or supervene, consider the following medicines, and 
select that which is indicated by the symptoms present. 

BELLADONNA sitms to possess a certain specific influence over inflam- 
mation of the brain and its membranes, and is generally the remedy we 
should select, when the following, amongst other symptoms, present them- 
selves: great heat of the head; redness and bloatedness of the face, with 
rio/> nt pulsations of tin arteries of tin neck : burying the head in the pillow, 
and Increase of suffering from the slightest noise, with extreme sensibility 
to light] violent shooting and burning pains in the head; eyes red and 
sparkling, with protrusionor, wild expression; contraction or dilatation of 
the pupils; violent and furious delirium; loss of conciousness ; sometimes 



INFLAMMATION OF THE BRAIN. 139 

low muttering; convulsions,— occasionally symptomatic hydrophobia ; vom- 
iting; involuntary evacuations of feces and urine. 

Dose : Of a solution of six globules to three table-spoonsful of water, 
give a teaspoonf ul every two hours, until a change. But if distinct 
improvement supervene (without intervening apparent aggravation), 
the intervals should be extended to four hours, and, again, after two 
more doses,— if the amelioration be regularly progressive— to eight 
hours ; and so on, until permanent improvement or change. But, in 
very urgent cases, and when repeated doses of Belladonna have pro- 
duced inadequate results, consider the next medicine, and proceed 
accordingly. If in alternation with Zincum, a similar solution of 
each (separately) administered by tea-spoonsful, at intervals of half 
an hour (or even of fifteen minutes), in rotation, until the urgent 
symptoms abate. 

Zincum may be had recourse to, after, or in alternation with Bella- 
donna, when that remedy effects only partial amendment. In those ex- 
treme cases where symptoms of threatening paralysis of the brain are 
manifested by the following indications : loss of conciousness— half-closed 
eyes — dilated, insensible pupils— icy coldness of the extremities, or of 
the entire surf ace of the body—blueness of the hands and feet; impeded res- 
piration; small, weak, scarcely-perceptible pulse —Zincum has been found, 
effectual in averting a fatal issue. 

Dose : If singly, dissolve six globules in three tea-spoonsful of water- 
and give a tea-spoonf ulof the solution. (or, otherwise, three globules 
dry on the tongue), every hour (or in very urgent cases even every 
quarter of an hour), until the lividity and coldness, and the indica- 
tions of the pulse assume a more natural aspect, — and then every 
three hours, until general improvement or change. If in alternation 
with Belladonna, as directed for that medicine. 

Bryonia. This remedy will frequently be found of great efficacy in 
children, when Aconite and Belladonna have produced but trivial improve- 
article on water on the brain. 

ment, and the symptoms manifested resemble those enumerated in the 
Dose : Dissolve six globules in four tea-spoonsful of water, and give a 
tea-spoonful of the solution every two hours, until amelioration or 
change; but if partial improvement only should become apparent 
within two hours after the third dose of Bryonia, pause two hours 
longer, and proceed with the next medicine. 

Helleborus-nioer is required after Bryonia in cases exhibiting the 
characteristic features of Water on the Brain, when the last named medi- 
cine has been inadequate to overcome the disease. In such cases, and 
when partial improvement only has resulted from the previous adminis- 
tration of Bryonia, Relleborus should be given four hours after the third 
dose of the last-named medicine. 

Dose: As directed for Bryonia. 

Hyoscyamtjs is appropriate when there are,— drowsiness, loss of con- 
ciousness, delirium about one's own affairs — inarticulate speecli — tongue 
coated white, with frothy mucus about the lips — dilation of the pupils — 
fixedness of vision — skin dry and parched — redness of the face, and picking 
of the bed clothes with the fingers. 

Dose : Of a solution of six globules to two table-spoonsful of water, 
give a teaspoonful every one to three hours, until amelioration or 
change. 



140 OUR FAMILY PHYSICIAN. 

Opium. When there is lethargic sleep, with snoring respiration ; half- 
open eyes, and confusion or giddiness after waking ; congestion of blood to 
the head; complete apathy and absence of complaint. 

Dose: Of a solution of six globules to two table-spoonsful of water, 
give a tea-spoonful (or otherwise three globules dry on the tongue), 
every hour, until amelioration or change. 

Stramonium. When there is starting or jerking in the limbs; sleep 
almost natural, followed by absence of mind after waking, but sometimes 
attended with moaning and tossing about; vision fixed, and the patient 
frequently appears in a state of dread, and utters cries ; redness of the face ; 
feverish heat, with moisture of the skin. In many of the symptoms this 
remedy bears a close resemblance to Belladonna, with the exception of 
being indicated by signs of a more spasmodic character, and by less acute 
pain in the head. 

Dose: As directed for Hyoscyamus. 



HYDROCEPHALUS. 

DROPSY OF THE BRAIN. WATER ON THE BRAIN. 

In general we understand by Hydrocephalus every unhealthy accu- 
mulation of fluid in the cavity of the skull. It may be either acquired or 
exist from earliest life. 

Acquired Hydrocephalus is seldom an independent disease, but rather 
is generally symptomatic of some other constitutional disease. It be- 
comes nn important symptom when the disease sets in as a chief compli- 
cation in meningitis; or when it develops itself so rapidly that it acts 
like apoplexy, and speedily terminates fatally, (when it would be called 
strmis apopleocy.) It is very hard, indeed, always uncertain to diagnose 
this disease. It scarcely ever calls for a special treatment, and had better 
1)(* treated without medicines by means of care and diet. 

Congenital hydrocephalus (that which exists from earliest life) com- 
mences before the child is born, but may increase after birth. 

The quantity of accumulated fluid may be very large, and hence the 
skull may acquire an extraordinary size. Its effects upon the child are 
Bometimes imperceptible, but at other times very decided; the mental 
actions of the brain are mostly involved. It is only in very fully devel- 
oped cases thai the motions of the muscles are interfered with, in which 
casee a more or less complete paralysis sets in. The life of the patient is 
not absolutely threatened; it may be admitted that hydrocephalic chil- 
dren, who have got over the period of infancy, have pretty nearly 
escaped the most imminent danger of death from this immediate cause. 
lint they always remain weakly, irritable, and unusually disposed to fre- 
quent and malignant diseases. Hydrocephalus, or dropsy of the brain, is 
a curable disease, but such a cure is mostly spontaneous, taking place in 
proportion ;i- the bodily development progresses, and if the body does not 
develop, the limb- remaining small, or paralyzed, the chances of cure 
are proportionately less. A cure may indeed be facilitated by artificial 
mean-, tail QOJ by medicines. A main point is to bring up such children 
with great care, to accustom them to light and nourishing food and to 



HYDROCEPHALUS. 141 

active bodily exercise, and not to excite their mental faculties until the 
body is well developed. Such children should not be allowed to attend 
school until they are fourteen or fifteen years of age, and there need be no 
uneasiness about them falling behind their companions of the same age. 
If so held back they will, almost without exception, excel in study when 
permitted to apply themselves. 

Among medicines, if we do use them at all, there are none which 
offer more hope than Carbonate of Lime (Calcaria Carb.), and Arsenicum, 
but they must be given in small and very rarely repeated doses. Do not 
bandage the head of infants tightly for this disease. A very moderate 
bandage, in very early life, will likely be beneficial, while the tight band- 
age will be likely to cause inflammation and death. 

ALLOPATHIC TREATMENT. 

This disease unfortunately gives very little hope of benefit from treat- 
ment. Physicing, bleeding, blisters, and salivation are to be avoided. 
Gentle laxatives or injections should be depended on to keep the bowels 
open. Plain nourishing food and Cod Liver Oil or Cream should be 
given. A child can take a teaspoonful of Cod Liver Oil, two or three 
times a day, while a tablespoonful is enough for an adult. The active 
remedies which appear the most useful are Iodide of Potassium and Iron. 
A convenient prescription for a child is : Take of Iodide of Potassium 
thirty-two grains, Phosphate of Iron sixteen grains. Dissolve each salt in a 
little water separately, then mix and add simple syrup sufficient to make a 
two ounce mixture. Give a teaspoon half full four times a day, to a. child 
one year old. One drop each of the Tincture of Squills and Tincture of 
Digitalis can be given to a child three or four times a day to keep the 
kidneys active. 

As a last resort, the physician would be barely justified in resorting to 
puncturing, to draw the water, and compressing the head by strapping. 

Preventive measures should be closely followed. The strength of the 
child having a tendency to hydrocephalus, should be increased as far as 
possible. Nourishing food with as much milk as can be digested, meats, 
and, if the child is reduced in strength, Cod Liver Oil should be given. 
Warm clothing, a daily bath, good sleep every night, in a well ventil- 
ated room, and exercise in the fresh air, are all helpful. Stimulants 
should be avoided. When the child has become of an age to commence 
its education (7 or 8 years) only short and varied lessons should be given, 
and mental fatigue avoided. 

Congenital Hydrocephalus, or dropsy of the brain. — If the disease is 
congenital (from birth), it may be questioned whether anything should 
be done to relieve the infant, except attending to its general health. 
There are medicines which, in many instances, diminish watery accumu- 
lations in internal cavities ; the parents are very anxious for the recovery 
of the little one ; some recoveries are reported. These facts, and the 
hopelessness of the disease, if left to nature alone, lead the physician to 
resort to medicinal treatment. 

Medicines which act on the kidneys (diuretics) are generally sup- 
posed to be called for, and with reason. The best of these is Iodide of 
Potassium, as an efficient diuretic, and, possibly having a direct influence 



142 OUR FAMILY PHYSICIAN. 

over the disease. The dose for a child, six months or a year old, is one or 
two grains three to six hours apart, dissolved in a half teaspoonful of 
syrup of peppermint. 

Pressure of the head by a closely fitting cap, or very narrow strips of 
adhesive plaster (one-third of an inch wide) and applied evenly over the 
skull, from side to side, and then from back of the neck to the orbit may 
be of great use. Care in the use of pressure should be exercised not to 
produce compression of the brain. If pressure is tolerated, and health 
good, the prospect is better. Generally the fluid accumulates so the 
straps must be loosened in two or three days. This process should be 
managed by a physician. 

Tapping is sometimes resorted to, and, also, sometimes after the re- 
moval of the fluid a solution of Iodine, £ of a grain, and Iodide of Potas- 
sium 1 grain, to an ounce of distilled water. This requires a physician. 

I can see no indication for irritating applications. 

Attention to the general health is necessary. Constipation of the 
bowels should be relieved by an occasional purgative, as a half teaspoon- 
ful of Rochelle Salts ; three to five grains of Calomel, or a teaspoonful of 
Castor Oil. The diet should be of the breast milk, with cream or Cod 
Liver Oil, and raw meat minced fine. 

The treatment of acquired dropsy of the brain will be noticed in the 
diseases leading to this affection. Generally there is but little encourage- 
ment for treatment. Diuretics are called for. Iodide of Potassium and 
Acetate of Potash, are the best; the dose of the former is one or two 
grains, and the latter three to six grains, four to six times a day. 

Blistering should be produced behind the ears with the Blistering 
Collodion. Active congestion will call for cold to the head, cathartics 
and Bromide of Potassium in doses of five to ten grains, three or four 
hours apart, for a chiid a year old. Constipation should be relieved. 



TETANUS. 

TRISMUS. LOCK-JAW. 

A painful disease, the leading symptom of which is persistent spasm 
of the voluntary muscles. When the muscles of the lower jaw are af- 
fected it is called trismusoi lockjaw. 

The disorder is chiefly occasioned, either by exposure to cold or by 
some irritation of the nerves resulting from local injury, particularly of 
tendinous parts, 'example in the hand or foot), it is then called trumatic 
tetanus or trumatic trismus. The amputation of a limb, or the pulling 
mi a nerve by some ligature used in tying some of the blood vessels, cut 
into either accidentally or during some surgical operation. When it 
takes place in consequence of such a cause, or from any other external in- 
jury, the symptoms generally sei in about theeighth day, sometimes later, 
hut when they follow exposure to cold, they usually set in much earlier. 
I ii -..in. cas< - the attack comes on suddenly, and with extreme violence, 

hut it more generally approaches gradually, a slight stiflhess being first 

experienced in the hack of the neck, with an uneasy sensation at the 
root of the tongue, and a difficulty in performing the act of swallowing, 



TETANUS. 143 

an oppressive tightness is complained of across the breast or in the chest, 
with a pain at the lower end of the breast-bone, or in the pit of stomach? 
(scrobicnlus cordis), extending into the back, the breathing is hindered, 
the face pale, pulse small, bowels constipated and urine high-colored ; a 
stiffness takes place in the lower jaw, which soon increases to such an ex- 
tent and presses the jaws so closely together that the smallest opening is 
unattainable, and now the patient has the lock-jaw. In some cases the 
spasmodic contractions proceed no further; in others they return with 
great frequency and intense severity, and also extend to the arms, the 
abdominal muscles, the back and lower extremities, so as to bend the 
body forcibly backward (Opisthotonos), even to such a degree that the 
back of the head touches the heels, or forward (Emprosthotonos) until 
his nose touches his toes, or sideways (Pleurosthotonos). Finally the 
arms, lower extremities, head and trunk become rigidly extended, 
caused by an equal contraction of all the muscles. The tongue is also 
seized with spasm, and is, not unfrequently, injured by the teeth becom- 
ing clenched together just as it happens to be convulsively darted out. 
As the affection advances the eyes become fixed and immovable, the 
whole countenance is frightfully distorted and expressive of extreme an- 
guish, the pulse irregular, the strength completely exhausted, and a 
termination is put to the sufferings generally about the fourth day, in 
acute cases, by one concentrated spasm. In some cases the fatal termin- 
ation is protracted considerably beyond the stated period. 

The spasmodic action does not continue unremittingly, the muscular 
contractions occasionally admitting of some abatement, but is generally 
renewed as soon as the patient makes an effort to speak, drink or move. 

Prognosis. — This disease is so intractable that under any known 
treatment, the most stolid practitioner can but consider the attack as un- 
fortunate in the extreme, and his prognosis must be unfavorable, although 
not always fatal. 

ALLOPATHIC TREATMENT. 

" Lock-jaw " is so dangerous an affection, that none would scarcely 
venture to assume the responsibility of the treatment, unless he be a phy- 
sician, such a person would be foolhardy. 

Most, if not all, plans of treatment prove unsuccessful in a large pro- 
portion of cases. The remedies which appear to be most successful are : 
Bromide of Potassium and Hydrate of Chloral. Forty grains of Bromide of 
Potassium, dissolved in water with syrup or sugar, should be given every 
two or three hours, or a dram (60 grains) every three or four hours apart, 
during the clay, until half an ounce (240 grains) has been given. At bed 
time a full dose of Chloral Hydrate, forty grains, dissolved in water with 
syrup or sugar, should be given for the purpose of securing sleep. In the 
morning, thirty grains of Chloral may be given, if the temperature reaches 
101° Farenheit. 

Nitrite of Amyl has been used with success in a very limited number 
of cases. It appears to control the spasms and may be administered by 
inhalation, three to six drops on a handkerchief. A fullness of the head 
dictates the removal of the handkerchief. It should be repeated sufn- 



144 OUR FAMILY PHYSICIAN. 

eiently often to relieve the spasms. I would recommend giving Chloral 
Hydrate at bed time, as directed above, even if the nitrite is depended on. 
Calabar bean.— Of late years this remedy has come largely into vogue 
in the treatment of tetanus. Out of fifty-nine cases treated with this drug 
thirty-two recovered. Dr. Fraser recommends beginning with one-third 
of a grain of the extract by subcutaneous injection, and increase the dose 
continuously until the reflex excitability is sensibly diminished, then 
continue the injections at that dose. In milder cases the medicine may 
be continued by the mouth in doses three times as large as the largest 
given by hypodermic injection. It is possible that if a good quality of 
extract could be used every time the result would be better. 

In all cases attention should be strictly paid to nourishing the patient 
and so support the powers of life. Four ounces (£ of a pint) of good, rich 
milk with brandy, should be given every four hours, and a raw egg beat 
with milk and brandy, four times in the twenty-four hours. 

In cases of traumatic tetanus (caused by injury), all remaining sources 
of irritation, such as fragments of bone, bullets, pieces of cloth, or any 
thing else should be removed. Oftentimes the surgeon is justified in am- 
putating the injured part, as a means of cure of the lock-jaw. This pro- 
cedure is the more hopeful, if the spasm is confined to the jaw. 

Tetanus of infants is best prevented by cleanliness, warmth, fresh air 
and dry apartments. On southern plantations, where the disease appears 
endemic, it is arrested by having the cabins whitewashed with lime both 
inside and out; raising the floors up from the ground that air may circu- 
late freely under them ; removing all filth from and about the houses ; 
particular attention to cleanliness of the bedding and clothing of the 
mother and child, and preventing any matter from the navel coming and 
remaining in contact with the skin. A warm or tepid bath should be 
given the child daily. A dressing of one part turpentine and two parts 
sweet oil or lard is highly recommended. 

Alter the disease has become developed, the foregoing hygenic meas- 
ures should be carried out rigidly. The medicinal agents, which in my 
judgment are preferable to all others, are the Bromide of Potassium and 
Hydrate of Chloral given after the same manner as directed for adults. 
The dose for an infant would be three grains given every two or three 
hours, which may be increased to five, or even ten, grains, if the spasms 
are OOl relieved. 

When desirable to produce sleep I would give two grains of Hydrate 
of Chloral with the Bromide of Potassium until sleep takes place. After 
a couple of doses of the Hydrate of Chloral, if sleep has not taken place, 
the dose should be gradually increased until five or six grains are given, 
or until the desired effect is reached, namely, sleep. Eight scruples of 
the Bromide of Potassium dissolved in two ounces of simple syrup con- 
tains ten grains to a teaspoonful. Of this mixture one fourth of a 
teaspoon ful will l>e a dose to begin with. Six scruples of hydrate of 
chloral dissolved iii two ounces of syrup gives eight grains to the tea- 

spoonful and one fourth ofa teaspoonful the dose to begin with. If the 
spasms are so severe that the child cannot swallow, I would not hesitate to 
give at once, by Injection, a teaspoonful <>r the Bromide of Potassium 



'DELIRIUM TREMENS. 145 

mixture and a half teaspoonful of hydrate of chloral mixture. The dis- 
ease is very dangerous, too dangerous to be treated without a physician. 

A blister the size of a dollar over the navel is said to be useful when 
the disease does not yield to remedies by the mouth. 

The spine may also be thoroughly rubbed with some stimulating ap- 
plications, as turpentine, or hartshorn liniment. 

Brandy should be given in doses of ten drops to half a teaspoonful 
with milk or beef essence at short intervals to prevent the rapid exhaus- 
tion of the disease. 

HOMOEOPATHIC TREATMENT. 

Aconite is useful in lock-jaw where there is frequent alternation of 
red and pale face with distorted eyes, thumb turned into the palm of the 
hand, and the hand clenched, pulse full and bounding. 

Arnica.— In cases arising from an injury, such as a true bruise or 
cut of the flesh, or the puncture of a needle, pin, hay fork, or like sharp- 
pointed instrument, it should be given internally, 10 drops in a J glass 
of water, two teaspoonsful every hour or half hour, if the case is urgent, 
at the same time it should be applied externally to the wound ; take one 
part tincture arnica to live parts water, moisten a soft cloth, and keep it 
on the parts injured. 

Opium. — Is a useful remedy in some of the severest forms of tetanus 
as well as lock-jaw, either from an injury or from a cold. The muscles of 
the whole body tremble, there is foam at the mouth, and finally the 
whole body is bent backward in the form of an arch, when opium is 
useful. 

Nux Vomica or Strichnia. — When there are extremely severe spasms 
followed by a short period of relaxation, then another spasm at periods of 
three to six minutes. 

Belladonna. —In attacks of trismus among children, when a jar of 
the bed will bring on a spasm. 



DELIRIUM TREMENS. 

This is a disease frequently occurring in persons who are in the habit 
of using intoxicating liquors, even when they do not drink enough, at 
any one time, to become intoxicated. It is a dangerous disease which 
frequently destroys life, or causes a state of insanity. 

Symptoms: It usually commences with some degree of nausea, 
vomiting and loss of appetite, especially for breakfast, which are, sooner 
or later, followed by constant wakefulness, incessant talking, walking 
about restlessly, and, sometimes, raving from the first. There is a con- 
stant trembling and unsteadiness of the limbs ; the hand is unsteady ; 
the tongue is tremulous when protruded ; the walk is staggering ; the 
skin is cold, and the pulse is weak and rapid. 

As the disease progresses, the symptoms become worse ; the patient 
is not silent for a moment ; he is constantly talking, scolding or laugh- 
ing ; changing from one thing to another, rapidly ; arranging his clothes, 
room, bed, etc., with more or less agitation and mental suffering. He 
IO 



146 OUR FAMILY PHYSICIAN. 

imagines the presence of things which he knows are mere illusions, or 
they may appear so real as, for a time, to make him actually believe that 
they truly exist; but, most generally, this deranged perception may be 
explained away, for the moment, by some kind friend. Among these 
imaginary objects, are: rats, mice, serpents, fiends, witches, guns, drag- 
ons, bugs, insects, etc., to free himself from which he will have the most 
fearful struggles, with expressions of disgust, distress, and even fear and 
horror. It is impossible to name the various fancies which he creates ; 
at one time laughing, at another begging, with tears in his eyes, for life ; 
then humbly asking pardon for some imaginary wrong. Again, point- 
ing, with raving expressions, to the objects conjured up in his disor- 
dered mind ; and, finally, raving almost like a maniac. 

His eyes are bloodshot and in constant motion, with a peculiar glare, 
glancing fearfully and suspeciously, at every object around him; the 
countenance, is usually, pale, haggard and distressed, the tongue coated 
with a thick, yellowish mucus, the head hot, and the bowels costive, 
with occasionally nausea and vomiting. 

If the patient is not relieved, he becomes worn out and is compelled 
to lie down from sheer weakness, and may die suddenly, in an apoplec- 
tic or epileptic fit, or, he may gradually sink, the surface becoming 
cold, with clammy sweats, low, muttering delirium stupor, picking at 
the bedclothes, twitching of the tendons and death. Sometimes the first 
symptom is an epileptic fit, or apoplexy, on recovery from which, well 
marked delirium tremens occur. 

The development of the disease most frequently follows a sudden 
abstinence from the use of liquors, among those who have become addic- 
ted to their excessive use, by which means the brain becomes excessive- 
ly weakened and impaired. 

It likewise frequently happens while the person is in the full tide of 
his "spree" and, also, occasionally after a continued but moderate use of 
alcoholic drinks. It usually comes on in from one to five days after the 
discontinuance of the inordinate alcoholic excitement. 

In the treatment of a patient with delirium tremens, opposition and 
the use of force should be avoided as much as possible, because they give 
rise to irritation, and increase the difficulty. Gentle and persuasive 
measures are the best, with a degree of firmness; and at no time must 
you yield to the fancies of the patient, but rather reason or laugh them 
out of them. This course will accomplish much more than an opposite 
one. Take of the Sulphate of Quinine eight grains, Sulphate of Mor- 
phia one grain, mix and divide into four powders; one of these powders 
Bhould be given every hour, for two or three doses ; afterward, lengthen- 
ing the time, so that too much Morphine be not given. Give the patient, 
shortly after the first powder, a tahlespoonful of good brandy in water 
and sugar, as a reward for a promise from him that he will lie still and 
fry to go to sleep: repeat, if need he, until he does sleep; then let him 
resl t lircc hours ; .-titer Ik- awakes, give light food. 

ALLOPATHIC TREATMENT. 
The SUCCese Of treatment in this disease, attended with prostration^ 

depends on nourishment, relieving Hie restlessness, arid inducing sleep. 



DELIRIUM TREMENS. 147 

Milk, raw eggs, beef essence, or strong beef tea, should be freely given. 
Both the ends are aided by the administration of Quinine, in two or 
three grain doses every three or four hours. The nervousness and rest- 
lessness, preceding the active delirium, is best relieved by the Bromide 
of Potassium, during the course of the disease ; it is, also, equally useful 
to relieve the same symptom ; but, to be effectual, it must be given in 
doses of forty to sixty grains, every four hours, dissolved in water or syr- 
up. For the production of sleep, there is no remedy so uniformly suc- 
cessful as Hydrate of Chloral, given with the Bromide of Potassium, in 
doses of twenty to thirty grains. In old drunkards, it should be used 
with great caution. After a second dose of thirty grains of Chloral, if 
sleep is not induced, Morphine, in doses of one-third of a grain, may be 
given, and repeated, if necessary, in two or three hours. It is best given 
by hypodermic injection. However necessary sleep and quiet is, it is 
still more necessary to establish digestion, and support the powers of life, 
by suitable nutrition. In most cases, this, of itself, will quiet the delir- 
ium, induce sleep and carry the patient to recovery. 

Digitalis is found useful in this disease, in doses of a teaspoonful of 
the tincture, or a tablespoonful of the infusion, made to two drams of the 
leaves to a pint of hot water. After four hours, the dose may be repeated. 
Pouring cold water on the head, and the free use of hop tea, are frequent- 
ly of advantage in quieting the delirium. 

The patient should be treated kindly, and left in charge of an attend- 
ant in whom he has confidence. Visitors should be excluded from his 



Treatment of alcoholism.— The chief point in the treatment of 
the mania for drink is to enforce at once total abstinence ; this is more 
easy than to practice moderation. 

The sleeplessness may be guarded against by forty to sixty grain doses 
of Bromide of Potassium at bed time. If necessary, with this can be com- 
bined fifteen to twenty grains of Hydrate of Chloral, or two teaspoonsful 
to a tablespoonful of Tincture of Hyoscyamus, gradually diminishing the 
dose as the symptoms disappear. Tonics should also be given. Of these 
the Citrate of Iron and Quinine, in doses of five grains, dissolved in 
water or syrup, two drams and a half to eight ounces; dose, a dessert- 
spoonful three times a day. 

The Phosphate of Zinc with extract of Nux Vomica in pill form, a 
quarter to half a grain of the former, and a quarter of a grain of the latter, 
three or four times a day, will aid greatly in restoring the nervous system 
to a healthy state. The diet should be strong and nourishing, consisting 
largely of milk and eggs, beans, oatmeal, wheat and vegetables, with an 
absence of lean meat. This rule of diet should be observed after health is 
established. 

There is no more deplorable practice, both among physicians or in 
domestic practice, than the frequent giving or taking of alcoholic stimu- 
lants. It is not to be doubted that a habit of using liquors as a beverage 
not infrequently begins by "taking a little brandy and water occasion- 
ally," or " a glass or two of wine," for low spirits or a temporary indispo- 
sition. The practice is both harmful and useless, 



148 OUE FAMILY PHYSICIAN 

HOMCEOPATHIC TREATMENT. 

SPECIAL INDICATIONS. 

Arsenicum. — Pale, yellow complexion ; bloated face, and cold, blue 
skin ; fainting fits, particularly during vomiting. The patient imagines 
that vermine are crawling about the bed, and ugly animals are staring 
him in the face. Great restlessness and fear of death. Extreme thirst ; 
drinks little and often. 

Dose: Six pills to a tablespoonful of water, one teaspoonful every 
thirty minutes. 

Bolladonna.— Persons of a full, £>lethoric habit of body. Flushed face 
and red eyes, with dilated pupils. Boisterous delirium, with desire to 
escape. He tears the clothes, strikes, bites and shrieks, in his rage. Sud- 
den starting and jumping, while sleeping. 

Dose : As for Arsenicum. 

Camphor. — Features distorted ; eyes sunken ; face, hands and feet, 
icy cold. Confusion of ideas ; maniacal delirium ; convulsions ; frothing 
at the mouth, and insensibility. Retention of urine, with constant de- 
sire to pass water. 

Dose: A drop or two, on a little lump of sugar, every hour. 

Hyos<yyamus. — Twitching and jerking of the muscles, especially of 
those about the face and eyes. Furious delirium, with wild, staring look ; 
dilated pupils, and throbbing of the carotid arteries. Grasping at imag- 
inary objects ; muttering. 

Dose: As directed for Arsenicum. 

Nux-wmim.— Trembling of the limbs, and spasmodic twitching of 
different parts of the body. Incapable of thinking correctly. Makes 
frequent mistakes in talking. Delirium, with frightful visions, and 
efforts to escape. Very irritable, and wants to be alone. Constipation 
with large and difficult stools. Apprehensive of death. 

Dose: Double that recommended for Arsenicum. 

The best remedies for the inclination to drink, and the evil effects of 
drunkenness, are Ars., Nux-v., Sulph. 



EPILEPSY. 

MORB1 - DIVTNAS, MORBUS HERCULEUS. 

This is a disease marked by sudden and temporary seizures of uncon- 
ciousness, accompanied by convulsions, and is one of the most terrible 
diseases that afflict mankind. There are so many varieties of epilepsy 
that it is impossible to give a definition of the disease that will apply to 
them all. In most eases it is characterized by convulsions and loss of con- 

ciousness, occurring at Longer, or shorter intervals, during which the 
patient is almost, in good health. The. absence of Iovca- in epileptics serves 
to distinguish their affection, meningitis, and other inflammations accom- 
panied by convulsions. The complete loss of consciousness, also, dis- 



EPILEPSY. 149 

languishes epilepsy from hysteria, as inmost nervous diseases, a hereditary 
tendency is among the most frequent predisposing causes of epilepsy. 
Epilepsy often appears in the offspring of persons who have had various 
other nervous complaints, such as epilepsy, insanity, paralysis, apoplexy, 
and hysteria. There is no doubt that women are much more frequently 
attacked with this disease, then men. The most frequent periods, at which 
epilepsy begins, are early infancy, and puberty, although, no period of life 
is exempt from its first attacks. Various malformations of the body, and 
especially of the cranium, are certainly among the most frequent predis- 
posing causes. Weak constitutions are favorable to the production of 
epilepsy. Among other predisposing causes, are dentition, the first ap- 
pearance, and the cessation of menstruation, onanism, and the abuse of 
alcoholic drinks. Almost all kinds of diseases may produce epilepsy, but 
among the principal, we must place those affections in which the blood 
becomes altered, or diminished, and organic affection of the cerebro-spinal 
axis, and of other certain parts of this nervous sentric. Another power- 
ful cause, is ex3essive loss of blood. Pregnancy, parturition, (confine- 
ment), menstruation, frequently cause epilepsy. A tumor, or a nerve, or 
any cause of irritation on the trunk, or the terminal part of any sensitive 
nerve, and especially, in the skin, or mucous membrane very often pro- 
duces it. A wound, a burn, worms in the bowels, or elsewhere, stone in the 
bladder, or in other places, foreign matter in the ear, etc., are known to have 
caused epilepsy. It is quite certain that great mental excitement has orig- 
inated it in many cases, but it seems probable that the disease was not in- 
troduced by those causes, but was only brought on by them to manifest 
itself. 

When a fit is about to take place, it is usually preceded by some sen- 
sation, or some change in the mind of the patient. If a sensation precedes 
the fit, it comes most frequently from some part of the skin, and especially 
from that of the fingers and toes. This sensation is well known under the 
name of aura epiieptica. There is as much variation in the kind, and in- 
tensity of the sensation, as in its point of starting. Most frequently the 
aura is a sensation of cold, or burning, or that kind of sensation produced 
by a draft of cold air on a limited part of the body. Sometimes the aura 
starts from the eye or the ear, and then a flash of light, or some other sen- 
sation comes from the retina, or peculiar sounds are heard. The stomach 
and bowels are also often the starting point of the aura. Some epileptics 
become gay, others mournful when they are about to have a fit ; in others, 
the attack is announced by some change in the digestive function. A com- 
plete attack, usually begins with an extreme paleness of the face, and at 
the same time, or nearly so, there are contractions of several muscles of 
the face, the eye, and the neck. Observers do not agree as regards the 
first manifestaion of a fit, probably, because the seizure does not always 
begin with the same phenomena. Not only have we known the first 
symptom, not to be the same in different epileptics, but in the same one 
we have seen differences, in three different attacks. Many physicians 
think the scream, the first symptom. It often is, bucthe paleness of the 
face usually precedes it. Some epileptics do not scream; as soon as these 
symptoms haveappeared a rigid spasm takes place in the limbs, and the 
patient falls. Respiration is suspended, and the face becomes quite in- 



150 OUR FAMILY PHYSICIAN. 

jected with black blood, and assumes a hideous aspect, both from the 
spasm of its muscles and its blackish, or bluish hue. Sometimes a mom- 
entary relaxation is then observed in the limbs, but all at once clonic (jerk- 
ing), convulsions occur everywhere in the trunks, the limbs, the face, and 
often, in the various internal organs, as the bladder, the bowels and the 
uterus. 

The mouth then ejects a frothy saliva, often reddened with blood 
from the bitten tongue. The respiratory muscles, after the first spasms 
which produce the scream, and suffocation, causing a gurgling or hissing 
sound, become relaxed and then those employed in inspiration contract, 
and almost as soon as air has reached the lungs, the convulsions cease or 
notably diminish. Ordinarily the fit is over in a few minutes, but it is 
not unfrequently the case, that after a general relaxation, another seizure 
comes on, and sometimes many occur with very short intermissions. 
During the whole time the fit lasts, the patient is deprived of conscious- 
ness, and when he recovers he remembers nothing that has taken place in 
the meantime. In some cases the seizure is followed by prolonged coma 
ending sometimes in death. 

When a patient recovers from a fit, even if it has not been very se- 
vere, he usually feels fatigue and suffers from headache. Fortunately he 
soon falls asleep, and ordinarily is almost as well as usual, when he 
wakes up, except that the headache and fatigue still continue, though 
much diminished. When many fits have taken place, even at some- 
what long intervals, such as several weeks mental derangement often 
supervenes, and in this way epilepsy often leads to insanity. In some 
cases the fits recur at regular periods, in others they return with every 
return of the circumstances which seem to have caused the first, such as 
menstruation, pregnancy, the influence of certain seasons, etc. There is 
sometimes, although seldom, perfect regularity in the length of the inter- 
val- between the fits, and they come every day, every week, every month 
etc., at irregular hours. Many patients have very different intervals be- 
tween their successive fits. Some have many fits a day, others every six 
months or every year. The greater the number of fits, the less violent 
they generally are. In the complete fit of epilepsy there are two distinct 
features. 1. The loss of consciousness ; 2. The muscular convulsions. 
Each of these may exist alone. In the case of a seizure consisting only in 
the loss of consciousness, without convulsions, we have the so-called epilep- 
ti>- vertigo, which is a form of epilepsy which frequently exists alone, 
and also co-exists often witli the form of the disease in which the attack 
is complete. In this last case the patient sometimes has a complete sei- 
zure, sometimes only an attack of vertigo. Whether vertigo exist alone 
or co-existe with complete attacks, it is very dangerous, not for the life of 
the patient, but because tits of simple vertigo lead more frequently to in- 
sanity than complete ate of epilepsy. The cases of epileptiform convul- 
sion- without loss of consciousness are not so frequent as the cases of 
simple vertigo. They arc particularly produced by injuries to the nerves 
or spinal cord. 

Th<- first thing to be done for an epileptic fit, is to find out, if possible, 
the cause which produced the attack, and, if it still exists, try to get rid 
of it. Very often epilepsy depends on §ome external cause of irritation, 



EPILEPSY. 151 

which may easily be removed. It is of the greatest importance to discover 
if there is anywhere such an irritation, and as the patient may not be 
aware of its existence, it is necessary to look for it everywhere. This is a 
proper place to point out the fact, not generally known among the masses 
of the people, that onanism or self-abuse, among children and young 
people of both sexes is one of the most prolific causes of this truly terrible 
disease, and if the patient can be induced by any means to break away from 
the practice in any reasonable time, the epilepsy is virtually cured. Pa- 
rents should not rest easy under the impression that their children would 
not be guilty of such a thing, but know of a certainty that such is not the 
case. My young friend, troubled with epilepsy, you know whether this 
is one of your habits, contracted by the influence of companions in school 
or elsewhere, and if such is the case, you may rest assured that if you con- 
tinue in the habit, absolute and certain ruin of your body and mind are 
the inevitable consequences. Patients and their families should remem- 
ber that the rules of hygiene must be followed much more closely by epi- 
leptics than by those afflicted by almost any other disease. 

ALLOPATHIC TREATMENT. 

The treatment of Epilepsy will have reference to the management of 
the paryoxisms (fits), and, also, to measures for effecting a cure, which 
are to be employed during the intervals between the fits. During the fit 
the patient should be laid on a large bed, or even on the floor, where the 
fresh air can freety circulate around him. No effort should be made to 
restrain the convulsive movements. The necktie and all tight clothing 
should be loosened. A cork, roll of linen, or piece of soft wool should be 
held between the teeth to prevent the patient biting the tongue. Cooling 
washes may be applied to the head. 

In those cases which have a brief warning of an approaching fit 
(which is called the aura epileptica) the paroxysm may be warded off by 
inhaling nitrate of amyl at the beginning of the warning. The patient 
should carry a small vial of nitrate of amyl and inhale from three to five 
drops upon a handkerchief. The handkerchief should be removed when 
fullness of the head is experienced. Also those cases charcterized by fre- 
quent repetition of the fits the same remedy is very useful in stopping 
their recurrence. It is also recommended as a means of mitigating severe 
attacks, but in advanced stages of the paroxysms, it should be used very 
cautiously, and the writer cannot recommend it for domestic use. But of 
all the remedies which enjoy a reputation for preventing or mitigating a 
fit, this occupies the first rank. 

Among other remedies which are recommended for the purpose of 
preventing a fit, Chloric Ether, Hoffman's Anodyne and Fluid Extract of 
Valerian, are to be mentioned, the dose of Ether is a teaspoonful. These 
same remedies are, also, used to prevent the frequent recurrence of parox- 
ysms before alluded to ; Tinctures of Belladonna or Opium are said to be 
useful for this end, given in doses of from fifteen to thirty drops. The 
physician is often led to try the inhalation of Chloroform. But all these 
remedies are, in my opinion, inferior to Nitrate of Amyl. If other meas- 
ures fail, or are not at hand, compression of the carotid arteries may be 



152 OUR FAMILY PHYSICIAX. 

tried, first upon one side of the neck, for ten or fifteen minutes, and then 
upon the other side, [f the convulsions are very severe, both arteries 
may be compressed at once. The compression is produced by pressing 
the artery, with the linger or thumb, firmly against the spinal column. 

The treatment of epilepsy, as far as a permanent cure is concerned, 
has not been very successful. Endeavor must be made to improve the 
patient's general health, and to this end all the vital functions must be 
carefully enquired into, with all the penetration of the most skillful phy- 
sician. All advanced physicians are agreed that every thing which de- 
presses the vital powers does harm. The habits of life must be regular 
and moderate; daily exercise; early hours, and plenty of sleep ; quiet 
occupation ; attention must be given to regularity of the bowels, and uri- 
nary secretion. Mental excitement should be avoided, and if the patient 
is a child, be kept from school. The diet should be simple, but generous 
and nutritious, including animal food, milk and eggs. Frequent bathing, 
two or three times a week, should be practiced. 

The habits of life which are pernicious, and may stand in a causative 
relation to epilepsy, and are to be prohibited, are : over-tasking of the 
mind or body, either undue exposure or sedentary habits, the free use of 
alcoholic liquors, or tobacco, and sexual excesses, or self-pollution. 

There is no better established fact, in the healing art, than the benefit 
of the Bromides (usually the Bromide of Potassium) in the treatment of 
epilepsy. It is not to be understood that the remedy is infallible, but it 
is true that it has been more useful than all other remedies combined. It 
is well determined that Bromide of Potassium is most valuable in those 
cases of epilepsy which are characterized by violent and frequent convul- 
sions. It is also noticed that the beneficial effect of the remedy is more 
marked in attacks occurring in the day time than those occurring at 
night The nice discrimination, in the use of remedies in epilepsy, 
requires the skill of an accomplished physician. But, roughly, it 
may be said, that Bromide of Potassium should be given in all cases 
which have a congested, (Hushed), or full appearance of the face, rush of 
blood to the head, (or more accurately to the brain, this is most 
accurately determined by the physician, by examination with the ophethal- 
mascope). The dose of the Bromide of Potassium at the beginning, should 
l»e about fifteen or twenty grains three times a day, increasing the dose by 
ten grains each week, until from forty to sixty grains are taken at a dose, 
three or four times a day. The medicine should be continued in these 
doses until the peculiar effects of the drug (called bromism), are produced, 
or the fits have ceased. Bromism is shown by mental weakness, heavi- 
of intellect, failure of memory, partial loss of voice, drowsiness, de- 
pression of spirits, pallor and an eruption of the skin and sometimes by 
The remedy, if it prevents the fits, should be continued for 
several weeks, or even months, at the dose, which has proved effectual, 
and gradually decreasing the dose until twenty or thirty grains are 
readied three times a day. The drug should not be discontinued, until 
fifteen or eighteen months have passed without a paroxysm. It is better 
lor the patient to take the bromides all his life, than to have fits. The ad- 
dition of the bromide of iron from one halt a grain to a grain, to a dose of 
the bromides, will do much to prevent the impoverishment of the blood 



EPILEPSY. 133 

due to bromism. The following is a good formula: Take of Bromide of 
Potassium, six drams, Bromide of Ammonium, two drams, Bromide of 
Iron, six grains, water, six ounces, mix, give a tablespoonful three times 
a day. 

It is a good rule, even after the case has been free from fits, for fifteen 
or eighteen months, to give a dose of from two scruples, (forty grains) to a 
dram, (sixty grains) every night for a couple of years. 

Many of those cases of Epilepsy, which are not benefited by the bro- 
mides, are greatly benefited by strychnine, especially in subjects which 
have the lighter seizures, {petit mal) as well as the severe poroxysms 
{grand mal), and also, in those cases having the attack at night, though in 
the latter cases, if severe, the bromide will be required also. The dose of 
strychnine is one thirtieth of a grain. It had better be given in solution, 
though it is disagreeable to take on account of its bitterness. The follow- 
ing is a suitable formula: Take of Strychnine, one grain, dissolve in two 
ounces of Dilute Phosphoric Acid and two ounces of water. The strych- 
nine dissolves slowly, and plenty of time should be given for solution to be 
effected before taking it. If the appetite is poor, thirty grains of quinine 
should be added to this mixture. The dose is a tea-spoonful three times a 
day. Should it be found impossible to take this mixture, the pills of 
strychnine, of one thirtieth of a grain each, may be given instead. I pre- 
fer the pills of Phosporus, one hundredth of a grain with strychnine, one 
sixtieth of a grain ;— dose, two pills three times a day for a grown person. 
The phosporus is valuable in improving the nerve nurtrition. 

The direct galvanic, (electric) current, is sometimes of great service, 
and may be used in connection with either strychnine, or the bromides or 
both. It can only be of service in essential or idiopathic epilepsy, (I e 
cases not dependent on structural changes, or other obvious cause). The 
current should include the whole brain, having the poles of the battery be- 
hind each ear; or on the forehead and nape of the neck; or one pole on 
the nape of the neck, and with the other follow the course of the sympa- 
thetic, and also the nerves along which the aura, or warning is transmit- 
ted. Each method of application may be used for one third of the time at 
each sitting. If beneficial, the use of the galvanic current should be con- 
tinued for several months or a year. 

In some cases, it is necessary to pass a seton quite deeply through the 
back of the neck, in addition to internal remedies. This is particularly ser- 
vicable in connection with the bromide. Both it and tht bromide, seem to 
relieve the so called reflex irritation. Cases of Epilepsy caused by injuries 
to the skull, which is not relieved by the bromide of potassium, may call for 
surgical operation. If the patient has had syphilis or has syphilitic par- 
entage, the Iodine of Potassium should be given either alone or in con- 
junction with other treatment, until all syphilitic symptoms disappear, 
when, if the fits cease, the further treatment will be that appropriate to 
that diseased condition. For this complaint, medical advice should be 
sought. 

Belladonna and Hyoscyamus, are recommended by high authority. 
They are applicable to these cases, in which strychnina is most useful, viz, 
in epilepsy occurring at night, in the lighter fits (petit mal), and in pale, 



154 OUR FAMILY PHYSICIAN. 

delicate subjects, with cold hands and feet, a blue skin and feble circula- 
tion. Belladonna, if used should be given as follows: one fifth of a grain 
of the solid extract of belladonna, or a hundred and twentieth (1-120) grain of 
atrophium, its active principle, each night for a month, when the dose 
should be doubled for the second month, tribled for the third month, and 
so on until as large a dose as can be borne should be reached. Trouseau 
speaks very highly of this remedy, and recommends its continuance for 
from one to four years. Hyoscyamus may be used in the same way, be- 
ginning with one half grain of the solid extract. These remedies can be had 
in pill; for the first month, the dose is one pill, for the second, two pills for 
the third, three pills, and so on until the largest possible dose is reached. 

The existence of anaemia (impoverished condition of the blood), de- 
mands the use of tonics of iron and quinine. The Citrate of Iron and 
Quinine, two to five grains in syrup, before each meal The Pyrophos- 
phate of Iron will be found useful in one or two grain doses, instead of 
the Citrate of Iron and Quinine, if the appetite is not diffident. Cod Liver 
Oil is always useful in improving nurtrition of the body. It should be 
given in doses of a tea-spoonful, gradually increased to a tablespoonful. 

HOMOEOPATHIC TREATMENT. 

Belladonna has among its pathognetic symptoms the whole series 
of the phenomena which characterize an epileptic fit. It is most useful 
where the disease has not continued long, and has the fits rather close to- 
gether, and especially if an attack of vertigo is apt to supervene; rush of 
blood to the head, red and bloated face, renewal of the attacks by contact, 
distention of the eyes with dilation of the pupils, full, hard, and hurried 
pulse, sudden starting from sleep with a cry and fear, obstinate, malicious 
temper, desire to tear everything, to bite, spectra which cause anxiety, 
fear, deep sleep with smiles and distortion of the features. 

Cuprum is one of the few remedies which we know positively has 
cured many cases. In cases where epilepsy is a primary or original dis- 
ease, and not merely a symptom of some other disease. Cuprum is one of 
the first remedies to bethought of and used. It may not be any the less suit- 
able in complicated cases. In this latter class of cases the accessory symp- 
toms will be found the best guide in the selection of the remedy; probably in 
cases where the disease breaks out in the night, this medicine will be found 
the most beneficial, the aura commencing in the extremities and moving 
upward, until the speech is gone. In the treatment of epilepsy, use the 
higher potencies in less frequently repeated doses. We intend this last re- 
mark to apply to all the remedies in the Homoeopathic treatment. And we 
may farther say, that a careful arrangement of the symptoms, and careful 
selection of the remedy, by the use of the Repertory, will be decidedly the 
nest satisfactory mode of selecting the remedy. 

PLUMBUM is very Dearly related to copper. Plumbum is particularly 
adapted to epileptic attacks with a well-defined aura, or to attacks where 
paralytic conditions, entire or partial loss of consciousness, remain for some 
time after the attack. Plumbum acts very slowly, but on the other hand, 
it- action taste Long; it is very penetrating, so it, fortius, if no other rea- 
son, i- suited to Cases of long duration. 



ECLAMPSIA 156 

Conium, in epilepsy arising from self-abuse. 

Opium, in epilepsy arising from a fright, or where it supervenes 
during in sanity . 

Rana bufo is undoubtedly a capital agent in the treatment of epi- 
lepsy, especially if the patient is the victim of onanism and will discon- 
tinue the practice. 

Bromide of Potassium.— Three grain doses three times daily and 
gradually increased, until the dose is ten grains for an adult ; dissolve in 

a little water. 

+. 

ECLAMPSIA. 

ECLAMPSIA INFANTUM. FITS OF LITTLE CHILDREN. 

Eclampsia occurs most frequently at an age when epilepsy is least 
frequent; that is, during the first months of infancy, until the fourth 
year. 

Symptoms and course of the disease. Eclampsia sets in without any 
premonitory symptoms, only, when it is the first symptom of the begin- 
ning of some other acute disease. As an independent disease, it is almost 
always preceded by preliminary symptoms. These are: ill humor, a 
whining mood, obstinacy, indisposition to play, sudden starting when 
touched ever so lightly without expecting it, sleeplessness or restless 
sleep, during which the lids are not entirely closed, with a peculiar twist 
of the mouth, gritting the teeth, change of color from the least cause, cry- 
ing out without any apparent cause, sudden relinquishing of the nipple, 
uneasy, unequal breathing, sometimes a peculiar livid color around the 
mouth and eyes, and pointed appearance of the nose and] chin. After 
these premonitory symptoms have lasted for a longer or shorter time, the 
actual paroxysm breaks out with the same suddenness as an epileptic 
attack, only with this difference : the patient utters no cry. Otherwise the 
attack has all the characteristic features of an epileptic fit. At the begin- 
ning the convulsions are for some time tonic (stiff and still), after which 
they become clonic (jerking), and in less frequent cases they affect only 
one side. The features become distorted, the eyes stare, generally squint- 
ing upwards, the body is tossed to and fro, but the extremities are not as 
stiff or rigid as they are during an epileptic fit. The breathing is hin- 
dered, the abdomen distended. The face is either blue-red and bloated, 
with considerable fullness of the blood vessels, or else it is pale and sun- 
ken, the bodily temperature is rather decreased than raised. During the 
highth of the convulsion the consciousness and sensibility are complete- 
ly extinct. Usually the paroxysm ends with a deep, moaning inspiration, 
after having lasted a few minutes, or even a number of hours, and the 
patients sink into a deep sleep, from which they awake in apparent 
health. 

The paroxysm does not always have such a fearful degree of intensity. 
Eclampsia, as well as epilepsy, has a series of gradations, the attack being 
sometimes marked, • only by partial convulsions, movements of the 
muscles, a staring look with some squinting and drawing up of the 
mouth. The conciousness remains either entirely undisturbed, or is only 
partially interfered with, sometimes the attacks consist in a camatose 
soper, (death like sleep), which lasts for hours, with the characteristic half 



156 OUR FAMILY PHYSICIAN. 

• 

closing of the eyelids, and a few convulsive twitchings, taking the place 
of the convulsions, even the face may retain its natural expression and 
color. A single lit is scarcely ever the end of the trouble. In the first 
place, there generally remains a disposition to relapse, and in the second 
place, several fits usually follow, one after the other, the intervals between 
the fits, being of uncertain duration and the intensity varying in de- 
gree, sometimes increasing at others decreasing in violence. 

Eclampsia may terminate in recovery, partial recovery or death. Re- 
covery may take place after any lit. sometimes unite unexpectedly, so 
that a child may be playing about one morning, which the day before was 
the victim of terrible fits. In partial recovery, some of the symptoms 
either remain permantly, or disappear only gradually. In such cases it is 
a question whether such remaining symptoms are not the result of disease 
of the brain, which may also have been the cause of the fits. Among such 
remaining symptoms, we mention paralysis of the eyes, less frequently 
the muscles of the back, idocy, or only a certain degree of backwardness in 
the development of the mental faculties, and an unusual degree of nervous 
irritability. Death results either during the attack, or else, the death like 
sleep (coma), terminates in death. 

The prognosis depends on many accessory circumstances, and is al- 
ways doubtful. Age is an importent consideration; the younger the child, 
the more likely they are to die, especially infants at the breast, but even 
they frequently recover, if the treatment is in careful hands. Where the 
disease is inherited, there is little probability of recovery. The more rap- 
idly the fits follow each other, the more danger there is, especially if they 
continually increase in violence. Convulsions settingin at the commence- 
ment of some acute disease, are scarcely ever dangerous. If they set in 
during the course of the disease, they are more dangerous; they generally 
mean death. 

For Allopathic Treatment — See Convulsions of Children, Chap. 
KXXIV. 

HOMOEOPATHIC TREATMENT. 

Belladonna is without doubt, the main remedy in eclampsia. It is 
particularly indicated in the case of robust fleshy children, who show un- 
mistakable signs of congestion of the brain, with very red face, the pupils 
expanded, the eyes stare, or constantly vibrate, the lower jaw firmly 
pressed against the upper, the head drawn backward, possibly the urine 
may be discharged involuntarily. 

ETyoscyamus acts very similarly to Bell. The sight of the eyes con- 
tracted, face dark red and bloated, the walls of the abdomen drawn (irmly 
in. and the attack being caused by a fright, are indications for the use of 
Hyosc. 

Cuprum. Sec indications under Epilepsy. 

Tgnatia. If the attack is sudden and violent, the (it being more free 
from jerking than common, if the spinal cord appears to be the seat of the 
disease, that IS ail additional indication for lg. % 

ChamomiUa is seldom useful for the lit, but may be needed to remove 
trouble with the bowels, before or between the fits. The child moans and 

iron its, <t ml /runts to l,t at fried '. 

Ctna or Santontne, if the attack arises from worms. (See Worms), 



CATALEPSY.— HYSTERICS. 157 

CATALEPSY. 

TRANCE. 

We mention this disease, only because you expect us to, and can only 
say that it is one in which the consciousness and the voluntary motion of 
the muscles is suspended ; though they retain the faculty of passive mo- 
tion. There are wry few well established cases on record. 

It is very generally conceded, among physicians, that no treatment 
yet known amounts to anything. It may be necessary, in order to main- 
tain life, to inject food into the rectum, or, by means of the stomach 
pump, into the stomach. 



HYSTERIA OR HYSTERICS. 

It is not only difficult, but almost impossible, to furnish a satisfactory 
and sufficiently comprehensive definition of hysterics. 

It is a nervous, spasmodic affection common to females, but known 
by some other name, when it appears, (as it rarely does), among males, 
usually as Hypochondria. It attacks pregnant as well as non-pregnant 
females, and however alarming any single attack may appear, it is, in 
fact, seldom attended with any danger, unless it should pass into ej3i- 
lepsy. 

Symptoms : Usually the lady, from a calm or excited condition, but in 
which no symptoms of disease are shown, by an unwise word, and often 
from no apparent reason, commences crying and laughing at intervals, 
perhaps also venting reproaches; peal upon peal of immoderate crying 
and laughter, sobs, floods of tears, stolid silence, wringing of hands, tear- 
ing of hair, stiff (tonic) convulsions, clonic (jerking) spasms, and smiles, 
are all irregularly combined and followed by a profound calm of the con- 
stitution, and a feeling of complacency. During these symptoms the 
female, at the commencement, is attacked with a sense of tightness about 
the throat, with throbbing, or repeated attempts at swallowing. Some- 
times a sensation as if a ball passed upward to the throat and lodged 
there is experienced, and which is called the "globus hystericus." She 
may roll about from side to side or she may lie perfectly still and motion- 
less. She frequently presses her hands to her breasts or carries them to 
her throat, as if to remove some pressure or obstruction, the face is usu- 
ally pale, though not always, and is not distorted ; no froth issues from 
the mouth, nor are there convulsive motions of the lower jaw, but the 
large muscles of the back are violently contorted, so as in many in- 
stances to cause the body to describe an arch backward. The trunk of 
the body is twisted forward and backward, the limbs are variously agi- 
tated and the fists are firmly closed. Sometimes there is obstinate con- 
stipation and retention of urine ; generally, however, the urine is pale 
and copious. 

The paroxysm continues for a longer or shorter time, the sobbing 
becomes more violent, or the patient screams and sheds tears and thus 
the fit ends. Sometimes they will lie apparently insensible and immov- 
able for a longer or shorter time. The attack is often preceded by 



158 OT7R FAMILY PHYSICIAN. 

dejection of spirits, anxiety, yawning, shedding of tears, difficult breath- 
ing, nausea, palpitation of the heart, numbness of the extremities, etc. 

It is not uncommon for ladies affected by this terribly annoying dis- 
ease, to complain of dreadful and excruciating pains in the hips, knees, 
spine, etc., with great tenderness to the touch, and which is owing to the 
severe muscular contraction caused by the spasms, rather than by any 
disease of these parts. Sometimes a species of paralysis accompanies hys- 
teria, and occasionally ladies will imagine many strange things, and even 
practice more or less deception, speaking in a whisper, pretending to 
vomit blood, meat, etc., etc. 

In some women, and especially during pregnancy, with a very slight 
warning, they may be attacked with a severe fit of hysterical convulsions 
which may occur daily, every other day or at longer intervals, and which, 
if not removed, will induce miscarriage, which usually occurs at the time 
of a fit. 

Causes: Hysteria is a disease that attacks only women, after the be- 
ginning of menstruation, and may be produced by various causes, as: 
want of sleep, excessive fatigue, disordered digestion, sudden mental 
shocks, as, joy, fear, grief, etc., excitement of the reproductive organs, 
onanism, excessive sexual intercourse, or more frequently, abstemious- 
ness among unmarried or widow ladies. Females of a nervous, irritable 
temperament, are most likely to be attacked. The paroxysms occur more 
frequently about the monthly period than at any other time. Excessive 
discharges or debilitating diseases frequently give rise to attacks of hys- 
teria which occur during convalescence, and are renewed frequently and 
from the slightest causes. 

Hysteria may be distinguished from Epilepsy by observing, that in 
the former there is no frothing at the mouth, no profusion of the tongue, 
and after the paroxysm is over, the patient recovers her usual state and 
does not fall into a sleep as in epilepsy. 

It may be distinguished from apoplexy by observing that in this the 
patient loses consciousness and voluntary motion first, and finally all 
motion ceases, and the breathing is stertorous. 

From puerperal convulsions, by observing that in these, the action of 
the muscles are violent and irregular, the bead is strongly rotated to the 
right and left, and backward, with violent jerking convulsions of the 
muscles of the back, abdomen, and upper and lower extremities, spasmo- 
dic action of the muscles of the face is rapidly repeated, the lips and teeth 
are firmly closed, the breathing is loud and hissing, the tongue is very 
livid, protruded forward, and often bitten so that the blood and saliva is 
thrown to some distance through the compressed lips, the face becomes 
livid and the attack usually occurs in first labors among females with 
short thick necks. 

BOMGEOPATHIC TREATM ENT. 

The medicine which offers the closest similarity to the symptoms of 
ilo fits, when they occur, and which arc most successful in restoring the 
patient during the paroxysms, may, in many cases, he administered in 
repeated dOBCS, lor the purpose of overcoming, or, at all events, of mod- 
erating the predisposition, It should, also, be borne in mind, that if this 



HYSTERIA OR HYSTERICS. 159 

condition be associated with other derangements, the treatment which is 
particularly appropriate for such derangements is also the best prevent- 
ive and eradicative resource. There are, however, a few medicines which 
are especially and particularly applicable to the removal or modification 
of this constitutional tendency ; these, however, we shall simply enu- 
merate, with their chief and characterizing indications. 

Sepia is, in the great majority of cases, the medicine upon which 
the chief reliance can be placed, more particularly if the patient has 
been affected with green-sickness, whites, or with other chronic de- 
rangements, or diseases of the womb and its appendages ; or, again, when 
she is liable to be seized with sudden attacks of debility, approaching to 
general but temporary palsy, and attended with outbreak of profuse and 
often clammy perspiration. 

Dose : Four globules in a tablespoonful of water, every night at bed 
time, for ten days (unless change should sooner occur); then pause 
a fortnight, after which the course may, if necessary, be repeated as 
before, and so on, from time to time. 

Calcarea carbonica, on the other hand, is more especially appro- 
priate for the treatment of persons of an attenuated, sickly-looking frame 
and pale, wan, sunken countenance, with whom the general convulsion 
attending the attacks is very violent, and who are subject to fainting-fits, 
or to an habitually impaired and capricious appetite, the menstrual dis- 
charge occurring too frequently, and in excess. 

Dose : Four globules, as directed for Sepia. 

Natrum muriaticum is to be preferred, also, in cases in which the 
countenance is sickly, palid and sunken, but more particularly when there 
is an habitual dislike to society, and when constant gloom, sadness, or de- 
spondency is apt to affect the patient; whilst feeble powers of digestion, 
and prevailing chilliness, with occasional flushing of the face, and re- 
tarded menstrual discharge, further characterize the case. 

Dose : Four globules, as directed for Sepia. 

Veratrum is of much service in overcoming the constitutional ten- 
dency to hysterical attacks, as well as in modifying their immediate vio- 
lence, in cases in which they are attended with clenching of the jaws, or 
general spasm, coldness of the extremities, and clammy sweat, especially 
on the face and forehead. 

Dose : Three globules, as directed for Sepia. 

TREATMENT OF THE ATTACK 

Belladonna is appropriate when the paroxysms are characterized 
by, and commence with, a sensation of choking, with spasmodic closing 
or obstruction in the throat, and every sensation as if suffocation would 
ensue ; the face being hot, bloated, and of a dark-red hue, and there be- 
ing other indications of determination of blood to the head ; or, when, as 
the paroxysm proceeds, the eyes become prominent, wild, and staring, 
and the pupils much dilated; or, when, again, during the intervals be- 
tween attacks, the patient habitually sleeps in a disturbed and restless 
manner, suddenly tossing in, or even starting from, sleep. 

Dose : When the sensations of an approaching attack are apparent, 
give two globules in a teaspoonful of water, repeating the dose after 



180 OUR FAMILY PHYSICIAN. 

the lap^e of a quarter of an hour, and again half an hour later, if 
the symptoms do not sooner subside; or, again, after the subsid- 
ence of the attack, or during the momentary intervals of calmness, 
give similar doses from time to time. After the attack, the doses 
should be repeated every six hours, for twenty-four hours. 

Igxatia is of great value for the treatment of hysterical paroxysms 
affecting patients of a mild and very sensitive disposition, or those who 
are subject to extreme variations of spirits, and when the attacks are apt 
to be somewhat suddenly announced bj 7 convulsive laughter, provoked 
by some slight or imperceptible cause : the face, previously pale, becom- 
ing flushed, deep-red, or even livid, and the laughter terminating in 
screams; or, more especially, when the attack is preceded by the sensa- 
tion of a ball in the gullet, which gives rise to a feeling of suffocation, 
attended with spasmodic eructation ; further, when convulsive move- 
ments of the extremities, with clenching of the thumbs, occur during 
the paroxysm; or when, again, there is alternation of flushing and pal- 
lor; or when the patient is affected with frequent fits of yawning, or 
with drawing of a deep breath upon recoAery. 

Dose: Two globules, as directed for Bel (ado ana. 

Pulsatilla is appropriate for the treatment of patients of mild and 
sensitive or exceedingly timid disposition, or of phlegmatic or lymphatic 
constitution, and when there is an habitual or very frequent derangement 
of menstruation, or, more particularly, with predominant derangement 
of the organs and functions of digestion at the period of the menstrual 
discharges, and when the attacks are characterized by tearfulness or fits 
of crying without any ostensible cause. 

Dos< : In all respects as directed for Belladonna. 

Chamomilla is sometimes of service when the attacks are preceded 
by flushing, with burning heat of the skin, sensation of extreme anguish 
and with anxious and hurried respiration, and when they occur in fe- 
males of extremely excitable and peevish dispositions, and who have 
been habitual coffee-drinkers. 

Dost : A- directed for Belladonna. 

GelsEMINIXM should be given when the hysterical paroxysms assume 
the proportions of convulsions; there are: excessive irritability of body 
and mind ; a semi-stupid condition, with languor and prostration ; nerv- 
ous headache, commencing in the back of the neck, and thence spread- 
ing over the head: vertigo and dimness of vision; difficult menstru- 
ation. 

Dose: As directed for Belladonna. 

Ai;im MET. is to be preferred when the patient is habitually of a 
gloomy, desponding disposition, or manifests paroxysmal attacks of vio- 
lent excitement, with attempts at self-destruction; and when the attacks 
are preceded by, and accompanied with, extreme anxiety, insupportable 
oppression at the chest, and palpitation of the heart. 

Dose: A.8 directed for Belladonna. 

Stramonium may be named as especially appropriate when the 
attacks are characterized bj the predominance of hiccough, and are at- 



HYSTERIA OR HYSTERICS. 161 

tended with convulsive movements of the arms, and with an expression 
of extreme exhaustion or of vacancy, and difficult articulation ; or some- 
times with violent raving, sudden desire to remove, as if from the reach of 
some fancied danger, and with alternations of crying, or even discordant 
attempts to sing, and violent convulsive laughter ; or when, again, the 
violence of the attack is liable to be reinduced or aggravated by the sight 
of shining or glistening objects. 

Dose : As directed for Belladonna. 

Xux vomica is to be preferred when the patient is habitually of an 
irritable disposition, or of nervous or bilious temperament, and of costive 
habit, — or generally, moreover, of a meagre frame and pointed features ; the 
attacks being preceded or accompanied with twitchings of the limbs or of 
particular muscles, and when a vexation or disappointment has been the 
exciting cause of the attack. Also when stimulants of various kinds have 
been too freely employed from time to time. 

Dose : In every particular as for Belladonna. 

Yeratrum is generally to be recommended when the attacks are 
characterized by clenching of the jaws, or general spasmodic affection of 
the entire frame, coldness of the extremities, and clammy perspiration, es- 
pecially on the face and forehead, and when a considerable quantity of 
pale urine is generally voided before or after the attack. 

Dose : As directed for Belladonna. 

Conium should be administered when there is much vertigo, particu- 
larly on lying down ; she cannot turn in bed, without exciting great dizzi- 
ness. The breasts swell, and become painful and hard, as the menstrual 
period approaches, at which time the hysterical symptoms are usually 
developed. Choking sensation in throat, as though a ball were ascending 
from the stomach. 

Dose : In every particular as directed for Belladonna. 

Moschtts. Violent, long-continued scolding, until she falls down in 
an hysterical paroxysm. Great anguish ; she feels as if she must die, and 
insists that she will die. Feeling of constriction or tightness on the chest 
during the paroxysm. 

Dose : As directed for Belladonna. 

Catjeophyltjm will prove of value in some cases, when the hysteria 
can be traced to disordered condition of the menstrual flow, or to some 
disease of the womb. 

Dose : As directed for Belladonna. 

Cactus grandiflortjs should be given when there is great sadness, 
taciturnity, and irresistible inclination to weep ; love of solitude, and fear 
of death ; menstruation is excessively painful, and there is great prostra- 
tion at the menstrual period. It is particularly suitable for cases in which 
there is a disordered condition of the heart. 

Dose: As directed for Belladonna. 

ACCESSOKY MEASURES. 

Above all things, it is necessary that any portion of the clothing which 
may fit tightly should be loosened as an attack ensues, or threatens to 
II 



162 OUR FA3ULY PHYSICIAN 

ensue; all strings and fastenings should be undone, and the stays should be 
unlaced. "Whatever may tend to impede the circulation should be re- 
moved, and the patient should be stretched out in a recumbent position, 
(the floor being the safest and best place), beyond the reach of any article 
which she might strike against in the convulsive movements. A free cur- 
rent of air should then be admitted, and the face of the patient should be 
sprinkled with cold water. Friction of the wrists, ankles, and palms of 
the hands, is often also of service. 

GENERAL REMARKS. 

In order to overcome the constitutional tendency to hysteria, a long 
and judicious course of treatment is always required in inveterate cases. 

Diet axd Regimen. Persons who are subject to hysterical attacks 
should avoid tight lacing, or any articles of clothing which fit too closely 
and firmly round the body. Elastic jackets are much to be preferred to 
stays. They should also take regular exercise in the open air, without 
fatiguing themselves; avoid all depressing and exciting emotions; live 
regularly; keep early hours ; abstain from rich, seasoned, or stimulating 
fo k! or drinks, and partake only of plain but nourishing food. To these 
regulations may be added such others as have been enumerated under the 
head of '•Green-Sickness," ''Suppressed Menstruation," ''Excessive Men- 
struation," "Difficult or Painful Menstruation," "Whites;" and also the 
general rules prescribed in the article on "Eradicative Treatment." 

ALLOPATHIC TREATMENT. 

Hysteria.— The name given to this disease was because of a sup- 
posed connection between it and a diseased uterus (womb.) In a certain 
proportion of cases there can be no doubt that this relation exists. When 
the uterus is affected, with a decided alteration in shape, general treat- 
ment, while not without benefit, will quite frequently fail in removing 
the disease. If the patient is young and unmarried, without any irregu- 
larity in the catamenial flow, without pain in the back, or without pains 
or undue frequency in micturition, such cause may be excluded, and the 
patient placed at once on general treatment alone. If the patient is mar- 
ried but barren, there is a probable causative relation between the womb 
and the hysteria, or, in any case, if there is marked irregularity of the 
catamenia (monthly sickness), backache, and frequent passage of urine, 
in only small quantities, there is doubtless a displacement of the uterus, 
which should be restored by a competent physician and maintained in a 
of rest. 

Regarding general treatment, one of the principal objects is to invig- 
orate ihc body by good, nutritious food, exercise in the open air just 
short of weariness, and regular habits regarding sleep. The mindshould 

- rengthened by healthful occupation. Everything which excites the 
feelings, emotions, pa— ions, or imagination, should be avoided. The 
patient should be urged to arouse the will against giving w r ay to the 
paro The discreditable opinion commonly held of the disease may 

he urged asa motive lor the patient to resist, to use the power of her own 
will, in warding off the affection. 

Thi treatment is moral and its success rests on thetact of the 

attendant, hut requires discretion and delicacy. Many times is the phy- 



CHOREA. 163 

sician's patience sorely tried by patients prolonging the malady by their 
own desire, in order to excite sympathy. 

If the patient is in reduced health, the Elixir of Quinine, Iron and 
Strychnine, in doses of a teaspoonful before each meal, will prove benefi- 
cial. Or the Elixir of Bark, Iron and Strychnine, may be given in the 
same doses, or doses of a dessertspoonful (two teaspoonsful). 

If the patient is young, and in vigorous health, the Bromide of Po- 
tassium, in doses of twenty or thirty grains, three or four times a day, 
will often prove most beneficial, by allaying all forms of nervous excite- 
ment. Mono-Bromated Camphor is, also, beneficial, under the same con- 
ditions. It is best given in pills. The dose is four or five grains, three or 
four hours apart. 

The distressing symptoms in hysteria demand attention and relief. 
In a hysterical convulsion, if it were not that the patient may inflict in- 
jury upon herself, as they would soon end of themselves, it would be well 
generally to make no attempt to interfere, but let the paroxysm exhaust 
itself. Pouring cold water upon the head, from a little hight, will gen- 
erally bring the "hysterical fit" to an end. The insensibility (coma) of 
hysteria will generally yield to the same means. 

Some of the remedies which many times have a favorable effect upon 
the hysterical condition, are: Assafcetida and Valerian, Mixture or milk 
of Assafcetida (two drams of Assafoetida dissolved in a pint of water) may 
be given in doses of one or two tablespoonsful just before an expected at- 
tack. It may be repeated two or three times in the twenty-four hours. 
The Assafoetida may be given in pill. 

Valerian, in fluid extract, dose, a teaspoonful ; tincture, dose, two tea- 
spoonsful ; an infusion (tea) (made with a half ounce of the Valerian root 
to a pint of water), dose, a wineglassful may be given to answer the same 
purpose as Assafoetida. 

The headache of hysteria is best relieved by Hyoscyamus and Cam- 
phor, or the Bromide. The Tincture of Hyoscyamus and Spirits of Cam- 
phor may be given in doses of a teaspoonful. 

In the absence of other means, the free use of hop tea will afford a 
good degree of tranquility to the nervousness of the patient. 



CHOREA. 

ST. VITUS DANCE. EPILEPSIA SAI/TATORIA. 

Chorea is a disease of the later years of childhood. It is seldom seen 
before the sixth year of age, and only occasionally after the fifteenth. 

Causes: Onanism, worms, fright, anger, second period of dentition 
(teething), and a continued effort to imitate some one afflicted with the 
disease. 

Symptoms : At first, the patients show a certain uneasiness in their 
movements, and an unusual hurriedness, low spirits, ill temper. (The 
last two symptoms are often made much worse by the unkind rebukes 
the child receives, for what appears like hurried carelessness in handling 
things). 



164 OTJR FAMILY PHYSICIAN. 

Gradually, or, in some cases, very soon, the involuntary movements 
begin, either confined to single parts, or affecting the whole muscular 
system : the upper extremities are usually more affected than the lower 
ones. The face shows every possible contortion; even the eye balls are- 
rolled about in every direction ; the arms and hands are, at times, flexed 
(drawn up), at others, extended. The grip is no longer firm ; the patients 
cannot eat alone, or if they do, have to bring their food to the mouth by 
a very circuitous route ; the walk becomes unsteady, because the legs can 
no longer be put down with sufficient steadiness, and even the ability to 
keep them .stiff enough to support the body firmly, is wanting. A strik- 
ing feature of the disease is, that the more the patient tries to keep the 
part still, the more violent the involuntary motions become. It is pecu- 
liar to this disease, that even those excessive muscular movements do not 
fatigue the patient. 

After a gradual increase of the symptoms, the disease reaches its 
bight, where it remains stationary for a time, lasting a few weeks, or 
even several months, and sometimes terminating in recovery, either 
quite suddenly, or only gradually. The cases where the convulsive 
movements become habitual, are very rare. Death is a very rare termin- 
ation of the disease. So that the prognosis is favorable. 

ALLOPATHIC TREATMENT. 

Chorea— St. Vitus' or St. Gay's Dance. This disease occurs, in a 
large proportion of cases, in persons whose vital forces are, more or less, 
reduced, and in a state of anaemia (impoverished blood). The diet should 
be plain, and unirritating, but nourishing. Fresh air, and out of door 
exercise, are to be insisted on. In proportion to the weakness, and anae- 
mia, should tonic treatment be resorted to. Iron should be given, to re- 
store the blood to its healthy state. I would use the Pyrophosphate of 
Iron, in doses of a grain, three times a day. Take a dram of Pyrophos- 
phate of Iron, dissolve in four ounces of Simple Syrup, and give a tea- 
spoon half full, to a young child, and a teaspoonful to a nearly grown 
child, three times a day. 

Sweet cream, or Cod Liver Oil, will be useful in restoring health and 
strength ; of course, they are not to be given if the patient is full blooded, 
or over fat : hut this is not likely. 

The bowels should be kept regular, and a daily bath should be given. 
1 f agreeable to the patient, and the reaction is good, a cool bath is prefer- 
able, but if not, the bath should be warm. 

In some cases, the involuntary movements are so violent that the pa- 
tient should remain in bed. 

The two remedies which certainly exert a curative influence over the 
disease, are. A i>en ic a ml Strychnine. 

Arsenic Is of undoubted value. It is conveniently given in the form of 
Fowler's Solution, in doses of five drops, three times a day, after eating. 
It can be given in water, or added to each dose of the Syrup of Iron, rec- 
ommended above, [t should be continued until swelling of the eyelids 
iv produced. 

In obstinate eases, of general or local chorea, i his remedy has been 



CHOREA. 165 

found exceedingly useful, administered by hypodermic injection, in doses 
gradually increased to fourteen drops, diluted by an equal quantity of 
water. 

The chief reliance of many physicians is upon Strychnine, but the 
most effectual manner of administering is such, that it is unsuited to do- 
mestic practice. If the case is obstinate, and a physician cannot be 
obtained, I would recommend the following : Take one grain of Sulphate 
of Strychnine, water four ounces ; a solution of Hypophosphite of Soda, 
in simple syrup, two and a half drams of the Hypophosphite of Soda 
dissolved in four ounces of simple syrup. Dose : a teasj)oonful three 
times a day, given with the Syrup of Pyrophosphate of Iron. After solu- 
tion is effected, give a teaspoonful three times a day to a child ten years 
old. After a few days it may be given four times a day. If rigidity of 
muscles is produced the dose should then be diminished. 

In those severe cases in which the excessive choried movements pre- 
vent the proper amount of sleep, moderate doses of Hydrate of Chloral 
should be given to secure rest. Take of Hydrate of Chloral and Bromide 
of Potassium each two drams, simple syrup, two ounces. Mix. Dose : a 
dessertspoonful once or twice a day, to procure rest. 

HOMCEOPATHIC TKEATMEXT. 

In view of the well-recognized fact, that most cases of Chorea get well 
themselves, although slowly, we would recommend the very limited use 
of medicine. 

The Homoeopathic remedies we will only mention the names of; they 
can be compared by the use of the Repertory : Cuprum, Stramonium, 
Belladonna, Hyoscyamus, Ignatia, Zincum, Cina, Gelseminum. If caused 
by onanism, Phosphoric Aofd. 



166 OUR FAMILY PHYSICIAN. 



Part Third. 

DISEASES OF THE HEAD. 



CHAPTER VII, 



HEADACHE. 

Headache is one of the most common symptoms of many forms of dis- 
ease. Hence we might name a great many forms of headache arising from 
a variety of causes, without, however, helping the treatment in the least 
by so doing. 

The headache will disappear as soon as the affection upon which it de- 
pends is cured. It is nut always easy to find out the causes of headache; 
it is sometimes very violent, when the general disease seems very slight, 
and seems on that account, to be more or less an independent condition of 
distress; but all attempts to point out remedies here for all such cases, 
would be more than our space will allow. If the headache is simply an 
accompaniment of some other complaint, we must refer the reader tothat 
complaint and the '-Repertory" for treatment, and here only devote our 
attention to some particular forms of headache, which appear to be almost 
disconnected with other affections. 

I. Hemicrania ok Megrim. A headache which usually affects one 
side of the head and occur paroxysmally at more or less regular intervals. 
This headache is a pure neuralgia, and while it does sometimes occur in 
company with other diseases, it occurs more frequently without such as- 
sociations. 

The Causes. Where it occurs as a complication of other diseases, it 
may depend upon liver-complaint, derangement of the stomach or heart, 
but more frequently upon an unhealthy condition of the sexual organs. 
As an independent disease, it is ouly met with in the constitution and tem- 
perament which we term "nervous." Hence, it is more frequent among 
females and occasionally among children. 

77/' symptoms. In general, the symptoms of this form of headache 
are very constant and uniform, varying only in less important points. In 
most eases, without any precursory symptoms, much less frequently after 
a previous feeling of fatigue, the patients awake in the morning with a 
violent and constantly increasing headache. The pain is throbbing or 
tearing or burning, or simply an ache, and is generally confined to a 
sharply circumscribed locality on one side of the head, usually the left 
External pressure affords relief. Every mental and physical effort is pain- 
ful, while mental pleasure and attractive occupation afford some relief 
As the pain increases the eyes become sensitive to the light, and thereisa 



HEADACHE 167 

copious flow of tears. When the pain is at its bight, the patient vomits a 
watery phlegm after having experienced nausea for some time previous. 
After the vomiting the patients feel better, and want to sleep/and after a 
sound sleep they generally wake quite well, only a little weary. Such 
paroxysms sometimes recur again in a few days, sometimes not till months 
have elapsed; in the case of females, they are apt to come on about the 
monthly period. The general condition of the system is not always af- 
fected by the attacks ; in the intervals between the attacks the patients 
may have the appearance of enjoying- good health. Very rarely the pain 
lasts beyond twelve hours; if it lasts longer, it may continue thirty-six 
hours ; (See Treatment at the end of this article). 

t Neuralgic Headache. What this form of headache has in common with 
Megrim is, that it likewise occurs periodically, most commonly affecting 
only one side of the head, and likewise tending in some cases to excite 
vomiting. But unlike megrim, this headache never ends with one par- 
oxysm alone, but after the headache has once begun, the paroxysm gener- 
ally returns at the same hour for several days in succession, sometimes 
with as much regularity as intermittent fever. 

The remaining varieties of headache— Catarrhal, Congestive, Gastric, 
Kheumatic, Sick and Nervous— will be kept in mind in che treatment of 
this subject without further reference here to each of their peculiarities, 
and patients will find the treatment very satisfactory. 

ALLOPATHIC TREATMENT. 

Headache.— Recurring headache is one of the most difficult troubles 
to treat successfully, as far as permanent cure is concerned, yet many 
cases are much benefited by treatment. Hereditary predisposition, which 
is found in many cases, is beyond the reach of art, as far as removal is 
concerned, but their operation may be greatly lessened by prudence and 
proper treatment. 

The disease, when not a symptom of the numerous affections which it 
accompanies, as active congestion of the brain, inflammation of the mem- 
branes of the brain, inflammation of the brain, the essential fevers, etc. 
is, especially, neuralgic, and similar measures are called for in its treat- 
ment. When the pain is located in the face, or forehead, in the scalp, or 
back of the head and neck, and two or three tender points are found by 
pressing on the skin with the finger, the disease is a neuralgia of those 
parts, and should be treated as directed in the article on neuralgia. 

The treatment will embrace measures to be employed at the time of 
the attack, when immediate relief is urgently demanded and during the 
intervals, when the design will be to guard against a recurrence of the at- 
tacks, and moderate their severity. If the patient is a hearty, robust per- 
son, with an abundance of blood, and the headache dependent upon full- 
ness of blood, and such symptoms of congestion occur, as a flushed face, 
throbbing of the head and ears, the congestion should be relieved. Prob- 
ably a saline purgative, as a tablespoonful of Epsom Salts (sulphate of 
magnesia), in water, slightly acidulated with lemon juice, or coffee, will 
prove effective against both the congestion and the headache. Such means 
as the application of cold to the head, by means of cold, wet clothes, or 



168 OUR FAMILY PHYSICIAN. 

pounded ice in a sack or bladder, and hot foot-baths of simple warm w iter, 
or with the addition of mustard or red pepper, may be employed. In such 
persons the diet should be somewhat reduced, more exercise taken, and if 
constipation exists, it. should be overcome by a daily dose of a teaspoonful 
of Epsom or Rochelle Salts. 

Many cases occur where congestion is not so violent, following some 
error of diet, in which mild purgatives are useful; two or three Compound 
Cathartic Pills, U. S. P., or the Improved Cathartic Pills, will answer a 
good purpose, though many others may be given. The salines act more 
quickly. 

If patients are not unpleasantly affected by opium, an attack may 
frequently be warded off, shortened or lessened, by a full dose, of opium in 
some of its forms, as one grain of powdered Opium, or one-sixth to one- 
third of a grain of Sulphate or Acetate Morphine, or a grain of Codia. 

Carbonate of Ammonia, in doses of from rive to ten grains, is some- 
times successful in affording relief; also the Muriate of Ammonia (Sal. 
Ammoniac), in doses of ten grains. 

The congestive form of sick lieadaclie is generally dispelled by one or 
more full doses, twenty to forty grains, of the Bromide of Potassium. The 
variety in which it acts, almost as a specific, is characterized by a flushed 
face, throbbing temples and intolerance of light. Ergot is also a valuable 
remedy in this variety of headache, and should be given in doses of a dram 
(teaspoonful) of the Fluid Extract. Some physicians extend its use to all 
forms of headache. 

The opposite form of sick-headache, manifested by paleness of the 
face, dizziness, and ringing of the ears, is quite certainly relieved by Bel- 
ladonna. The distress may be increased at first, but great relief follows 
afterward. The following is a useful formula : Take of Atropium (the 
active principle of Belladonna) one-fourth of a grain, Chiaoidine twenty 
grains. Mix and make into twenty pills. Take one pill two or three 
times a day. Five grains of Extract of Belladonna may be used instead 
of the Atropium. .Relief is often obtained in this form of headache by 
the use of Elixir of Guaraua, in doses of a tablespoonful frequently re- 
peated—from thirty minutes to an hour apart, 

Some cases of nervous headache are quickly relieved by a teaspoon 
half full of Hoffman's Anodyne (Compound Spirits of Ether.) 

I have found cases in which the following relieved the pain with 
greater certainty than anything else used in their treatment: Take of 
Chloral Hydrate one dram , Bromide of Potassium one dram, Simple Syrup 
two ounces. Mix. Dose, a dessertspoonful, and repeat in tw T o or three 
hours, if the pain is not relieved. 

The physician often finds it necessary to let the patient inhale a little 
Chloroform. Evaporating Lotions (washes), as Alcohol, Spirits, Cologne, 
Vinegar, or Ether, often afford relief. Sometimes a towel, or other large 
cloth, wrung out of hoi water and applied to the head, gives greater re- 
lief than cold applications. Strong coffee or tea may give great relief in 
some cases, though their constant use is often a cause of aggravating the 
malady. 

During the Interval between the paroxysms, attention should be giv- 
en to the general health, and to correct, a^ far as possible, any disorder 



HEADACHE. 169 

which may be discovered. Indigestion and constipation are to be guard- 
ed against. The laws of health should be closely observed. Everything 
which is noticed to excite or increase the severity of the attacks, must be 
avoided. Sleep should be sufficiently long, and to this end the patient 
should habitually retire early. If the appetite is poor, and the patient 
weak and pale, or if he feels weary upon rising in the morning, he should 
have an Iron tonic, and plain but nourishing food. The Pyrophosphate 
of Iron one dram, dissolved in four ounces of water, or syrup, can be giv- 
en in doses of a teaspoonful after each meal. Or the Citrate of Iron and 
Quinine can be given in the same way. 

In addition to Iron, I would recommend the pills of one-tenth grain 
of Phosphide of Zinc, and one-fourth grain of Extract of Nux Vomica, 
known as Hammond's formula, of which one or two pills may be given 
three times a day ; or the pills of Phosphorus, one-fiftieth of a grain, and 
Extract of Nux Vomica one-fourth of a grain, may be given in the same 
manner. 

Arsenic has been found useful, given between the attacks, and should 
be tried if the other means, after a faithful trial, do not benefit. It can 
be given in the form of Fowler's Solution, in doses of five drops in water, 
after eating. If swelling or watering of the eyes occurs, its use should be 
suspended until this symptom disappears, and then resumed again. 

Small doses of Quinine, two or three grains three times a day, may 
prove effective in guarding against a recurrence of the attack. It can be 
taken in powder or pill. 

Stimulants of all kinds are generally harmful, including beer and 
wine, and can be generally given up with advantage. Excesses of all 
kinds should be avoided. 

HOMOEOPATHIC TREATMENT. 

Arsenicum for intense frontal headache with vertigo, tearing in the 
head, with vomiting, when raising the head. Headache after meals, re- 
lieved by applying cold water, or by walking in the fresh air ; sensation 
in the brain, as if torn to pieces, with unquenchable thirst; all periodic 
headaches; sometimes, when the headache is intense, a dose or two of Ars. 
gives as much ease as a dose of Opium ever does. 

Belladonna for headache from the heat of the sun. Nervous head- 
ache frequently on one side of the head, especially the right side, coming 
on from 4 p. m., to 8 A. M., aggravated by the heat of the bed, and by ly- 
ing down ; better when sitting up, feeling in the brain like the swashing 
of water, cold sensation in the brain in the middle of the forehead ; pres- 
sive frontal headache, so severe when walking that the eyes are some- 
times drawn shut, frequently obliged to stand still, when walking, from 
the violence of the pain in the forehead ; at every step it seems as if the 
brain rose and fell in the forehead, relieved by strong pressure on the 
forehead ; violent throbbing in the brain, from behind forward, and to- 
wards both sides ; finally painful shootings, stabbing as if with a knife 
from temple to temple ; boring, tearing, cutting, shooting pains in vari- 
ous parts of the head, worse on right side and in forehead, less in back of 
the head; headache is accompanied by dizziness, stupefaction, red and 



170 OUR FAMILY PHYSICIAN. 

bloated face, red eyes ; excessive sensitiveness to noise, light, shock, jar, 
or slight contact ; ill humor ; pains come on suddenly, last indefinitely, 
but cease suddenly ; headache from catching cold in the head, as from 
having the hair cut. 

Dose : Of a solution of eight pills in four tablespoonsful of water, give 
a teaspoonful every 15 minutes to two hours, according as the sever- 
ity of the case demands. 

Nux Vomica. Congestive headache, and headache from derangement 
of the stomach (gastric), with nausea and vomiting, worse by coughing 
and stooping ; pain as from a nail driven into the brain, or stitching pain 
with nausea and sour vomiting, stitches and pressure in one side of the 
head, worse in the morning, driving the patient out of his senses ; exces- 
sive sensitiveness of the brain to motion and walking ; heaviness of the 
head, especially when moving the eyes or thinking ; with sensation as 
if the skull would split; whizzing in the head, with vertigo, or with 
shocks when walking ; headache every morning on waking, after eating, and 
in the fresh air, when stooping or during motion, even when merely mov- 
ing the eyes ; the pains come again after drinking coffee ; aversion to cof- 
fee, pale, worn-out look ; constipation with tendency of blood to the head, 
irritable, vehement disposition, or lively, sanguine tempers ; persons who 
lead a sedentary life, or who drink. 

Dose: As for Belladonna. 

Calcarea Carb. for icy coldness in and on the head, also one-sided 
headache, with pale, puffed face, with empty belchings (eructations) and 
nausea, vertigo ; worse from mental exertion, stooping, or walking in the 
open air ; better by closing the eyes or lying down ; headache begins in 
the back part and spreads to the top of the head, so severe one thinks 
their head will burst and they will go crazy ; throbbing headache in mid- 
dle of the brain every morning, lasts all day ; headache from over-lifting : 
menstrual headache; worse going up stairs, talking or walking, or riding 
in the hot sun, or from taking cold ; better from tight bandaging, vomit- 
ing of mucus and bile, and pressure, with cold hands or something cold. 

Dose : As for Belladonna. 

Icwatia is especially appropriate for one-sided headaches proceeding 
from irritation of the spinal nerves, or may be required in cases where 
Pulsatilla appeared to be indicated, but failed to relieve. It is also an ex- 
cellent remedy and should be preferably selected in cases in which the 
pain is confined to a small space, and causes a sensation as if a nail were 
being driven from within outward; also when the pain is of a pressive 
aching, or of a shooting description proceeding from within outward and 
chiefly confined to the forehead and root of the nose; and when there are 
naussa and dimness of sight, and sensibility of the eyes to light; paleness 
of the face, (Nux is red) and temporary alleviation from change of posi- 
tion ; aggravation from noise, strong odors, and drinking coffee. Ignatia 
i- especially applicable to nervous females of a mild and sensitive disposi- 
tion, or to those in whom the at tacks are prone to be excited by depressing 
emotions or return at the menstrual period. 

Done : Am for Belladonna. 



KEADACFTE. 171 

Sepia is one of the most valuable remedies in the treatment of severe 
and inveterate sick headache or megrim. It is more particularly required 
in periodical headache, aggravated by mental emotions, in nervous 
females ; the pain is either of a lancinating description, or it is a pressive 
aching, shooting, or a tearing, piercing or jerking pain, and affects the 
whole of the head, or it is only seated under the eye or occupies one half 
of the head or forehead ; in the latter case the pain is experienced chiefly 
in the morning, and is frequently attended with extreme sensibility of 
the eyes to the light. Sepia is also very efficacious in cases of obstinate 
megrim, with violent piercing or rending pain, intermingled with lan- 
cinations so excruciating that the patient is afraid to move, and can obtain 
only a very little relief by keeping perfectly still with the eyes closed ; at 
other times the pain is so severe as to cause the patient to scream out, and 
is accompanied with heat in the head, or faintness and giddiness, fol- 
lowed by nausea and vomiting. The source of the nervous headaches 
which call for the employment of Sepm, is to be found in derangement of 
the digestive organs or in some derangement of the womb, in the case of 
females. The headache is consequently a secondary and not a primary 
affection. We accordingly find that it is of the greatest efficacy in cases 
attended with green sickness, or with whites, in the intervals between 
periods, when a sensation of heat and fullness in the lower part of the 
belly, and also a peculiar offensive-smelling sweat, particularly in the 
armpits and on the feet prevail ; lastly, pale, dirty or yellowish complex- 
ion with a number of yellowish brown spots across the nose, a little 
resembling a saddle ; shrunken features, or a countenance expressive of 
surlering ; spare habit of body ; constipation. 

Dose : As for Belladonna. 

Saxguinaria. — This is one of the choice remedies for the sick head- 
ache to which Americans are subject; the attacks occur paroxysmally ; 
the pains begin in the morning, increase during the day, and last till 
evening ; the head seems to feel as if it would burst, or, as if the eyes 
would be pressed out, or the pains are digging, attended by sudden, pier- 
cing, throbbing lancinations through the whole brain, involving the 
forehead and top of the head more particularly, and being most severe on 
the right side, followed by chills, nausea, and vomiting of food and bile, 
forcing the patient to lie down and preserve the most perfect quiet, as 
every motion aggravates the suffering, which is only relieved by sleep ; 
the head is congested and the veins on the forehead are distended like 
whip cords. 

Dose : As for Belladonna. 

Pulsatilla is a remedy of great value in the treatment of megrim 
characterized by rending or shooting pains, with heaviness of the head, 
giddiness, dimness of the sight, sensibility to light, or buzzing or singing 
in the ears and earache ; nausea, paleness of the face, lowness of spirits, 
headache with pain in the back of the neck ; aggravation of the head- 
ache, with chilliness, towards evening, during repose, or particularly 
when sitting ; amelioration in the open air ; disposition mild ; tempera- 
ment phlegmatic. In females with retarded periodical returns. 

Dose : As for Belladonna. 



172 OUR FAMILY PHYSICIAN. 

BRYONIA for rheumatic headache, or headache with aching, piercing, 
or digging tearing pain at a small fixed spot, or piercing, aching pain in 
the forehead daily after a meal, or coming on in the morning, disappear- 
ing in the afternoon and returning again in the evening with great vio- 
lence, when it is attended with a sensation as if the head were pressed 
together, particularly at the temple; burning, tearing pains over the 
entire head, or shootings in one side of the head. The pains are increased 
by motion and are al tended with ill-humor and disposition to chilliness 
or shivering; they are sometimes relieved or terminated by a fit of vom- 
iting. 

Oosp : A> lb r Belladonna. 

Sulphur is indicated in chronic headache, following the suppression 
or driving in of some eruption or disease of the skin ; headaches occurring 
every day or every eight days, worse in the morning, or during the night, 
and attended with heaviness of the head, aching, or pressive pains in the 
forehead above the eyes, (causing the patient to knit the brows or keep 
the eyes closed) or over the entire head; incapability of mental exertion 
from the pains in the head; pains as if the head would split, or rending, 
shooting, dragging, jerking pains on one side of the head; aggravation 
of the headache from meditation, the open air, or movement ; extreme 
tenderness of the scalp cannot bear to touch or comb the hair ; falling off 
of the hair. 

If none of these remedies appear to be appropriate, study with the aid 
of the " Repertory," the following additional remedies: China, Verat?'um, 
Gelseminum, Cofocynth, Cimidfuga. In general cases, headaches which 
do not simply occur as the result of casual or accidental derangements in- 
volving irregularities of digestion, the diet should be plain, but (in the 
absence of fever) nutritious, and the meals should be regular. Regular- 
ity of the general habits, and early resting and rising with exercise in 
the open air (short of fatigue) are valuable aids in promoting and assist- 
ing a permanent cure. Everything which is known to provoke or aggra- 
vate an attack should be carefully avoided. Nineteen out of twenty cases 
can be cured, if this treatment is perseveringly adhered to. 

BOME Remedies.— Soda one-fourth teaspoonful, pulverized charcoal 
one-fourl h teaspoonful, paregoric ten drops, mix, to be taken as one dose 
and repeated in one-half hour, if need be. This is splendid for sick- 
headache, and should be given as soon as the indistinctness of vision 
conies on. 

Blood root, or Sanguinaria (Red Percoori), which is so common in 
our country, is a most sovereign remedy for American sick-headaches. 

Constant headaches may frequently be cured by snuffing certain ar- 
ticles, such as Camphor, the juice of Blood Beets, or Ground Ivy, or 
freshly-grated Horse Radish roots. 

\ towel or night-nap, wrung out of cold water and applied to the head, 
on retiring al Qight, is good for a headache which returns every morning. 

Applications of water, sometimes hot, at other times cold, will give 
relief in man v cases. 



NEURALGIA 173 

NEURALGIA. 

NERVE-PAIN, FAOE-ACKE, FACE- AGUE, AND NEURALGIA IN GENERAL. 

Symptoms. Neuralgia is one of the most painful diseases, or rather 
symptoms of disease, to which the human family is subject. It commonly 
occurs in the nerves of the face, although it is met with in different parts 
of the head, in the breast, side, hip-joints, and other parts of the body and 
limbs. Its attacks are usually sudden, and the paroxysm of pain varies in 
its duration. 

The pain is agonizing, lancinating, and shooting along the nerves like 
a shock of electricity, frequent feeling as if red-hot wires were thrust into 
the parts, and after the pain passes away, a numbness remains for some 
time. 

Sometimes, instead of attacking suddenly, it commences with a slight 
heat or sense of itching or numbness which augments in severity more or 
less rapidly. The pain occurs from time to time, at longer or shorter in- 
tervals, and is often produced by the most trifling causes, as a draught of 
-air, a slight jar or noise, or even talking. 

The prognosis is favorable, as far as life is concerned, but the fearful, 
and frequently returning pain exhausts the body and wears on the mind 
to such an extent, that the patient is often driven to insanity, melancholy 
apoplexy, and even suicide. 

Causes. Exposure to miasmatic influences, injuries to the nerves by 
accident, heat or cold, derangements of the digestion, the growing of the 
bone, through which the nerve passes, so as to close the very small open- 
ing through it; tumors growing in such a position as to make pressure on 
the nerve, and other causes which are to this day, not well understood by 
physicians. 

Neuralgia may be distinguished from rheumatism by the intensity of 
the pain, its short continuance and rapid return, and its liability to return 
on the slightest touch ; in accute rheumatism there is fever, redness, heat 
in the aifected part and some swelling, all of which are absent in neural- 
gia; in chronic rheumatism the pain is continuous, less severe and often 
worse at night. From toothache by the short continuance of the paroxyms, 
the rapidity with which it comes and goes, and the frequent convulsive 
twitchings of neuralgia. 

ALLOPATHIC TREATMENT. 

The treatment of Neuralgia has reference in the first place, to the re- 
moval of the cause, or morbid condition, upon which the neuralgia is 
ascertained to depend. These may be malaria (or miasmatic poisoning), 
poisoning by lead, an impoverished condition of the blood (anaemia), 
syphilis, pressure by morbid growths upon a nerve, etc. In all these 
instances, while it is common to consider the neuralgia a disease, it is 
really but a symptom and the cause behind the disease. A rheumatic or 
gouty condition of the system frequently contributes to the production of 
the neuralgia, and treatment appropriate to these conditions is called 
for. 

We nearly always find the health poor ; the bowels should be kept 
regular by means of laxatives , but physi ci ng sh ou 1 d be avoi ded . Al oes an d 



174 OITIt FAMILY PHYSICIAN. 

Pepsine answer very well. Take of Aloes eight grains, Pepsine thirty-two 
grains, Syrup of Gum Arabic a sufficient quantity. Make a mass and di- 
vide into sixteen pills. Dose : one or two each day at dinner. 

A generous nourishing diet should be given with plenty of milk and 
cream, raw eggs beaten with sugar and water, or milk and animal food 
twice a day. Cod Liver Oil will be found beneficial in building up the 
health. The clothing should be warm and flannel worn next to the skin. 
Often in intercostal neuralgia (in the nerves between the ribs) a chamois 
skin shirt will be exceedingly useful and chamois skin drawers will be 
equally useful in sciatica (neuralgia of the great nerve of the thigh.) 

Iron is the great restorer of the health in these cases, by enriching the 
blood. The Citrate of Iron and Quinine, dissolved in Orange Flower 
Water, or syrup, can be given in five grain doses three or four times a 
day, or the Tincture of the Chloride of Iron can be given in thirty-drop 
doses, largely diluted in sweetened water, after each meal. Other pre- 
parations of iron may be given with equally good results. When the 
benefit expected does not follow the use of it, iron should be given with 
Manganese. An eligible formula is : Take of Sulphate of Quinine, Dried 
Snip) hate of Iron, Dried Sulphate of Manganese, each, thirty grains. Mix, 
and let them be made into thirty pills. One or two pills to be taken three 
times a day. 

When the neuralgia is periodical, i. e. the pain recurs at regular inter- 
vals, quinine is a sovereign remedy, but its success is often remarkable 
when given in cases which are not periodical. It should be given in large 
doses, fifteen to thirty grains a day, for a week or more. This remedy is 
elevated to the first rank as an internal remedy for neuralgia. Arsenious 
Acid (Arsenic) will rank next in value to Quinine, and will be ordered 
by the physician in cases in which Quinine is not tolerated, though it 
will not be likely to succeed, if Quinine has failed. Fowler's Solution is 
the most convenient form and should be given in doses of five drops in 
water, after each meal. But if the hygienic and tonic plan of treatment 
fails, a physician had better be consulted before resorting any farther to 
interna] remedies. In rebellious cases the other remedies usually given 
arc Strychnine, the preparations of Zinc, Carbonate of Iron in large 
doses, Phosphorus, iodide of Potassium, Oil of Turpentine and Iodide of 
Potassium. The latter is indicated when the neuralgia depends upon a 
rheumatic condition, and also with mercury when the neuralgia depends 
upon syphilis. 

The relief of pain occupies a large place in the treatment. During 
the severe paroxysm, large doses of Opium are generally required. Mor- 
phine iii doses of one-fourth to one-half a grain can be given every hour, 
until relief is obtained, then slop giving it. The most effective method of 
giving Opium is by injection beneath the skin, (hypodermic) over the 
seat of pain, at the hands of a physician. The relief given is complete, 
and cures are effected In numerous instances, especially, in sciatica.' 
This element in the treatment, Bhould he guarded most' carefully to 
avoid the morphia-habit. [f the pain is not severe, relief may be had 
from Belladonna, Byoscyamus, Conium, stramonium or Aconite, etc. 
Probably afi good an internal anodyne as any ie Brown-Kequard's Neural- 



NEUBALGIA. 175 

gia Pills, in which several of the pain-relieving substances are combined ; 
the dose is one pill, from two to four hours apart. When the patient can- 
not take a pill, a watery solution may be made, or a pill may be crushed 
and taken as a powder. In the absence of these pills, the Tincture of 
Belladonna may be given in doses of ten to twenty drops ; or the Tinct- 
ure of Hyoscyamus, in doses of a teaspoonful to a tablespoonful, at the 
same intervals. The object to attain is relief from pain. 

Much relief may be obtained by local applications : The best of these 
are liniments of Aconite, Chloroform, or Opium. A piece of flannel 
should be saturated with the liniment, laid on the painful part and cov- 
ered with oiled silk. A good liniment, applied in this way, is this : Take 
of Tincture of Aconite, of Chloroform of each half an ounce, of Soap 
Liniment one ounce. Mix. 

Of the forms of counter-irritation, resorted to in neuralgia, the one 
most generally useful is the "flying blister." Small fly piasters about half 
an inch in diameter, are placed over the painful points, for two hours. 
The blistered points are to be dressed with simple ointment or tallow and 
allowed to heal as soon as possible. The blisters are to be repeated in a 
few days, if the neuralgia continues. Mustard plasters and dry cupping 
can also be resorted to. Severer counter-irritation will be resorted to by 
the physican in obstinate cases. 

In essential neuralgia, i. e., not dependent on an ascertained cause, 
there is no more useful agent than electricity in procuring relief from 
pain, and sometimes a cure results. Neuralgia of the face, neck and 
shoulder, and of the hip and thigh (sciatica), are the forms of neuralgia 
most likely to be benefitted by electricity. The positive pole of the gal- 
vanic battery should be placed at the point of emergence of the affected 
nerve, and the negative over the principal divisions of the expansion. 
From five to ten minutes should be occupied at each sitting. In old cases 
of sciatica, a needle, isolated nearly to its point, should be passed down 
into the flesh, near the nerve, and attached to the positive pole, while the 
negative sponge, elictrode, is passed over the course of the nerve. Gal- 
vanism frequently gives the best results in neuralgia of the uterus and 
ovaries. 

A permanent cure will generally depend upon a correct appreciation 
and management of the (diseased) constitutional condition upon which 
the neuralgia is dependent, or with which it is associated, with hygenic 
and tonic measures to strengthen the tone of the system and general 
health. These were alluded to in the beginning of our description of the 
treatment of this malady. 

HOMOEOPATHIC TREATMENT. 

Belladonna is indicated by darting pains in the cheek-bones, nose, 
jaws, or in the bones adjoining the ears ; or cutting and tensive pains, 
with stiffness at the nape of the neck, and clenching of the jaws, twitch- 
ing of the eyelid, or violent, shooting, tearing, and dragging pains in the 
ball of the eye; jerking pains in the facial muscles and mouth ; heat and 
redness of the face. The pain is, generally, preceded by itching and 
creeping in the affected side of the face, and at times becomes so severe as 



176 OUR FAMILY PHYSICIAN 

to be almost insupportable. The paroxysms are prone to be excited by 
rubbing the usual seat of the sufferings. 

Dose : Three globules in a teaspoonful of water, or dry on the tongue, 
repeated at intervals of four hours, for the first two days (should the 
pains continue, or recur without change of character during this pe- 
riod), and, subsequently, at intervals of twelve hours, for two days 
<if yet required); after which (if necessary and still indicated) the 
course may be repeated as before, and so on, until decided and per- 
manent amelioration or change. 

Platixa is appropriate when the subjoined symptoms are predomi- 
nant :— Feeling of coldness and torpor in the affected side of the face, with 
severe, spasmodic pain ; or tensive pressure in the bones adjoining the 
ears, with a sensation of creeping or crawling, and aggravation or renewal 
of the sufferings in the evening, and when in a state of rest ; flow of 
tears ; redness of the face, etc. 

Bom: Three globules, as directed for Belladonna. 

Gelsemixum should be given when the pain comes on in distinct 
paroxysms, and is very severe, accompanied with twitching and drawing 
in the muscles around the part affected ; the parts in and around the or- 
bit of the eye are most commonly affected. 

Dose : Three globules, as directed for Belladonna. 

Coi.oc yxth. Violent rending and darting pains, which chiefly oc- 
cupy the left side of the face, are aggravated by the slightest touch, and 
extend to all parts of the head, temples, nose, ears, teeth, etc.; mitigated 
by perfect rest, and by external warmth. 

Dose: Three globules, as directed for Belladonna,. 

Arsenicum should be given when there is a tendency to periodicity 
in the attacks or paroxysms, and the pains partake more especially of a 
burning, pricking, and rending character, and are experienced chiefly 
around the eye, and occasionally in the temples; the sufferings being oc- 
casionally of so severe a description as almost to drive the patient dis- 
tracted ; great anguish; excessive prostration, with desire for the recum- 
bent posture : sensation of coldness in the affected parts; exacerbation 
during repose, from fatigue, in the evening, when in bed, or after a meal; 
temporary amelioration from external heat. 

Dnsc : Three globules, as directed for Belladonna. 

China should be selected when, as in the instance of the foregoing 
remedy, there is a tendency to periodicity in the attacks, and when the 
pains are excessive, attended with extreme sensibility of the skin, and 
consequent aggravation from the slifjldcsf touch: the pains are located 
below the eye and in the check: great prostration after the paroxysms. 

Dose: Three globules, as directed for Belladonna. 

Vebatruw is more especially indicated by insupportable pains, 
which almost drive the patient to distraction; excessive weakness, even 
to fainting; general chilliness; exacerbation of suffering on getting 
warm in bed, or towards morning; temporary relief on moving about. 

Dose: Three globules, a- directed for Belladonna. 

3PIOELI-A Is frequently a useful palliative remedy in all cases when 

the pain i- excessive; but ii i> more especially required when the pains 



NEURALGIA. 177 

are of a jerking, tearing character, exacerbated by the slightest touch or 
by movement of the affected parts, or when they appear to shoot from 
the center of the brain to the sides of the head, or to the ears ; flow of 
water from the eyes and nose ; further, when the pains partake of a burn- 
ing and pressive aching character, and have their seat in the zygomatic 
process ; glossy tumefaction of the affected side of the face ; excessive agi- 
tation and anguish ; rheumatic pains elsewhere. 

Dose : Three globules, as directed for Belladonna. 

Mezereum is more especially indicated for burning, pressive pains, 
coming very suddenly, and which leave the parts numb, attended with 
chilliness and shuddering ; they are worse from eating warm food, or 
from entering a warm room : there is frequently redness and burning of 
the throat, and a stiff feeling of the jaws. It is especially suited after 
abuse of Mercury, or in syphilitic persons. 

Dose : Three globules, as directed for Belladonna. 

Iris versicolor is adapted to such cases as are associated with sick 
headache, where there is a good deal of vomiting of a sweetish mucus, and 
sometimes of bile. 

Dose: Three globules, as directed for Belladonna. 

Nux vomica should be administered when the pain is mostly below 
the eye, and the eye is inflamed and watery ; profuse watery discharge 
from the nostrils ; the affected side feels numb. The patient is morose, 
irritable, belches a great deal, and is constipated. It is especially suitable 
after abuse of coffee, liquors, or drugs. 

Dose : Three globules, as directed for Belladonna. 

Rhus tox., will be found useful for drawing, burning, tearing pains 
in the face, and a feeling as though the teeth were too long ; very great 
restlessness, and tossing about; particularly adapted, if brought on by get- 
ting wet, or after wet weather. 

Dose : Three globules, as directed for Belladonna. 

Bryonia may be administered, particularly in cases of rheumatic 
face-ache, when the pains are of an aching, pulling, or tearing description, 
exacerbated by movement ; irritability of temper and general tendency 
to rheumatic attacks. 

Dose: Three globules, as directed for Belladonna. 

Hepar sulphuris is also of much service against face-ache resulting 
from excessive mercurial treatment, and is more particularly indicated 
when the pains are so much aggravated by the pressure of the teeth or by 
eating, that the patient is afraid to allow the crowns of the teeth to 
meet; pains of a drawing or jerking character, often aggravated by 
entering a warm room, or by the warmth of the bed at night ; also when 
there is great sensibility of the cheek and base of the temple, with exten- 
sion of the pains into the ears and up the side of the face, 

Dose . Three globules, as directed for Belladonna. 

Sulphur is frequently a medicine of considerable value whether for 
the treatment of the immediate acute symptoms (as subjoined), or for the 
after-treatment, in cases in which abuse of Mercury has developed a pro 
12 



178 OUR FAMILY PHYSICIAN. 

disposition to face-ache. This remedy is especially indicated by throb- 
bing, drawing and jerking, or burning, aching pains in the bones of the 
face, and in the jaws and all of the teeth, whether sound or decayed ; or 
when the pains involve the whole face, and even head, and are accom- 
panied with determination of the blood to the head, redness and swelling 
of the cheeks and of the nose, and with suffused redness and inflamed 
appearance of the eyes ; or when there are also aching, weary sensations 
in the limbs or in the small of the back, or catching, stitching, darting 
pains in the ears : general chilliness and susceptibility to the least current 
of air, with sleeplessness during the whole or greater part of the night, 
and drowsiness towards morning or in the day ; cold water or cold appli- 
cations, and mastication, greatly aggravate or provoke a return of the 
pains, which are also renewed or aggravated generally towards evening, 
at night, or by currents of air. 

Dose : If against the immediate acute symptoms, three globules, as di- 
rected for Belladonna. If for after-treatment, four globules in a tea- 
spoonful of water, the first thing in the morning (fasting), for ten 
days, (or until the earlier development of change); then pause ten 
days ; after which the course may be repeated, as before, if any 
tendency to a return of the attack should yet be perceptible, or be 
dreaded. 

Phosphorus is indicated by tearing pains which occur, more espe- 
cially, about the left side of the face, and which are further characterized 
by determination of blood to the head, and by a sensation of tightness in 
the skin of the face, by aggravation upon the slightest touch or move- 
ment of the parts, or by pains extending deep into the ear, and to the 
root of the nose, and often attended with a confused, shell-like roar in the 
ears. 

Dose : Three globules as directed for Belladonna. 

Pulsatilla, on the other hand, is to be preferred when the pains are 
usually aggravated towards evening, and at night, or in the morning 
when seated, and when they are somewhat moderated in the open air ; 
or further, when there is general chilliness with depression of spirits ; or 
again, when the patient is of phlegmatic temperament. 

Dose: Three globules, as directed for Belladonna. 

Diet and regimen.— Id cases of an inflammatory character, and 
during the prevalence of local heat, etc., or of general disturbance, of 
more or less intensity, the precautions directed in the general article on 
" FEVERS" should be observed; and in all cases of Nerve-pains, absti- 
nence from fermented, spirituous, or other stimulatiny drinks, or from 
the use of highly seasoned food, is usually of great importance. 



OPHTHALMIA. 179 

CHAPTER VIII. 



DISEASES OF THE EYE. 



OPHTHALMIA. 

INFLAMMATION OF THE EYES, ACUTE AND CHRONIC. 

Ophthalmia is a term applied to inflammation of the eyes, whether of 
the acute or Chronic form. All parts of the eye are subject to inflamma- 
tion, more especially its outer covering (conjunctiva) and the inner sur- 
face of the lids. At this place catarrhal, opthhalmia, purulent ophthal- 
mia, and inflammation of the iris will be considered. 

CATARRHAL OPHTHALMIA. 

Symptoms. The conjunctiva, or white of the eye becomes swelled, 
and of a scarlet color, being more or less covered with blood vessels, pre- 
senting the appearance of what is usually teemed bloodshot, with this there 
is a sensation of heat, smarting, and pain, as if particles of sand were in 
the eye, and which pain is aggravated by rubbing the eye. There is much 
pain and uneasiness on exposing the eye to the light, and sometimes even 
on the least motion of the eyeball, so that the patient usually keeps the 
lids closed. A copious flow of hot or excosiating tears is also present. 
When the disease is very violent, or, in irritable habits, f ebile symptoms 
are manifested. 

Causes. Catarrhal ophthalmia may be produced by exposure to cold, 
sudden changes of temperature, blows and other injures to the eyeball, 
irritating vapors, foreign particles in the eye, improper exposure of the 
eye to strong light, overtasking the eyes by reading or writing late at 
night, intemperance, and other causes similiar to those producing inflam- 
mation of other mucus surfaces. This disease may be distinguished 
from rheumatic ophthalmia, by the presence of headache, the greater in- 
tolerance of light, and the severe, throbbing pain common to the latter, be- 
sides in catarrhal ophthalmia the blood vessels are tortuous and of a 
scarlet red color, and in the rheumatic form, they are straight, hair-like radia- 
ted and of a pink or violet hue ; in rheumatic ophthalmia the sensation of 
roughness or foreign bodies in the eye is never present. There is seldom 
any danger to be apprehended in catarrhal ophthalmia when properly 
treated. 

PURULENT OPHTHALMIA. 

Symptoms : Usually a great itching is felt in the eye, or a sensation 
as if a particle of dust were between the lids and the eyeball, and this 
usually happens at night ; this is succeeded by a sticking together of the 
lids, generally in the morning, owing to a secretion of mucus. The lids 
are somewhat stiff, there is great and uniform redness of the eye, but 
without pain, tension, or intolerance of light, and a watery fluid is dis- 
charged. The disease soon extends to the globe of the eye, with high, 
vascular action and bright redness, great tumefaction of the membrane, 
and increased discharge. The conjunctiva suddenly swells, and be- 
comes considerably elevated around the cornea. The cornea, appearing, 



180 OUR FAMILY PHYSICIAN 

as it were, at the bottom of a pit. This swelling is called chemosis, and is 
often so great as to overlap and nearly cover the cornea. The eyelids 
swell, and are almost immovable. The discharge is profuse and of a yel- 
low color, and may continue for ten or fifteen days without much change. 
Finally, the chemosis begins to shrink, the discharge diminishes and be- 
comes thin and gleety, and the parts, which were the first attacked, are 
the last in which the disease disappears. The inflammatory symptoms 
vary from a mild character to one of great violence, being accompanied 
with sharp, lancinating pain situated deep in the eye-ball, and which is 
usually worse at night. Sometimes a deep-seated, throbbing pain in the 
eye comes on in paroxysms, or it may be violent and continuous, without 
any mitigation until the cornea bursts. The disease may terminate in 
bursting of the cornea, abscess of cornea, ulceration of the cornea, opacity 
of the cornea, thickening or granulation of the lids. 

Purulent ophthalmia may be discriminated from catarrhal by the 
chemosis, the brignt red membrane, and the profuse purulent discharge. 
The right eye more frequently suffers, and more severely, than the left, 
though the discharge may attack either or both. 

Causes: The disease is propagated by contagion. It frequently 
occurs epidemically, and seems to depend upon some peculiar condition 
of the atmosphere. And, under some circumstances, there is no doubt 
but it may be produced by exposure, injuries and other circumstances, 
that will occasion the catarrhal form. 

INFLAMMATION OF THE 1MB. 

Inflammation of the Iris, or Iritis, may be accompanied with rheu- 
matism ; sometimes with gout, and not unfrequently with syphilis; 
hence the names, rheumatic iritis, syphilitic iritis, etc., have been ap- 
plied to these various forms. The disease is, however, in all instances, 
only a modification of one and of the affection. 

SYMPTOMS: Uneasy sensations are experienced in the neighborhood 
of the eye, with pains about the forehead, brow, and orbit, extending to 
the side of the head. There is, also, a redness of the sclerotica, or white 
of the eye, with intolerance of light, and watery discharge, as these 
symptoms increase- in severity. The iris, or that part of the eye which 
surrounds the pupil, and which we judge of the color of the eye — whether 
blue, black, etc.,— becomes involved. Its color undergoes a change; 
first, in the lesser circle, which becomes of a darker hue, and afterwards 
in the greater, which becomes greenish, if it were originally blue or 
greyish; and redish, if it were brown or black. The pupil is contracted, 
it- opening being deprived of the bright, black color it naturally pos- 
-• m a, and the motions of the iris are impeded. Headache and feverish 
disturbance of the system, generally present. After a violent attack, 
with great diminution of sight, the symptoms subside, the eye recovers, 
and Bighl i- restored. The iris is found to be connected to the capsule by 
adhesions of white color. The inflammation returns again, and again 
111 u adhesione take place; the pupil becomes more and more contracted, 
ami Anally i bi<>n is l«»-t. Occasionally t be first attack may be so violent 

a- to <H-ca-i<>ii I"-- «>l Sight . 



OPHTHALMIA 181 

Causes : It may be produced by cold, and frequently attended with 
rheumatism, syphilis, etc. Some rheumatic persons have an attack, or 
more, every year, in which the sight becomes gradually destroyed. 

ALLOPATHIC TREATMENT. 

Simple Ophthalmia (Inflammation of the Conjunctiva). In a 
person who is robust, over-stimulated, or over-fed, a brisk cathartic of a 
tablespoonful of Epsom or Rochelle Salts, or a Siedlitz Powder, should 
be given, and repeated in four hours, if a free cathartic has not taken 
place. Such a patient should, also, have a low diet. 

A weakly patient, or one with impoverished blood, or one that habit- 
ually feels tired and sleepy on rising in the morning, after a full night's 
sleep, should have hearty, blood-making, but plain, nutritious food ; also, 
tonics of Bark and Iron. One or two tablespoonsful of the Suffusion (tea) 
of Cinchonia Bark (one ounce of Bark to a pint of water) may be given in 
doses of one or two tablespoonsful before eating. Tincture Muriate of 
Iron may be given in doses of from ten to twenty drops well diluted in 
sweetened water, after meals. The mouth should be rinsed with water, 
after taking the Iron. The Citrate of Iron and Quinine, in from three to 
Ave grain doses, will fulfill all the indications. 

Rest, and temporary protection from light, will be required. 

Frequent application of water, either cold or warm, guided by the 
feelings of the patient. Quite warm applications are generally preferred 
and are more useful. 

One of the best stimulating washes is a solution of six grains of Alum 
or one grain of White Vitriol (Sulphate of Zinc) and two to four grains of 
the Sulphate of Morphine, in two ounces of warm water. A few drops 
may be dropped in the eye, two to four times a day, with a quill or Cam- 
el's hair brush. 

Alum Curd, made by stirring or rubbing a lump of Alum in the 
white of an egg, is frequently applied in domestic practice, and with ben- 
efit. After using these stimulating applications for a few days, their use 
should be suspended for a day or two, and observe the result ; for it does 
happen, sometimes, that the irritability of the congestion is kept up by 
their prolonged use. 

The extreme pain should be relieved, if necessary, by an occasional 
dose of Opium and Hyoscyamus. For an adult, a quarter of a grain of 
Morphine or twenty drops of Laudanum, with one or two teaspoonsful 
of Tincture of Hyoscyanius, are suitable doses. The Morphia, or Opium, 
may be given, with one grain of solid extract of Hyoscyamus, in pill. 
For a child, Paregoric (Camphorated Tincture of Opium ) and Tincture of 
Hyoscyamus, should be used in equal quantities. 

Some simple ointment, or oil, applied to the edges of the lids will add 
to the comfort, particularly at night. 

When the ophthalmia continues and becomes catarrhal (mucus form- 
ing), the treatment above recommended for simple application will be 
appropriate. The tonics recommended will, generally, be more urgently 
needed. 

Frequent bathing of the eyes, with warm water, will be useful. The 



182 OU.R FAMILY PHYSICIAN. 

edges of the lids should be smeared with Brown Citrine Ointment, or, in 
its absence, with Castor Oil, or some simple ointment. 

The stimulating wash, which is followed most rapidly by benefit, is 
Nitrate of Silver — its use requires the direction of a physician. 

Two or three drops of a solution of Sulphate of Atropine (two grains 
to the ounce of water ) should be dropped in the eye two or three times 
a day ; or a solution of half a dram of Extract of Belladonna to the ounce 
of water. 

Purulent Ophthalmia usually occurs in persons feeble in general 
health, and where such is the case, tonics and nourishment are urgently 
called for. Citrate of Iron and Quinine should be given, in doses of from 
three to five grains dissolved in water or syrup, three times a day ; or the 
following: Take of Citrate of Iron and Strychnine a dram and a hair 
Quinine half a dram, Citric Acid a dram, Simple Syrup four ounces. Mix. 
Dose, a teaspoonful three times a day ; or the bitter infusions and tinct- 
ure of iron, as recommended in simple ophthalmia, may be given instead. 
The diet should be of nutritious, blood-making varieties, but plain. Fresh 
meat, milk, and eggs, may be allowed. 

A furred tongue and constipation will call for one or two Compound 
Cathartic Pills, once or twice a day, until the bowels move. Should the 
patient be robust and hearty, the tonic treatment should not be pursued, 
but an active cathartic should be given. Four Compound Cathartic Pills 
may be given ; or doubtless a full dose of Salts will answer the purpose. 
In such cases, also, the diet should be reduced. 

Pure air is a necessity, and the patient must not be confined in bed, if 
it can be avoided. 

The greatest care should be exercised to avoid communicating the 
disease to others. v o other person should wipe on the towel or napkin 
used by the patient. If only one eye is affected, the well eye ought to be 
hermetically closed until all danger of contagion has passed. 

The great danger is, that the cornea may become ulcerated ands- lough, 
causing complete or partial blindness. 

I should strongly advise that no case should be treated without a 
physician. 

The local treatment will consist of repeated cleansing of the eye by 
carefully injecting warm water with a syringe ; a solution of Nitrate of 
Silver, three grains to the ounce of distilled water, should be dropped in 
the eye twice a day or oftener ; after a few days a strong solution of alum, 
ten grains to the ounce of water, should be substituted for the Nitrate of 
Silver and vice versa. 

During the course of this disease, a solution of Sulphate of Atropine 
(two grains to the ounce of distilled water), should be dropped in the eye 
two or three or more t imes a day, according to the urgency of the symp- 
tom-, [f the Atropine, a solution of half a dram of Extract of Bella- 
donna, to the ounce of water may be used instead. 

The pain may require relief by the administration of anodynes once a 
day or oftener. Opium and Hyoscyamus, one grain each of the extract: 
or a quarter of a grain of Morphine, and a grain of the Extract of Opium, 
or twenty or thirty drops of laudanum, with tw r o teaspoon sful of Tincture 
of Hyoscyamus. 



OPHTHALMIA. 183 

Wet cups or blisters to the temple may be useful. 

Attendants often assisting the patient should immediately wash their 
hands to avoid carrying the disease to their own eyes. 

Granular Ophthalmia calls for the same general treatment as is 
recommended for the other forms of ophthalmia, and is appropriate under 
the same state of health. The form of iron I generally give is the Pyro- 
phosphate in solution with Iodide of Potassium, the latter having a 
favorable effect on the disease. Take of Iodide of Potassium five drams, 
Pyrophosphate of Iron half a dram ; dissolve each in two ounces of sim- 
ple syrup with trituration in a mortar and mix. Give a teaspoonful after 
each meal. The bitter infusives recommended in simple ophthalmia 
may be given, if the appetite is poor. The diet should be good and abun- 
dance of exercise taken in the fresh air. 

The edges of the eyes should be anointed each night with Brown Ci- 
trine ointment. The nice local treatment demands a skilled physician ; 
it consists principally in inverting the lid and applying the solid stick of 
Sulphate of Copper (blue stone) across the granulations. Before the lid is 
restored to its natural position, it should be bathed with a camel's hair 
brush, dipped in sweet oil. Another useful agent, applied in the same 
way, is Nitrate of Silver ; it should be fused with Nitrate of Potash, as 
the pure stick is too caustic. The lid should be washed with a camel's 
hair pencil, dipped in'water, after each application. Liquor Potassse, ap- 
plied with a camel's hair pencil to the granulations, is useful. These 
agents can be used in succession as the case continues. Once a day is 
frequent enough for their application, and the physician should use 
them. As a wash a solution of Alum, three grains to the pint of distilled 
(or rain) water is useful. If the edges of the lids are irritable or stick to- 
gether at night, they should be anointed each night with Brown Citrine 
Ointment, Spermaceti Ointment, Castor Oil, or lard. 

Treatment of Chronic Ophthalmia.— The use of artificial light 
should be avoided, also ill-ventilated rooms and working upon small ob- 
jects. If it is impossible to do this, care should be taken to obviate the 
ill effects. Great relief may be had by having a pale, blue chimney, or 
shade to the lamp or gas get. Free exercise in the open air should be 
taken and plenty of regular sleep. The diet should be wholesome, con- 
sisting largely of fresh beef, mutton, or chicken, milk, and eggs. Some of 
the tonics recommended in other forms of ophthalmia will be useful, if 
the patient is in feeble health. The bowels should be kept regular. The 
eyes should be frequently bathed with warm water, and a solution of 
alum or sugar of lead three grains to the ounce of pure rain water, or a 
solution of Tannin, ten grains to the ounce of water dropped in the eyes 
night and morning. It is sometimes well to bathe the closed lids after the 
use of the eye water, with cold water. The edges of the lids should be an- 
ointed each night with Brown Citrine Ointment. 

Continual watering of the eyes in the wind should lead to the ex- 
amination of the lachrymal duct by the physician. In all tedious cases, 
which cannot be traced to a previous attack of catarrhal ophthalmia, or 
obstruction* of the lachrymal.duct, the edges of the lids should be examined 



1S4 OUR FAMILY PHYSICIAN. 

to sec whether an irregularly growing eyelash may not be the cause of the 

irritation. 

The irritability of the eyes of students is frequently relieved by bath- 
ing the eyes in very warm water, and the red edges of the lids can be pre- 
vented by the use of Brown Citrine Ointment. 

The Ophthalmia of Newly Borx Children. — If the attack is a 
severe one, recovery may depend on the health and vigor of the child. 
The health of the mother, and her ability to nurse the child properly, 
will govern, in a measure, the chances of the child's recovery with a use- 
ful eye. The child may need feeding, but ought not to be weaned, for 
almost as surely as the cornea becomes ulcerated, the eye will be lost, if 
the attempt is made to raise the child " by hand." The preventive treat- 
ment will consist chiefly in the avoidance of the causes which may orig- 
inate the disease, which are, besides contact with the unhealthy dis- 
charges of the mother during birth, etc., rude washing w T ith soap and 
cloths by the nurse, cold, exposure to strong light and contagion. 

The eyes should be thoroughly and frequently cleansed with warm 
water. Probably this can be best done by a small glass syringe, introduc- 
ing it at the outer corner of the eye and gently injecting. No harshness 
should be used, but firmness, for the eye must be thoroughly cleansed. 
After each cleansing, which should be as often as every hour, a solution 
of Sulphate of Zinc one grain to the ounce of distilled water or pure rain 
water, should be dropped in the eye. In severer cases, (which should be 
in the hands of a skillful physician), a stronger solution should be used. 
Sulphate of Zinc three or four grains, and Alum six or eight grains to 
the ounce of water. 

In cases which are not too severe to be treated without a physician, a 
solution of one grain of Sulphate of Zijic in from two to four ounces of 
water, will be perfectly effectual. A soft piece of muslin, wet with 
water, folded several times, should be laid over the eyes and tied loosely, 
but firmly enough to be kept in place. A skillful physician should have 
charge of the case, if possible. 

Scrofulous Ophthalmia is characterized by small serous vesicles which 
arise on the conjunctiva. It is especially liable to invade the cornea. The 
affection is especially liable to occur in feeble persons whose nutrition is 
not good. Good diet of a plain but nutritious kind is especially called 
for. Fresh meats, cream, milk, and raw eggs are suitable. The Syrup of 
Iodide of Iron in doses of twenty drops after meals, seems especially ser- 
vicable ; or the Tincture Muriate of Iron may be given in similar doses, 
well diluted, with sweetened water. If the appetite is poor, an infusion 
of Peruvian bark, Gentian or Quassa, made by macerating an ounce in 
a pint of hot water, may he given. 

Do» : Haifa wineglass to a wineglassfull. 

Or hitter tonic and iron can he given together by using the Citrate 
of Iron and Quinine, in doses of three to five grains three times a day. 

A solution often grains of Tannin to an ounce of water is a good ap- 
plication in this and all forms of conjunctivitis, or finely levigated calomel 
may be dusted over the resides, by means of a camel's hair brush, once a 
day. The inva-ion of t he cornea should he met with the solution of Sill- 



OPHTHALMIA. 185 

phate of Atropine, four grains to the ounce of distilled water, dropped in 
the eye with a quill or clean camel's hair brush, two to six times a day, 
according to the intensity of the pain and inflammation. The edges of 
the lids should be kept annointed with Brown Citrine Ointment. 

If a skillful physician can be obtained he ought to have charge of the 
case. 

HOMCEOPATHIC TREATMENT. 

We will here, to save space and needless repetition, mention all the 
remedies needed in the treatment of the different forms of this affection, 
viz., Acute, Chronic, Simple, Scrofulous, Purulent, Granular, etc., and 
that arising from external injuries. The remedy which will be best 
suited to the treatment of any particular case, can be readily selected 
by comparing the symptoms of the case with those mentioned under 
each remedy. Of course, you will not find all the symptoms that may 
arise in any case under the proper remedy, but the leading symptoms 
for which that remedy can be fully recommended as curative will be 
found, and, on account of the great difference in different cases, there 
will be more symptoms mentioned than are likely to be found in any one 
case. 

Aconite is a firm remedy in inflammation of the eyes where there 
is a pus-like discharge. The inflammation runs high ; dry hot skin, and 
full quick pulse ; intense redness and swelling of the affected parts, at- 
tended with acute pain. Great intolerance to light. Fear, anxiety, and 
great restlessness ; flushed face and throbbing in the arteries of the neck. 

Dose : Six pills in three tablespoonsful of water, of which give one 
teaspoonful every one to three or four hours, owing to the intensity 
of the symptoms, also as an^external remedy see page 94. 

Belladonna in acute Ophthalmia, with very great intolerance to 
light or noise. Vivid redness of the sclerotica (white of the eye) with dis- 
charge of hot salt tears, or great dryness of the eyes with sensation as if 
there was dust or sand in the eye. Sharp pains in the eyeballs extending 
to the brain. Pains which appear suddenly and disappear just as sudden- 
ly. Dimness of vision. Throbbing headache increased by motion. 

Dose : As for Aconite. 

Calcaria Carb., for scrofulous sore eyes, with inflammation, redness 
and pus or pus-like secretion from the eyeballs, swelling and redness of 
the eyelids, which are aglutinated (stuck together.) Stinging pains, 
worse at lamplight. Specks and ulcers on the eyeball, constant desire to 
keep the eyes in the darkness, swelling of the glands about the neck and 
eruption on the hairy scalp, are additional symptoms calling for the use 
of Cal. Carb. Also chronic inflammation of the eyes. 

Dose : A powder or four pills every morning and evening. If the im- 
provement is not satisfactory, give a single dose of Sulphur, and 
after three days, or in acute cases sooner, return to Cal. Carb. 

Arsenicum.— Inflammation of the lining membrane of the eyelids 
and the outer covering of the eyeball (conjunctiva) and even of the deeper 
coats of the eyeball, with dark redness and congestion of the bloodvessels. 
Burning pains ; the parts burn like fire. Inflammatory swelling of the 
lids. Specks or ulcers on the eye. Nightly aglutinations of the lids. 



186 OUR FAMILY PHYSICIAN. 

G-reat anguish and restlessness. Intense thirst for small quantities of water 
very often. 

Dose : As directed for Aconite. 

Mercurius.— For scrofulous ophthalmia. Violent inflammation and 
redness of the eyes. Cutting, burning pains, or pressure in the eyes, as 
if from sand. Excessive sensitiveness of the eyes to the glare of fire, or 
the light. Little blisters and pimples on the eyeball. Little boils or styes, 
scurfs around the eyes and on the margins of the lids. In inflammation 
of the iris (colored parts of the eye) this medicine is of great service. It 
should neve)' be given in large doses. 

Dose : As for Calcaria. 

Pulsatilla. — Aching, or burning and smarting irritation in the 
eyes as if from copious secretion of mucus. Disordered stomach, foul 
tongue, with chilliness towards evening followed by feverish heat. Pier- 
cing, shooting, pricking pains in the eyes with bright redness and flow 
of tears, especially on looking at the light or going into the open air, or 
on the other hand excessive dryness of the eyelids, especially in the eve- 
ning, sensitiveness with disposition to weep. 

Dose: As for Aconite. 

Arnica is a very superior remedy when the inflammation is the re- 
sult of an external injury. Use it simultaneously with its external use. 
See external applications, page 94. 

Dose: Internal, four pills every two to six hours. Application (ex- 
ternal) five drops to two tablespoonsful of water. Apply four times 
daily. 

SHORT-SIGHT, NEAR-SIGHTEDNESS. 

Pulsatilla and Sulphur, according to indications, may be men- 
tioned as of the chief importance in the treatment of short-sightedness 
when this affection remains as an after-effect of acute inflammation of 
the eyes. 

Dose: Of either medicine, as selected, give three globules in a tea- 
spoonful of water, morning and evening, for a week (or until the 
earlier development of improvement or change) ; then pause four 
days, after which the course may, if necessary, be repeated as before, 
and so on from time to time until amelioration or change. 

Acidum Phosphoricum is to be preferred in cases in which short- 
sightedness occurs as the consequence of a severe attack of Typhus, or has 
been occasioned by debilitating loss of blood or other animal fluids. 

Dose : Three globules, as directed for Pulsatilla and Sulphur. 

Carbo veg., Acidum nit., or Sulphur will be appropriate for the 
treatment of short-sightedness, when this condition can be traced to exces- 
sive use of Mercury. 

Dose: Of Carbo oeg. or Acidum nit. give three globules in a teaspoon- 
ful of water, every morning,— or, of Sulphur, six globules in a table- 
Bpoonfti] of water, every morning the first thing (fasting), for ten 
days for until the earlier development of new symptoms, improve- 
ment, or change) ; then pause a week, after which the course may, 
if necessary, he repeated as before, and so on, from time to time, 
until manifest amelioration or change, 



BLINDNESS. 187 

BLINDNESS. 

In common use this name implies persons who are totally blind, or 
persons who possess some powers of vision, but not enough to enable them 
to distinguish the forms of objects. The causes of blindness are both ante- 
natal (before birth), and post-natal (after birth.) 

It is contended by some, and likely with truth, that influences acting 
on the mother's mind (psychological) may induce blindness in the off- 
spring. As when the mother has received a powerful nervous impression 
from witnessing some horrible spectacle, or an extremely disgusting case 
of sore eyes, or malformation of the eyes. Many cases have been adduced 
which establish this as a truth in some cases, but not by any means with 
enough to establish the theory as a rule or law of psychological effect. The 
ante-natal causes which are now acknowledged to produce blindness, are 
the intermarriage of near relations, especially first cousins, scrofula and 
syphilis. In intermarriage deafness follows more frequently than blind- 
ness ; in very many, indeed, in almost all of those cases where near rela- 
tives have married, the offspring shows a marked tendency to deficiency 
of the nerves of special sense ; but in most cases ante-natal, as well as post 
natal blindness is caused by imperfection or disease of the optical appar- 
atus which is accessory to the nerves of special sense, or, in other words, 
the defect generally exists in some part of the globe of the eye. Heredit- 
ary blindness is not frequent. Of 700 blind persons in the institutions of 
Philadelphia, whose parentage is known, only 12 had either parent blind. 
In Paris, of several hundred children born there, of whom one or both 
parents were blind, not one was blind at birth. 

After birth, the principal causes of blindness are: 1. Special diseases 
of the eye, such as purulent ophthalmia, inflammation of the cornea and 
of the iris, cataract, or opacity of the crystalline lens, and amaurosis, or 
paralysis of the optic nerve {which see in index.) 2. General diseases, 
whose sequelae attack different parts of the eye, as small-pox, scarlet fever, 
measles, typhus fever, and other inflammatory fevers, and scrofula. 3. 
Injuries from blows or wounds, and from malpractice ; the latter being 
the most fruitful of all causes. Hence we say, in any diseases of the eye 
avoid all ignorant persons and experiments of every kind and nature, and 
employ only the highly skilled ; if you can't do that, better let nature 
alone, using only water to allay the inflammation. 

Treatment. — For Blindness caused by paralysis of the nerve of vi- 
sion, from overtaxing the eyes, there is nothing will excel the skilled and 
intelligent use of electricity. We are very far from meaning by skilled 
those ignorant criminals who go about the country with their machines 
shocking every one they can persuade to take hold of it. 

HOMCEOPATHIC TREATMENT. 
Atropin, an alkaloid of Belladonna, is a prime remedy where blind- 
ness is the result of paralysis ; it should be used in small doses„not]fre- 
quently repeated. 

SUDDEN ATTACKS OF BLINDNESS. 

Aconitum is the medicine of chief importance in cases of this \ kind 
when characterized by a general fullness of the vessels, or by a full, hard 



188 OUR FAMILY PHYSICIAN. 

pulse, and should be given, first, against the congestion which is identi- 
fied by the development of this symptom as affecting the the vessels of 
the head. It is the more appropriate when this symptom occurs associ- 
ated with derangement of the stomach, and the congestion of the vessels 
of the head is recognized as of sympathetic origin. 

Dose : Three globules in a teaspoonful of water, repeated at intervals 
of twelve hours, until general improvement or change. 

Causticum for sudden and frequent loss of sight, as from a pellicle 
drawn over the eyes, or as if looking through a mist. 

Do.se: Three globules, as directed for Aconitum. 

Gklseminum is indicated by sudden and total blindness, with giddi- 
ness ; the eyes look heavy and dim. 

Dose: Three globules, as directed for Aconitum. 

Meecurius will prove of service when there are momentary par- 
oxj'sms of blindness, the eyes being very sensitive to light or the glare 
of a fire. 

J9o.se: Three globules, as directed for Aconitum. 

Cicuta virosa should be given when there is frequent vanishing 
of sight, as if from absence of mind, with great giddiness, particularly 
when walking; when reading, the letters appear to move to and fro 
irregularly. 

Dose: Three globules, as directed for Aconitum. 

Phosphorus is most valuable, when the obscuration of vision occurs 
at twilight or at night; objects appear as if seen through a thick gray 
veil; blackness, or black points, or sparks before the eyes. 

Dose : Three globules, as directed for Aconitum. 

Pulsatilla should be selected in cases where there is a sensation, 
as if the] dimness of sight could be removed by wiping the eyes; great 
dread of light; frequent and copious lachrymation ; the pupils are con- 
tracted. 

Do.se : Three globules as directed for Aconitum. 
WEEPING-EYE. 

FISTULA LACHRYMALIS. WATERY-EYE. 

These names are applied to an ulcerated opening in the little sac or 
bag, which is situated in the inner corner or angle of the eye, and which 
is techanically named the laehrimal sac. Its office is to receive the tears 
and mucus of the eye. in order that they may be transmitted from thence 
to the nose. In the early stages, the affection consists of a thickened con- 
dition of the lining membrane of the sac, and the adjacent lachrymal parts, 
the result of inflammatory action, and in consequence of which the tears and 
mucus are obstructed in their passage to the nose, and hence, escape by 
passing down over the cheek, giving rise to an habitually weeping-eye, 
and an adhesion of the lids after sleeping. Children of a scrofulous habit, 
and adults who have suffered from rickets, or from swelling of the glands 
about the neck, groins, or other parts in youth, and who are more or less 
troubled with derangement of digestion, are the most frequent subjects of 
the disease. When the disease is not checked, or in consequence 



WEEPING EYES. 189 

of frequent returns of acute inflammation, sloughing ensues, the 
contents of the tumor escape through the break thus made in the skin* 
When the complaint has reached this stage, it presents a much more 
unsightly appearance, and if neglected or mismanaged, as it so frequently 
is by means of severe and irritating remedies, extensive inflammation 
and excoriation , are produced^in all the surrounding parts, in some rare 
cases a diseased state of the bones of the nose accompanies or precedes 
this malady. 

HOMCEOPATH1C TKEATMENT 

In recent cases the cure is easily and speedily accomplished by homoeo- 
pathic treatment, without the aid of the painful, irritating, and disfiguring 
local means resorted to in some cases. In those of long standing or of com- 
plicated character occurring in scrofulous, cancerous, or otherwise debili- 
tated constitutions, the successful issue is necessarily of more difficult and 
tedious attainment. 

Aconitum is to be selected in all recent cases, but particularly when 
the inflammation and pain are considerable, when this remedy is of much 
efficacy. 

Dose: Of a solution of six globules to two table«-spoonsful of water, 
give a teaspoonful every two hours, until the pain and redness 
are removed or diminished, or until other symptoms occur to indi- 
cate other treatment. 

Pulsatilla is more especially appropriate for the treatment of per- 
sons of phlegmatic temperament and of mild disposition, and when the 
symptoms have a tendency to become aggravated in the evening or at 
night In such cases Pulsatilla should be administered twelve hours 
after the last dose of Aconitum. 

Dose : Three globules in a teaspoonful of water, night and morning. 

Nux vomica is more especially appropriate for the treatment of per- 
sons of sanguine or bilious temperament and of irascible disposition, the 
symptoms, generally speaking, tending to become exacerbated in the 
morning. 

Dose : Three globules as directed for Pulsatilla. 

Graphites, Calcarea c, Silicea, or Sulphur are frequently re- 
quired to complete the cure, or to overcome the tendency to recurrence of 
the disease, after previous treatment, according to the instructions above 
afforded. In the severer forms of the complaint occurring in persons of 
bad constitutions, with or without implication of the nasal bones, or in 
uncomplicated cases of long standing, occurring either in children, with or 
without glandular enlargements, or in adults, they are still more fre- 
quently needed 

Dose : Of either as for Pulsatilla. 

BLOODSHOT EYE. 

This derangement may arise from a blow or fall, the act of retching, 
vomiting, or violent coughing, crying, etc. It presents a bright, scarlet 
appearance in most instances at the commencment, but usually assumes a 
livid hue at a subsequent period. The affection generally disappears of 



190 OUR FAMILY PHYSICIAN. 

itself ; but as it is occasionally liable to prove exceedingly obstinate, the 
subjoined method of treatment may be required, or such other manage- 
ment as may be more particularly enjoined in the article on "External 
Injuries," or also in that on "Inflammation of the Brain." 

Arnica should be employed internally and externally when this de- 
rangement has been caused by external injury, such as a blow or fall, and 
does not disappear spontaneously, in which case this remedy will quickly 
promote absorption, and remove the unsightly appearance. 

Dose (Internal) : Three globules in a teaspoonful of water, repeated 
after twelve hours, and subsequently, if necessary, at intervals of 
twenty-four hours, until the discoloration is removed. 
Application (External) : To two tablespoonsf ul of water, add six drops 
of the concentrated Tincture of Arnica, and bathe the eye or eyes 
freely with this lotion, three times a day, until the discoloration 
disappears, — only, however, during the internal administration of 
the same medicine as above directed. 
Belladonna is preferably indicated when the Bloodshot Eye is asso- 
sociated with symptoms of fullness and throbbing of the vessels of the neck, 
flushing of the face, oppressive pain in the head and the like, even in cases 
in which the direct cause of these symptoms is distinguished in a blow, fall, 
or other external injury; or again, in cases in which the Bloodshot Eye 
appears as a symptom of cerebral derangement, as evinced by the asso- 
ciated symptoms, conditions, and circumstances. 

Dose: Two globules in a teaspoonful of water, repeated at intervals 
of four hours, until manifest improvement occurs, or such change 
should ensue as to render other treatment necessary. 

CATARACT. 

By this name is understood a partial or general turning white (opacity) 
of the more vital parts of the eye. The formation of a cataract is gener- 
ally slow, requiring weeks, months, or years for its complete development. 
It may appear in one eye or both ; but when the former is the case, the 
other eye is generally effected, either sooner or later. In cataract all 
objects appear to be encompassed with a cloud or mist, especially, those 
that are white. 

This disease is beyond the means that can be used at home, and must 
be treated by a good physician who makes this his business. In his hands 
a small operation on the eye, will usually entirely remove the difficulty. 

CROSS-EYES. 
strabisimus. near-sighted. 
TIi is trouble is usually present from birth, (congenital), and can then 
only be cured by a surgical operation, by which the small muscle which 
turn the eye towards the nose is entirely, or partially severed, when the 
eye will very soon, if not at once, return to its proper position. This oper- 
ation need only require two or three minutes, and give but little pain and 
s a great help to any one so afflicted. There is another variety which is 
the result of too constant and close application of the eyes, especially by 
lamp light, as in children over tasked at school, sewing girls, etc., etc. This 
can he cured hy at once quiting the work, that is the cause of the over- 
straining. As a rule a little Bell, will help very materially in bettering 
this condition. 



STYE. 191 

STYE. 

Symptoms. — This is a little hard tumor, appearing like a small, dark-red 
boil, generally in the corner of the eyelid, attended with severe inflam- 
mation, and frequently causing fever; considerable pain and suffering. It 
suppurates slowly and imperfectly; usually being from four to six days, and 
has no tendency to burst spontaneously. Presents a small yellow or 
greenish-yellow speck in or near the center ; when ready to be opened 
touch lightly with a needle, or other sharp point and apply a little pres- 
sure. 

HOMCEOPATHIC TREATMENT. 

Pulsatilla alone, will, in most cases, suffice to remove the stye if 
given upon its earliest appearance. It is a sure cure. 

Dose : Give three globules in a tablespoonful of water, morning and 
evening, until the stye is removed, or such change takes place as to 
require other treatment. 

Hepae sulphubis should be given when matter threatens to form 
(indicated by increased swelling and heat, usually attended with throbbing) 
in order to expedite the ripening of the tumor. 

Dose : Two globules in a teaspoonful of water, repeated six times, at 
intervals of three hours. 

Staphysagria should be given two days after the last dose of any 
medicine previously administered, to complete the cure, particularly 
when the swelling degenerates into a hard white tumor. 

Dose : Three globules in a teaspoonful of water, night and morning, 
for a week (or until the earlier manifestation of decided improve- 
ment or change) ; then pause four days, after which the course may. 
if necessary, be repeated as before, and so on, until the dispersion of 
the tumor, or the accidental occurrence of new symptoms. But if 
no effect be produced within four days after the second course, pro- 
ceed with the next medicine. 

Silicea should be employed after the foregoing medicine in some 
cases, in which, after a second course, the treatment just recommended 
has failed to produce any effect whatever, a condition which sometimes 
prevails in bad constitutions. 

Dose : In every respect as directed for Staphysag?ia. 
Arsenicum, lycopodium, sulphur and aurum may be required in 
addition to those above prescribed, in cases of stye which occur as associ- 
ated with marked scrofulous taint of constitution. Aurum, it may be 
here observed, is particularly indicated when there is obstinate obstruc- 
tion and formation of scabs in the nose, with redness, and swelling in the 
eyelids. 

Dose: Of Arsenicum or Lycopodium, give three globules in a tea- 
spoonful of water, night and morning — or, of Sulphur and Aurum, 
six globules in a tablespoonful of water, every morning the first 
thing (fasting) —for a week (or until the earlier manifestation of 
new symptoms, or of general improvement or change) ; then pause 
eight days, after which the course may, if necessary, be repeated as 
before, and so on, from time to time, until manifest improvement 
or change. 
Diet.— During the inflammatory stage the diet should be sparing, 
and the restrictions should be more or less rigid. 



192 OUB FAMILY PHYSICIAN. 

CHAPTER IX. 



DISEASES OF THE EAR. 



OTITIS INTERNA. 

INTERNAL INFLAMMATION OF THE EAR. EARACHE. 

Inflammation of the inner ear is chiefly recognized by the extra- 
ordinary pain (earache) it causes. The pain is chiefly a tearing, throb- 
bing or burning pain, is very much increased by motion, likewise by 
chewing, loud noise, contact of the outer parts. Inflammatory earache 
is one of the most distressing tortures that man can suffer. The excru- 
ciating character of this pain accounts for the cerebral irritation which 
is almost always present in this disease. The fever is very vio- 
lent, and the pulse is hurried and small. The head glows, whereas 
the extremities are cold as ice; delirium and fainting fits set in, before 
the brain can be said to sympathize with the distress. The outer ear 
usually shows signs of inflammation ; the passage into the ear is some- 
times entirely closed, red and very sensitive, and the swelling spreads 
to the outer ear and the surrounding soft parts. Otitis is very apt to 
result in suppuration, and is still more inclined to spread to the brain. 
It is not certain whether the invasion of the brain takes place more 
easily when the inflammatory process has reached its height, or after 
the pus has begun to form. Suppuration supervenes but too frequently 
during the course of a chronic affection of the bones ; hence suppuration 
of a bone near the ear, may involve the brain and lead to a fatal termi- 
nation, even after all danger consequent upon inflammation seems to be 
entirely removed. Otitis may be complicated with a meningitis which 
runs a very rapid course, and is one of the most dangerous diseases. Its 
treatment lias already been indicated in a former chapter. Otitis may 
terminate in favorable cases in complete recovery; this result, however, 
i< rare: generally a disturbance of the functions of the ear remain behind, 
sometimes assuming the form of perfect deafness. If pus forms, it is for- 
tunate if it i- discharged externally, even if the tympanum (ear drum) 
should be greatly injured and chronic otorrhoea (discharge from the ear) 
should be the result. 

The causes of otitis cannot lie mentioned with positive certainty. A 
.old ; and suppressed or receding skin diseases, are among the prominent 
ones : syphilis and scrofula arc other causes. 

OTITIS EXTERNA. 

A- we remarked above, an inflammation of the external meatus 
usually accompanies an inflammation of the internal ear. and by its pres- 
ence, always reveals the existence of a higher grade of otitis internal. As 
an idiopathic affection, disposed, however, to extend to the inner parts of 
the ear, it is either an inflammation of the cellular tissue in the external 
passage, spreading uniformly all around, very painful, but not very dan- 
gerous and Of Short duration, or else it consists in suppuration of one or 



OTORRHCE A— DEAFNESS. 193 

more glands of the outer passage. In such a case a small abscess is seen 
on one or the other side, more or less deeply in the inner ear. In this form 
of the inflammation the pain is likewise comparatively very acute, but 
usually ceases all at once, when at its height, by the bursting of the ab- 
scess. This inflammation very frequently accompanies, as a complicating 
disorder, an inflammation of the parotid gland or of other adjoining parts. 
Erysipelas likewise does not unfrequently attack the outer ear, and, if it 
begins at the ear itself, may lead to errors in diagnosis. 

OTORRHCE A. 
Discharge from the ear. As a consequence of otitis, but some- 
times from other causes, we frequently meet with a discharge from the 
ears, which is at times slimy, at others purulent or ichorous, at others 
again watery or bloody. The slimy discharge is of a catarrhal nature, 
makes its appearance in the cases of many children, whenever they are at- 
tacked with a severe cold, and has no special significance. As a general 
rale, it very soon yields to a few doses of Pulsatilla, The other forms of 
otorrhoea are symptomatic manifestations of otitis, and require the same 
treatment as this disease. Injections of lukewarm water have always a 
good eff ect, and should never be omitted. 

DEAFNESS. 
Hardness of hearing may depend upon a variety of causes, by the pe- 
culiar nature of which its curability is determined. If it proceeds directly 
from the auditory nerve, and is the commencement of complete deafness, 
it is not likely that much, can be done for it by internal treatment. If the 
deafness is caused by a stoppage of the meatus externus, various obstacles 
may prevent the free entrance of sound. The most common obstacle is 
the accumulation of indurated cerumen in front of the tympanum. This 
is most effectually removed by continued injections of lukewarm water, 
until the plug is loosened, after which it can readily be grasped with a pair 
of pincers and drawn out. If an unopened abscess is the cause, which is 
not often the case, its reabsorption is easily accomplished by frequently 
dropping lukewarm water into the ear, which has to be retained in it for 
some time. A polypus in the passage may, if possible, be twisted or cut 
off ; where this is not possible, the polypus can gradually be caused to 
shrink, by touching it frequently with the half diluted tincture of Thuya. 
If the tympanum (drum of the ear) is injured, a cure is, of course, impos- 
sible ; in such case the patients hear often much better by inserting a loose 
plug of cotton in the ear. This custom is so common with many people, 
that they are never seen without cotton in their ears. It is a bad habit, 
which favors more than any other proceeding the formation of little 
plugs of ear-wax ; for, the nuclei of most plugs, which we have removed 
in large numbers, were found to consist of cotton-fibres. Still more hurt- 
ful is the habit of introducing medicinal substances into the ear. We are 
acquainted with a lady who has been using Camphor in this manner until 
her tympanum has become perforated in consequence. If little children 
are hard of hearing, we must ascertain in every case, whether they have 
not inserted something like a bean, pea, millet seed, radish seed, or like 
articles into their ears. 
13 



194 OUR FAMILY PHYSICIAN. 

ALLOPATHIC TREATMENT. 

The External, canal (meatus) of the'eak sometimes becomes ob- 
structed by the natural secretion of the canal, owing to some accidental 
cause. Sometimes foreign particles add to the accumulation. These are 
best removed by thorough syringing with an ear-syringe with a warm 
solution of cooking soda. 

Before attempting to syringe the ear, the plug sometimes will require 
previous moistening with a few drops of glycerine. A preternatural dry- 
ness of the canal of the ear sometimes exists, which is easily relieved by 
a small quantity of glycerine carried into the canal occasionally by a 
camel's hair brush. 

It is not unfrequently necessary for the surgeon to have to resort to 
the use of the ear scoop and forceps for the removal. If, after the re- 
moval of these obstructions, there is intense and painful sensibility to 
sounds, a pledget of cotton, moistened with glycerine, may be laid in the 
external ear, and retained in place with a bandage or handkerchief. 

Chronic eczema (salt rheum) of the ear, generally depends upon some 
vice of the system, which may be removed by the use of the following- 
tonic, viz.: Take of Citrate of Iron Quinine a dram and a half ; Fowler's 
Solution a dram and a half ; Simple Syrup four ounces. Mix. Give a 
teaspoonful three times a day. 

The ear should be syringed out, twice a day, with a warm solution of 
Super Carbonate (baking) Soda, and, after each cleansing, the following 
application made by carrying it within the canal of the ear with a camel's 
hair brush : Take of Tannin a dram ; of Oxide of Zinc two drams ; of 
Glycerine one ounce. Mix. Shake the vial, and apply with a camel's 
hair brush or feather. 

Inflammation of the external canal {external otitis) occurs most 
frequently in childhood, from exposure to cold, or other causes. The 
inflammation extends from the outer covering of the drum to the bony 
lining of the auditory canal. The danger, aside from the immediate 
pain, is, that the disease may lead to perforation of the drum, and the 
possibility of necrosis (death, and exfoliation of bone). In a few cases, 
the inflammation has been conveyed through the bony wall to the mem- 
branes of the brain, causing death. As a means of relieving pain, the 
canal may be filled with a solution of Morphine four grains, and Atro- 
pine two . trains, in halt an ounce of Glycerine, applying at the same 
time, overtheear, several thicknesses of flannel saturated with hot water. 
Laudanum may be used instead of Morphine, but it is not so effectual, 
if this does not procure relief, the inflammation is deeply seated, and 
may eventuate in necrosis, if not relieved. Such cases should be in the 
hands of a Burgeon. It is probable that the most, or only, effectual treat- 
ment is, to cut down to the bone through the whole length of the audi- 
tory canal. Usually, the inflammation subsides in two or three days, 
superseded by a more or less profuse discharge. This is called {otorrhea). 
Otorrhcea (discharge from the can is a symptom, or consequent, of many 
affections of the tar; but from whatever cause, it requires in itself about 
the Bame treatment— the frequent use of the syringe. Warm watershould 
be used, and should, generally, be rendered slightly alkaline with a little 



DISEASES OF THE EAR. 195 

soda. If the discharge does not soon disappear, astringent washes should 
be used. A dram of Tannin, in an ounce of Glycerine, will frequently 
prove effectual. The Tannin may be added in much larger quantity. It 
can be applied with a camel's hair brush, or a feather. 

A solution of Sulphate of Zinc, or Alum in water, may be used in- 
stead. After using one of these, time should be given for it to take effect, 
and then moisten the ear with a very little Glycerine. 

In all cases of discharge from the ear, not dependant on evident in- 
flammation of the canal, or previous inflammation of the internal ear, 
examination should be made for disease of the mastoid cells (in the emi- 
nence behind the ears called the mastoid process), which may require 
incision, and, perhaps, trephining (boring into them.) 

Internal Otitis (inflammation of the middle and internal ear) is very 
serious, the pain is deep-seated and intolerable, attended with throbbing, 
confusion of the head, and fever. The inflammation is probably advan- 
cing to suppuration, possible disease of the internal ear, and permanent 
deafness. The drum of the ear should be closely watched by frequent 
examination with the speculum, and as soon as matter has formed, as 
shown by the altered color and form of the drum, the drum should be 
punctured by the surgeon and the pus let out. 

In this way the patient is spared much pain not only, but more ser- 
ious damage, from the drum breaking down beyond repair ; and the 
chances are also better for recovery without disruption of the internal 
ear. The throat is almost always inflamed. This should be met by 
appropriate treatment. Mustard plaster to the neck, or rubbing the neck 
with turpentine or hartshorn liniment, and astringent gargles of Sulphate 
of Zinc, a scruple to a teacup of water, or the application of Tannin in Gly- 
cerine (one dram to the ounce) with a linen mop, or such other suitable 
treatment as a physician would direct. The Eustachian tube should be 
inflated. This can be done, if a physician is not in attendance, by clos- 
ing the mouth and nose, and making forcible expulsion of the breath 
simultaneous with the act of swallowing. External applications will be 
the same as directed for external otitis. 

Otalgia {or Neuralgia of the ear) uncomplicated with inflammation, 
is, I believe, very rare. It may be connected with some irritation of the 
mouth, as a decayed molar (double) tooth, or it may be due to some irrita- 
tion of the stomach, or some other organ supplied by the pneumo-gastric 
nerve. In these cases the trouble is reflex and its treatment consists in 
the removal of the offending cause. If no such cause is discoverable, and 
especially if the pain is intermittent or periodical, such general treatment 
should be resorted to as is recommended in the article on neuralgia. 
Some relief may be given by applying over the ear, warm poultices of 
hops or poppy heads, or by pouring into the ear a few drops of laudanum, 
tincture of aconite, or belladonna, or the three may be mixed and diluted 
with a little glycerine. The local means for the relief of pain directed for 
external otitis are effectual here. Not unfrequently is the administration 
of an anodyne necessary. 

So often is earache caused by inflammation and the production of pus 
or mucus, that I believe always the drum ought to be thoroughly exam- 
ined with the ear speculum, and, if indications of either are present, the 



196 OUK FAMILY PHYSICIAN. 

drum ought to be punctured by the surgeon, and relief will follow the 
escape of the matter. 

Deafness.— Some of the causes of deafness which may be removed by 
domestic hand, are the following: 

A dried accumulation of the natural secretions of the canal of the ear, 
(meatus) may prevent the vibrations of sound reaching the tympanum 
(drum). This obstruction may be rendered still more complete, by wool or 
cotton with which the person negligently stops his ears, neglecting to 
practice proper cleanliness. This obstruction is easily discovered. Its re- 
moval is best effected by thorough washing with warm water with a hard 
rubber ear syringe. A common four ounce, hard rubber syringe, may be 
used, taking the precautions to wind the nozzle with muslin until it is 
too large to penetrate the canal, except just at the point. A tin cup, with 
one side flattened, should be held under the ear, to catch the outflow of 
water. The injections should be continued at one or repeated sittings, 
until the canal is clean, and the passage to the drum is unobstructed, 
AVhen the accumulation is unusually hard, it may be softened by moisten- 
ing with glycerine or bland oil. 

A deficiency of secretion in the canal maybe partly overcome by mois- 
tening it with glycerine, or sweet, or almond oil, until the natural secre- 
tion returns. This may be hastened by very warm water injections and 
the application of essential oils, as turpentine. They may require diluting 
with glycerine, or sweet oil to prevent too much irritation. 

Thickening of the lining membrane of the meatus may cause deafness, 
the result of chronic inflammation. It may be overcome by applying a 
mixture of tincture of iodine with glycerine and tannin. Take of Tannin, 
one dram dissolve, in half an ounce of Glycerine, then add half an ounce of 
Tincture of Iodine, apply twice a day with a camel's hair brush, or a 
leather. Attention to the general health is required, by the use of tonics 
as reccommened in Eczema of the ear. 

Other causes of deafness require the attention of experts. 

HOMCEOPATHIC TREATMENT. 

INFLAMMATION OF THE EAKS. 

ACONTTUM is required in commencing treatment when the affection 
is attended with considerable febrile disturbance,— dry heat of the skin, 
with fullness and quickness of pulse. 

Dose: Of a solution of six globules to two tablespoonsful of water, 
give a teaspoon i'u 1 every two hours, until the indicative symptoms 
Bide. 

Belladonna is indicated when there is determination of blood to the 
head) with redness of the face, by digging, boring, tearing or shooting pains 
exU nding to the throat ; fever, end extreme sensibility to the slightest noise; 
when the pains are more severe internally; also when (he brain partakes 
of the inflammation, and delirium is present. Also in external inflam- 
mation qf the ears, when the inflammation runs high, and threatens to 
, . tend to the bee and scalp. 

Dost : Bii globules, as directed tor\Aoonitum, 



DISEASES OF THE EAR. 197 

Hepar sulphuris should be administered twelve hours after the 
last dose of Bolladonna, if, after the second day from the commencement 
of treatment, the pain and inflammation be not completely reduced ; or, 
again, and more especially in cases in which suppuration and discharge 
have taken place. 

Dose : Three globules in a teaspoonful of water, repeated at intervals 
of twelve hours, until decided and permanent improvement or 
change. 

Sulphur. This medicine should be administered twelve hours after 
the last dose of Hepar sulphuris, if the discharge of matter, in particular, 
should continue unarrested ; — or twelve hours after the fourth dose of Mer- 
curius, if, in addition to the discharge of matter, there should be humming 
in the ears and pricking pains. 

Dose: Three globules, as directed for Hepar sulphuris. 

Mercurius should be selected when the following symptoms and 
conditions characterize the case : — Shooting or tensive pains in the ear, 
extending to the cheeks and teeth ; sensation of coldness in the ear ; in- 
crease of suffering in the warmth of the bed ; inflammation and indura- 
tion of the ear, with soreness of the orifice and discharge ; swelling of 
the glands. Also, in external inflammation, particularly when the adja- 
cent glands are involved. 

Dose: Six globules, as directed for Aconitum. 

Pulsatilla is a most valuable remedy in this affection. It is partic- 
ularly indicated lohen the external ear is simultaneously much affected, 
and appears inflamed and swollen ; attended with heat, shooting and 
tensive excruciating pain internally ; moisture in the ear, or somewhat 
copious discharge. This medicine is particularly useful for females and 
individuals of chilly habit. Applicable, also, to most cases of external in- 
flammation of the ears. 

Dose : Six globules, as directed for Aconitum. 

xervous or rheumatic earache. 

Pulsatilla is not unfrequently indicated for the treatment of cases of 
nervous or rheumatic earache, which ensue, from time to time, as the 
consequence of antecedent inflammation ; or more particularly, if ther ebe 
a tendency to discharges from the ear, or if the ear be habitually moist. 
This is the best remedy for earache in most cases. 

Dose : Of a solution of six globules to two tablespoonsful of water, 
give a teaspoonful every half hour (when the pain is very distress- 
ing), or every three hours (in less severe cases), until a degree of 
improvement takes place; after which the intervals should be 
gradually extended to twelve hours, and the administration thus 
continued, until the cessation of the pain, or the occurrence of other 
symptoms requiring different treatment. 
Phytolacca should be administered when there is shooting pain in 
both ears, the right being worse, aggravated by swallowing ; feeling as if 
the ears were stopped up, with crackling sounds in them ; the sense of 
hearing seems dull, while it is really more acute. 

Dose : A solution of six globules, as directed for Aconitum. 

]S"ux vomica is preferably indicated when the pains are of a tearing, 



198 OUR FAMILY PHYSICIAN. 

shooting nature, extending to the forehead, temples, and bones of the 
face, worse towards morning ; dryness of the ear ; particularly when the 
affection occurs in persons of a lively, choleric disposition. 

Dose: Of a solution of six globules to two tablespoonsful of water, 
give a teaspoon ful every hour (when the pain is unbearably severe), 
or every three hours (in less distressing cases), until a degree of 
amelioration becomes apparent; after which the intervals should 
be gradually extended to twelve hours, and the administration thus 
continued until permanent and decided improvement or change. 

Dulcamara should be selected when the affection has arisen from a 
chill or wetting, and will, in many cases, prove sufficient for its removal ; 
it is also indicated when the pains increase at night, and are attended 
with nausea. 

Dose: A solution of six globules, as directed for Nux vomica. 

Mercurius should be employed when the pain is attended with a 
sensation of coldness in the ears, and is characterized by exacerbation in 
the warmth of the bed ; or, again, when there are shooting or tensive 
pains in the internal ear, extending to the cheeks and teeth. 

Dose : A solution of six globules, as directed for Nux vomica. 

C11AMOMILL.A should be administered when there are stabbing pains 
in the ear, as if knives were driven into the head ; great sensitiveness of 
noise, and even of music; extreme sensitiveness, susceptibility, and irri- 
tability. 

Dose: A solution of six globules, as directed for Nux vomica. 

Sang-uinaria should be exhibited when there is burning of the ears, 
with bright redness of the cheeks, and headache accompanying the ear- 
ache ; the neck feels stiff; painful sensitiveness to sudden sounds. 

Dose : A solution of six globules, as directed for Nux vomica. 

Arnica is often of much service for the treatment of individuals of a 
nervous, excitable temperament, subject to attacks of earache provoked 
by trivial causes, and is, moreover, characteristically indicated when 
there is an excessive sensibility to noise. 

Dose : A solution of six globules, as directed for Nux vomica. 

China is frequently suitable after Arnica, in cases in which the 
last named medicine has been productive of partial relief only, and 
when, moreover, the pains are aggravated by lying on the ear, or by 
contact. 

Dose: A solution of six globules, as directed for Nux vomica. 

SULPHUR should be administered, if the excessive sensibility to noise 
should constitute a predominant indication; it is especially suitable to 
persons subject to catarrh or tendency of the blood to the head. 

Dose: Three globules in a teaepoonful of water, night and morning, 
until permanent Improvement or change. 

DIET and REGIMEN. — Patients who are subject to attacks of nervous 
or rheumatic earache should he very careful and moderate in the indul- 
gence of their appetite; and the food should he simple but nourishing. 
Fermented and spirituous Liquors, coffee and strong tea, etc., are capable 
of themselves of provoking an attack: ami inasmuch as a tendency to 



DISEASES OF THE EAR. 199 

derangements of the digestive functions is very frequently to be distin- 
guished as characterizing the predisposition to earache, it is very essen- 
tial that those things should be avoided which are likely to engender 
irregularities of digestion, however apparently trivial. Everything which 
is known to operate as an exciting cause, should, as much as possible, be 
avoided. 

HUMMING OR BUZZING IN THE EARS. 

Nux vomica will be found of service in the treatment of recent 
cases of humming or buzzing in the ears, when this annoying affection 
is most 'predominant or the symptoms are aggravated at night. 

Dost : Three globules in a teaspoonful of water, morning and even- 
ing, for a week; then pause a week, resuming the administration 
after the lapse of that time, if yet required. 

Pulsatilla is to be preferred when the evening is more especially the 
period of exacerbation, and for persons of a mild character, particularly 
females. 

Dose: Three globules, as directed for Nux vomica. 

Caustictjm.— Loud vibration of all sounds, and even of the patient's 
own voice. 

Dose : Three globules, as directed for Nux vomica. 

Mercurius is more distinctly indicated when the attacks are atten- 
ded with sweating. 

Dose : Three globules, as directed for Nux vomica. 

DISCHARGE FROM THE EAR. 

Arsenicum should be given when the discharge is profuse, smells 
very badly, and makes the adjacent parts sore; also when there is pros- 
tration and weakness. 

Pose : Give three globules, in a teaspoonful of water, night and morn- 
ing, for four days (or until the earlier development of manifest im- 
provement or change) ; then pause four days, after which the course 
may be repeated as before, if necessary, and so on, until manifest 
improvement or change. 

Aurum will be found to be useful in chronic cases, particularly after 
the abuse of Mercury, under old-school treatment, where the discharge is 
fetid, and the bones of the ear are diseased. 

Dose : Three globules, as directed for Arsenicum. 

Calcaria carb. should be administered, in chronic cases, when 
the discharge looks like matter, the glands of the neck are swollen, 
the abdomen is large, and there are other evidences of a scrofulous con- 
stitution. 

Dose: Three globules, as directed for Arsenicum. 

Carbo vec. is suitable after the suppression of itch, or itch-like erup- 
tions ; the discharge is offensive, the ear is inflamed and sensitive to 
touch. 

Dose: Three globules, as directed for Arsenicum. 

Hepar sulphuris may be administered when the discharge is very 



200 OUR FAMILY PHYSICIAN. 

profuse and mild, particularly in scrofulous persons, or when it results 
from acute inflammation of the internal ear. 

Dose: Three globules, as directed for Arsenicum. 

Sulphite is indicated when the discharge consists of offensive mat- 
ter, particularly if the left ear he affected; eruptions behind the ears, 
which itch, and bleed after scratching. 

Dose: Three globules, as directed for Arsenicum. 

Mercurius is indicated, if the affection be of syphilitic origin ; the 
cars itch, the face is covered with little pimples which secrete matter. 

Dose : Three globules, as directed for Arsenicum. 

Pulsatilla will be found to be a very valuable remedy in the treat- 
ment of this troublesome affection. It is indicated when the discharge is 
the result of a cold (catarrhal) or follows acute inflammation of the ear. 
The discharge is usually thick and yellow ; the ear is red and swollen, 
and there are stitch-like pains in it. The left ear is most commonly af- 
fected. 

Dose : Of a solution of six globules in two tablespoonsful of water, 
give every three hours, if required. 



CHAPTER X. 



DISEASES OF THE NOSE. 



CORYZA, CATARRH, COLD IN THE HEAD. 

Catarrh of the nasal mucous membrane is one of the most common 
and most frequently occurring affections. 

A simple catarrh arises from a cold. Individuals who watch them- 
selves -omewhat, know very well that, if they feel chilly from exposing 
themselves to a current of air after being heated, they will have a catarrh 
within twelve hours. Severe attacks always commence with a febrile 
sensation, lassitude, dull headache, especially above the root of the nose. 
At first the nose is drier than usual, sensitive to cool air, the smell is 
sometimes remarkably affected; there is a tingling in the nose and a de- 
sire to sneeze. If a discharge takes place at the commencement, it is 
generally very tenacious, yellowish, or almost entirely watery. In most 
cases the adjoining parte are involved, especially the tonsils, which are 
slightly reddened, and where a stinging pain is experienced. The larynx 
i- likewise affected, the speech being somewhat hoarse. A peculiar symp- 
tom i~ the remarkable frequency of the pulse, with which some persons 
become affected :it the commencement ofa catarrh, and the striking ele- 
vation of the temperature. Among children particularly the constitu- 
tional symptoms are much more striking than among adults; whereas 
the latter continue in the enjoyment ofa sound sleep, children, on the 



DISEASES OF THE NOSE. 

contrary, spend restless nights. Usually after the lapse of twenty-four 
hours a copious secretion of mucus takes place, after which the patient 
feels better and the constitutional symptoms disappear. Within nine 
days at most, the patient is completely restored to health, unless a relapse 
should have taken place. This very common form of catarrh scarcely re- 
quires to be treated medicinally. Cases may, however, occur, where the 
secretion remains copious and watery for three or four days, the patient 
feeling very much indisposed and very anxious to be freed from his com- 
plaint. Moreover, in the course of the catarrh, relapses may take place 
in consequence of which the febrile exacerbations may increase to such 
an extent that a catarrh, which was at first quite unimportant, becomes 
a real torture. 

Under favorable circumstances, especially if the patient exposes him- 
self to frequent relapses, or is otherwise constitutionally predisposed to 
the complaint, the acute form passes into the chronic. Generally the 
chronic form consists in a profuse secretion of mucus, without any other 
trouble. Frequently, however, the profuse mucus secretion is accompa- 
nied by swelling of the mucous membrane and impeded respiration. Af- 
ter a number of relapses the swelling increases to such a degree, that 
breathing through the nose becomes impossible, which gives rise to a 
number of ailments : the speech has a nasal twang, the throat hurts in 
consequence of the dryness induced by breathing exclusively with the 
mouth open, and sleep is variously disturbed. These difficulties remain 
even after the mucous secretion has entirely ceased ; in that case they 
are even more unbearable than before. If there is a peculiar predisposi- 
tion, such as scrofulosis, the internal parts of the nose become inflamed 
side by side with the catarrhal irritation, and an ulcerative process sets 
in, which secretes a foul-smelling purulent matter, (ozsena.) A bad smell 
from the nose may, however, take place, without any ulceration. (See 
page 48.) The structural changes in the mucous membrane frequently 
give rise to fungoid growths, polypus, etc. 

The chronic form of Catrrah is, under all circumstances, a very obstin- 
ate complaint ; probably because patients don't take care of themselves, and 
the swelling of the nasual membrane is constantly increased by new re- 
lapses. The more the swelling increases, the more difficult it is to cure the 
complaint. The best remedies for relief and eradication, are in the order 
in which their names here appear. Sephia, Mercurius, Sulphur, Iodine, 
C alcana Carb, and Aurum. 

Home remedies. In view of the obstinacy of chronic catarrah and of 
the bad consequence it may entail, among which loss of smellls one of the 
most important, it is certainly advisable to devise a course of treatment 
that shall prevent relapses. One of the most useful means to accomplish 
this result, is a gradual hardening of the whole body by fmeans of^cold 
water. Cold water is altogether an important remedy, in the treatment of 
catarrah. When drunk at the outset of an acute attack, in considerable 
quantity, it very soon moderates the most disagreeable sensations; and, in 
the chronic form, it renders good service when drawn up into the nose 
several times during the day. This last-mentioned "use of water likewise 
acts as an excellent prophylactic. For catarrh, properly speaking, it is bet- 
ter to draw up tepid instead of cold water; tepid water loosens the tough 



202 OUR FAMILY PHYSICIAN. 

mucus better than cold. In the chronic form, likewise, cold water is often 
much less suitable than warm water, which feels much more pleasant. 
That it has a favorable effect upon existing ulcers, is evident were 
it only by cleansing the suppurating surface and preventing the formation 
of crusts. It is well known that copious draughts of some lukewarm 
beverage are likewise recommended for catarrh; it is undeniable that it 
has an excellent effect in catarrhal conditions of the respiratory organs- 
This management, however, seems so annoying to many persons, that only 
a few are willing to take this trouble. Of much more importance is the 
use of water in the epidemic catarrh of the respiratory organs ; we shall 
revert to its use when treating of this disease. An ordinary proceeding in 
domestic practice is to excite a profuse perspiration. It is undeniable that 
this proceeding moderates the course of a catarrh, almost without an ex- 
ception. Nevertheless serious doubts may be entertained against such a 
course. In the first place, sweat is sought to be excited by medicinal 
herbs. This conduct is decidedly reprehensible, for the reason that the 
organism should never be drenched with medicinal decoctions without the 
most urgent necessity. And, in the second place, the skin is rendered 
more susceptible to cold, which is much worse than that the first cold 
should remain uncured. If the skin is to be excited to increased action 
the best and least hurtful means to accomplish this, is a moderate vapor- 
bath; or, if we desire to excite perspiration in the bed, we may drink a 
glass of warm water with a little syrup. 

ALLOPATHIC TREATMENT. 

Acute coryza (cold in the head). But few persons go to a doctor fo 
a simple cold in this form, but most persons usually take the casein their 
own hands. By the use of hot drinks and hot foot-baths he amuses him- 
self, and in a few days the disease runs its course. 

A cure can be hastened by a hot foot-bath, and by taking a full dose 
of Opium, as ten grains of Dover's Powder, a third of a grain of Morphia 
or thirty drops of Laudanum, to be followed, in the morning, by a ca- 
thartic of "salts," a Siedlitz Powder, or such other laxative as may be at 
baud. 

Many times a cold in the head may be promptly relieved by inhaling 
the vapor of Iodine every three or four minutes, for an hour or so. Each 
inhalation should occupy a minute. The Iodine may be vaporized by 
merely holding a bottle of the Tincture, or Compound Tincture, in the 
warm hands under the nose. Greater heat increases the strength of the 
vapor. Pure Bromine may be inhaled in the same way with benefit. 
should a prolonged sitting of an hour at the inhalation of the Iodine va- 
por fail. I recommend inhaling into the nose the fumes of cigarettes made 
of white blotting paper soaked in Fowler's Solution ; and, in case a cure 
was not cflccted by a night's treatment with the opiate, etc., followed by 
a cathartic In the morning, I would give ten drop-doses of Fowler's Solu- 
tion, three times a day, for a few days. 

Hot bathfl (air, vapor, or water), may often do good. Hot applica- 
tions, as the use of very warm water, applied with a sponge, or nasal 
douche, are also useful. 



DISEASES OF THE NOSE. 203 

Protection of the body from wet or cold is necessary to prevent recur- 
rence of the attacks, which may result in chronic catarrh. 

Treatment of chronic catarrh. — This is both local and constitu- 
tional. The nose should be thoroughly cleansed by a warm nasal douche. 
This must be completely done, and to effect it, the douche must be con- 
tinued as long as any of the secretion appears in the water as it flows 
from the nose. In the absence of a regular nasal douche an ordinary 
flexible syringe made to act as a siphon can be used. The tube should be 
wound with muslin until it closes the opening of the nostril. There is 
sometimes an advantage in adding a little salt, Alum, Sulphate of Zinc, 
a half teaspoonful, or Permanganate of Potash, a quarter of a teaspoonful, 
(especially if there is fetor) to the pint of water. 

After a thorough cleansing the frequent inhalation of Compound 
Tincture of Iodine with Carbolic Acid. Take of the Compound Tinc- 
ture of Iodine half an ounce, Carbolic Acid half a dram, and inhale from 
the bottle. The vapor is generated by the heat of the hand clasping the 
bottle. The same mixture diluted with an equal part of Glycerine may 
be applied to the lining membrane of the nose, through the nose with a 
camel's hair brush, twice a day. It should also be well applied to the 
posterior nares, through the throat, by thrusting the brush well up behind 
the palate. Other substances which are useful as inhalation are Bromine, 
which may be vaporized from the bottle by the heat of the hand, and 
Iodoform. The latter is vaporized by sprinkling a little of the powder on 
a saucer and applying heat. The vapor is conducted to the nostril by a 
paper or pasteboard cone prepared for the purpose. 

Many other substances physicians successfully resort to with success. 
Nitrate of Silver, from five to twenty grains to the ounce of distilled 
water, and applied to the posterior nares with a brush, is one of the best. 
It can hardly be recommended for domestic use. The substances men- 
tioned are thrown upon the diseased surface with steam and other 
atomizers and catarrhal syringes. It is hoped that the directions have 
been full enough to enable many to relieve themselves of a chronic ca- 
tarrh which was supposed to be beyond help. 

Supposing the catarrh to have been of very long standing, in addition 
to douches, vapors, and astringent applications attention will need to be 
directed to constitutional treatment. Two remedies, which do especial 
good in cases of habitual discharge from the mucus membrane, are Iodide 
of Potassium and Arsenious Acid, and if the patient is feeble, Iron should 
be given also, as in the following formula. Take of Iodide of Potassium 
five drams, dissolve in two ounces of simple syrup, and mix with a solu- 
tion of a half a dram of Pyrophosphate of Iron with two ounces of simple 
syrup; then add two and a half drams of Fowler's Solution. 

Dose : A teaspoonful after eating. 

Other tonics may be needed to meet any existing state of the system 
as, if the patient should be feeble, the Citrate of Quinine and Iron in three 
to five grain doses three times a day, will be required to build up the 
appetite and strength. If this is given the iron should be omitted from 
the former formula. Nourishing diet is always to be given. If the pa- 
tient craves sour drinks or digestion is poor, Muriatic Acid in fifteen 



204 OUR FAMILY PHYSICIAN. 

drop doses before eating will be useful. It should be largely diluted in 
sweetened water and the mouth rinsed after taking. 

Not unfrequently a change of air to a locality which agrees best with 
the general health of the patient is of the greatest advantage. 

This treatment is also adapted for the extreme cases of catarrh with 
ulceration and offensive discharges called Ozama. 

HOMOEOPATHIC TREATMENT. 
CAMPnoit (Concentrated Tincture). This medicine, if employed upon 
the earliest development of symptoms of cold in the head, will sometimes 
suffice to arrest the progress of the affection at once. It is particularly in- 
dicated when the premonitory stage of the complaint is characterized by 
fits of sit leering and headache. 

Dose : One drop of the concentrated tincture on a small lump of sugar, 
three times, at intervals of ten minutes, then twice at intervals of an 
hour, and lastly, twice at intervals of four hours. 

Aconitum may precede, or be given alternately with either of the 
next two remedies, when, in consequence of the swollen and congested 
state of the lining membrane of the nostrils, a painful sensation of full- 
ness, heat, and smarting is experienced; and also when active febrile 
symptoms supervene. 

Dose : Of a solution of six globules to four teaspoonsf ul of water, give 
a teaspoonf ul every three hours, until the indicative symptoms sub- 
side. If in alternation with Nux-wmica, or with any other medicine, 
give seperately, six globules of each, so that four hours elapse 
betwen doses. 

Xrx-voMicA is generally preferable to all other remedies in the first 
stage, and especially when there is dry obstruction during the night only, 
with pressive heaviness in the forehead and confusion in the head; heat in 
the head ; heat in the face, increasing towards evening. If these sensa- 
tions occur in combination with other catarrhal symptoms, refer to the 
indications afforded for the exhibition of this remedy under the heads of 
Hoaresness and Covgh. This direction equally applies to the other medi- 
cines here quoted. 

Dose: Six pills every two to six hours. 

Lvoopodtum will often be found efficacious after Nux-wmica in ob- 
stinate cases of stuffing of the nose, particularly at night, rendering it 
oec< ssary to sleep with the mouth open, which causes a disagreeable dry- 
without much thirst, attended with much confusion in the head and 
burning pain in the forehead. This remedy is frequently more or less 
useful in colds in the head of all kinds. 

l)os<- : six globules, as directed for Nuawomica. 

Mebctjbius is indicated by profuse discharge, producing excoriation, 
swelling or redness of the nose, pains in the head and face. This is a valu- 
able remedy in the generality of ordinary cases of cold in the head, particu- 
larly when the complaint is epidemic. 

Dose: Two globules in a teaspoonful of water, night and morning, for 
four days, but if within twelve hours after the second dose the symp- 
toms continue to become aggravated, notwithstanding treatment, 
proceed with the next remedyjdr, if the nasal discharge and watering 
of the eyes predominate, consider Euphrasia. 



DISEASES OF THE NOSE. 205 

Hepar-sulpkurus is chiefly of service when only one nostril is af- 
fected, or when there is headache which is aggravated by the slightest 
movement ; or when the complaint is renewed on each exposure to cold 
air ; further in most cases in which Mercurius, though apparently indicated, 
has produced little or no improvement, when it should be administered 
six hours after the second dose of that medicine. 

Dose : Three globules m a teaspoonful of water, night and morning. If 
however, the headache continues unabated, within six hours after 
the second dose of Hepar, consider Belladonna. 

Euphrasia should be employed six hours after the second dose of 
Mercurius in preference to Hepar-s., when the discharge from the nose is 
excessive, and there is, at the same time, confusion of the head, with red- 
ness of the eyes and eyelids, and copious, acrid or scalding flow of tears. 

.Dose: Three globules in a teaspoonful of water, every three hours? 
until improvement or change. 

Belladonna should be administered, if the headache continue una- 
bated, or when it becomes associated with a sensation of heat and full- 
ness about the head and eyes. When the sense of smelling is variously 
affected, being at one time too acute, and at another too dull, there will 
be additional reason for resorting to this remedy. 

Dose : Six globules in a tablespoonful of water, repeated at the expi- 
ration of four hours, and again after an interval of eight hours, if 
the indicative symptoms be still predominant. 

Nateum-m. is indicated by cold in the head, renewed by the slight- 
est chill, or exposure to a current of air ; obstruction of the nose every 
second day. 

Dose : Four globules in a teaspoonful of water, night and morning, 
for a week. 

Kali-bichrom. is indicated by swelling of the nose and nostrils, with 
copious watery secretion, and diminished sense of smell. 

Dose : Four globules in a teaspoonful of water, night and morning, 
until amelioration or change. 

Arsenicum is indicated by obstruction of the nose, with, at the same 
time, discharge of a thin, acrid, excoriating phlegm, and burning heat in 
the nostrils, etc. Suffering relieved by heat; pain in the back; feeling of 
general debility, or prostration of strength. 

Dose : Two globules in a teaspoonful of water, every three hours, 
until amelioration or change ; but if only partial relief ensue within 
three hours after the fourth dose, pause three hours more, and pro- 
ceed with the next remedy. 

Dulcamara should be given, if, after the previous administration of 
the two preceding remedies, fresh obstruction is provoked by the slight- 
est exposure to air. 

Dose : Three globules in a teaspoonful of water, night and morning, 
until permanent amelioration or change. 

Pulsatilla is indicated when the nasal discharge is thick, fetid, 
greenish-yellow, or mixed with clots of blood; loss of taste and smell, 
headaches, sneezing, chill, especially towards evening; disposition to 
weep, lowness of spirits, heaviness or confusion of the head in a warm 
room. 



206 OUR FAMILY PHYSICIAN. 

Dose : Three globules in a teaspoonful of water, night and morning, 
for four successive days. 

Chamomilla should be selected when the affection has arisen from 
checked perspiration, and there is an acrid discharge from the nose, 
causing redness of the nostrils, and excoriation or soreness under the 
nose; chapped lips; shivenng with thirst. 

Dose; Of a solution of six globules to four tablespoonsful of water, 
give a tablespoonful every three hours, until amelioration or change. 

Ammonium-cabs, is often of service in cases of cold in the head, 
with copious discharge, particularly of an acrimonious, burning, watery 
fluid; hoarseness, tickling, suffocating cough, with alternate heats and 
chills ; or stuffed nose, especially at night ; swelling and painful sensi- 
bility of the nostrils ; dryness of the nose. 

Dose; Three globules in a teaspoonful of water, every four hours, 
until amelioration or change. 

DIFFICULTY OF BREATHING. 

Ipecacuanha should usually be selected instead of Aconitum and the 
successive remedies, when the sudden suppression of cold in the head is 
followed by difficulty of breathing. 

Do.se; Three globules in a teaspoonful of water, every three hours. 
If, however, within two hours after the third dose, there be no de- 
cided relief, pause four hours longer, and proceed with the next 
medicine. 

Bryonia should be administered six hours after the third dose of 
Ipecacuanha, if the employment of the latter medicine has been followed 
by inadequate relief, and the difficulty of breathing still continues pain- 
fully predominant. 

Dose; Three globules as directed for Ipecacuanha. If, however, there 
be no positive relief within two hours after the second dose of Bry- 
onia, pause four hours longer, and proceed with the next medicine. 

Sulphur should be administered six hours after the second dose of 
Bryonia, in cases in which the second dose of the last named medicine 
has been productive of inadequate benefit. 

Dose: Four globules in a teaspoonful of water, morning and evening, 
for three days. 

CONSTITUTIONAL SUSCEPTIBILITY TO COLD IN THE HEAD. 

Cam area is very generally of service in overcoming the extreme 
susceptibility to cold, which distinguishes some constitutions. This rem- 
edy lb, moreover, especially indicated when the attacks of cold in the 
head of infants, at the period of teething, occur, accompanied by oppres- 
sive breathing, hi general, also, Calcarea is of service when attacks are 
liable to he provoked by every change of weather. 

Dose: Two globules in a teaspoonful of water, at bed time, two days 
in BUCCession. Repeal in one week. 

Siucka should he employed, upon the subsidence of a repeated at- 
tack, in cases as just stated i in which Calcarea has apparently failed to 
modify the prcdisposit ion. 

Do* : TWO globules, as directed for Calcarea. 



DISEASES OF THE NOSE. 207 

Pulsatilla is generally of great service in the treatment of predis- 
position of cold, when the attacks are complicated with marked derange- 
ment of the digestive functions, especially for persons of a mild and sensi- 
tive disposition and lymphatic constitution. 

Dose : As for Calcarea. 

Home remedies may be summed up in the word care. A little salt- 
water drawn up the nostrils in the morning is frequently beneficial. Per- 
manganate of Potash, dissolved in water (just enough to give a beautiful 
color), is an excellent remedy for the offensive odor from a bad catarrh. 

We have to devote a few remarks to polypi in the nose. If we ex- 
cept the cancerous growth, there are two distinct kinds of polypi. One is 
a simple fungoid growth of the nasal mucous membrane, and owes its 
origin to chronic catarrh ; the other is rather an idiopathic growth with 
vessels and cellular tissue. These excerescences sometimes impede res- 
piration to such an extent, that they have to be removed either by an op- 
eration, or by medicinal treatment. That the latter is sometimes adequate 
to their removal has been placed beyond all question by numerous success- 
ful results. In treating a nasal polypus, we use the following remedies: 
Calcarea carbonica, in the higher attenuations, is recommended by many 
authorities, likewise for polypous excrescences of the Schneiderian mem- 
brane. We have never been able to obtain any good from its use in this 
disease. Against sarcomatous polypi we frequently find useful: Kali 
bicliromieum, Phosporhous or Sulphur. The result of the treatment, how- 
ever, in such cases, is much less favorable than that of mucous polypi. 

INFLAMMATION OF THE NOSE, NASITIS. 

Inflammation of the Schneiderian membrane generally occurs under 
the form of a more or less intense catarrh, of which it is very frequently a 
symptomatic manifestation. The ulcerative process to which attention 
has been called when treating of catarrh, depends upon this inflammation. 
The treatment is conducted with the same remedies that have already 
been indicated in the former chapter. 

There is another form of nasitis where single follicles are attacked, in 
consequence of which abscesses form. This disorder is very painful, and 
it is desirable that its course should be shortened as much as possible. The 
best remedy for this purpose is Mercurhis; Hepar Sulphuris may likewise 
prove useful. In some cases, if the affection is- just beginning, it may be 
well to commence the treatment with Belladonna. The application of a 
w r arm fluid does the same good here as in any other abscess. 

Inflammations of the nose, which constitute partial manifestations of 
other constitutional affections, will be spoken of in connection with the 
latter, where the proper treatment will likewise be explained. 

A peculiar inflammation of the nasal mucous membrane, which bears 
the greatest resemblance to eczema of the external skin, and frequently 
spreads in the form of an eczematous process to the external nose and to 
the lips, results in a continual formation of crusts and runs a very slow 
course, requires for its cure Mercurius, Kali bichromicum, or in more 
chronic cases, Graphites. Inasmuch as the cure does not take place very 
rapidly, it is well not to change the remedy too soon. 



208 OUR FAMILY PHYSICIAN. 

EPISTAXIS, BLEEDING AT THE NOSE. 

Bleeding at the nose is one of the most frequent occurrences ; no or- 
gan is as easily inclined to bleed as the nose, the cause of which has to 
be sought in the peculiarly delicate structure of its mucous membrane, in 
its great vascularity, and in the circumstance that the nose is remarkably 
exposed to external influences and injuries. 

Bleeding at the nose generally sets in unexpectedly without any pre- 
cursory symptoms, which, when existing, consist of congestion about the 
head, such as headache, vertigo, buzzing in the ears, etc., or fever. Gen- 
erally the bleeding takes place only from one nostril, and, as regards 
quantity, varies from a few drops, mixed with nasal mucus, to whole 
pounds. Sometimes it is a scarcely perceptible flow of blood, sometimes a 
mere dribbling of a few drops, and sometimes, but very seldom, the blood 
rushes out in torrents. According as the bleeding vessel is located, the 
blood is poured forth from the external nostrils, or else from the posterior 
nares into the pharynx. The latter result is apt to occur at night during 
sleep. On waking, the patient vomits up the blood, or, if it had run into the 
larynx, it is coughed up, leading both the physician and the patient to 
suppose that he had an attack of haemoptysis, so much the more when 
the co-existing symptoms render this supposition more or less founded in 
fact. 

The bleeding may continue from a few seconds to whole days. If the 
single turns follow each other in rapid succession, it may often seem as if 
the bleeding continued for days. 

The causes are various ; but if a good deal of blood is lost, it is always 
desirable to investigate them with accuracy. There undoubtedly is such 
a thing as a constitutional predisposition to nose-bleed, in consequence of 
which the vessels are abnormally inclined to fill up and burst. This 
predisposition may even be hereditary, although it does not show itself 
in the looks of the individual. Besides this, a marked flow of blood to 
the nose, or even to the whole head, is one of the most frequent causes; 
likewise mechanical impressions, ulcers of the mucous membrane, and 
finally a peculiar composition of the blood which favors the exudation of 
the blood, as in typhus, scurvy, etc. The frequent appearance of nose- 
bleed at a time when the barometer is very low, causes us to adopt the 
theory that the atmosphere exerts a peculiar pressure, resulting more par- 
ti, jularly in the production of congestions about the head. 

Although nose-bleed, as we stated above, is, generally speaking, an 
occurrence of trilling importance, yet, under certain circumstances, it 
acquires a peculiar significance. In the first place, the quantity of the 
blood that is lost by one or by a series of successive bleedings, may be so 
greal that the most dangerous symptoms of anaemia (bloodlessness) may 
result from such a Loss. In the next place, the hemorrhage is danger- 
ous in Mich conditions a- anaemia and typhus, which do not hear any loss 
of blood. It is undoubtedly wrong to view the nose-bleed in such con- 
ditions as a critical endeavor of the organism, although such a view 
seems justified by a momentary amelioration of single symptoms, espe- 
cially the cMijestivc head symptoms. Such an improvement is very soon 

followed by a so much more disagreeable aggravation, Nature thus 



DISEASES OF THE NOSE. 209 

points out the value we are to attach to artificial bleedings, and that they 
at most only palliate the distress at the expense of the general organism. 
In little children and old people, nose-bleed is always a dangerous occur- 
rence. 

ALLOPATHIC TREATMENT. 
Hemorrhage from the nose. The neck ties, collar or binding 
should be unloosened, and the neck left perfectly free. The application of 
cold water to the nose or back of the neck may stop the flow. Strong so" 
lutions of alum, sulphate of zinc (white vitrol), or tannin may be applied to 
the nostril by snuffing it from the hand, or inserting plugs in the nose 
soaked with the solution. In urgent cases, if you have solution of the Per- 
sulphate of Iron, or the powder, it may be carried well up into the nostril 
with a swab, and may stop the flow by forming a clot. Powdered alum with 
tannin may be snuffed into the nostril dry. If a clot of blood is formed in 
the nose, it should be left undisturbed until it comes away of itself, for 
meddling with it may rekindle the bleeding. If these means fail, and a 
surgeon is not available, it may be necessary to plug the nostrils by domes- 
tic hands. To do this a twine, well waxed, is passed through a gumelastic 
catheter, and both are then passed through the nose into the mouth, by 
means of a hook, crotchet needle, or forceps, the twine is drawn forward 
and made fast to a piece of sponge or plug of cloth. By moving the cath- 
eter and drawing on the twine projecting from the nose, the plug is drawn 
firmly into the nares. It should not be removed for forty-eight hours. 
Should bleeding continue from the nose, the anterior nares may also be 
plugged. Gallic Acid, in doses of a scruple, with twenty drops of Aro- 
matic Sulphuric Acid in water, may be given internally every three or 
four hours. Tincture of Iron, in doses of thirty drops, well diluted may be 
given at the same intervals, or Ergot, in doses of a teaspoonful of the pow- 
der, or fluid extract. Turpentine in doses of ten to twenty -drops in mu- 
cilage or syrup, from two to four hours apart. The bowels should be kept 
regular, with mild laxations. The diet should be nourishing meat, pota 
toes, celery, and fruits. 

HOMOEOPATHIC TREATMENT. 

INDICATIONS AFFORDED BY PARTICULAR CAUSES AND CONDITIONS. 

When the discharge of blood from the nose is occasioned by local de- 
termination of blood, select especially from : *—Aconitum Belladonna, 
Crocus, Graphites, Rhus, and Hamamelis. 

When caused by being overheated, or over-indulgence in fermented 
liquors, select especially from : *--Nux vomica, Aconitum, Belladonna, and 
Bryonia. 

When occasioned by loss of humors, and other debilitating causes, se- 
lect especially :*—Ferrum and China. 

When occasioned by physical exertion,, select especially : * —Rhus or 
Arnica. 

When occasioned by a blow or contusion, select especially*— Arnwa, 



J* See Note on foot next page. 



210 OUR FAMILY PHYSICIAN. 

When readily provoked by the slightest cause, select especially from:* 
— Sulphur, Silicea, Sepia, Calcarea, Carbo, Graphites, and Lycqpodium. 

When the discharge is excessive, select especially from: *— Aconitum, 
Arnica, Belladonna, Mercurius, Pulsatilla, and Rhus. 

When associated with scanty menstruation, select especially^from : *— 
Pulsatilla, Graphites, Causticum, and Sepia. 

When associated with excessive menstruation, select especially from: * 
— Aconitum, Calcarea, and Croats. 

When (in children) associated with worms, select especially : * — Mer- 
curius and Cina. 

When bleeding of the nose occurs with every attack of cold in the head 
select especially : * —Pulsatilla. 

Aconitum is indicated by prolonged or violent bleeding at the nose, 
in plethoric subjects, with a considerable degree of fever, flushing of the 
face, pulsation of the arteries of the temples and neck, or general full- 
ness of the vessels of the head. 

Dose: Of a solution of four globules to two tablespoon sful of water, 
give a teaspoonful every half hour, until amelioration or change. 

Belladonna is frequently of the greatest service when there is 
bleeding from the nose at night, which awakens the patient from sleep, and 
sometimes returns in the morning ; bleeding from the nose from being 
overheated. 

Dose : Four globules, as directed for Aconitum. 

Bryonia is preferably indicated by bleeding from the nose, chiefly 
in the morning, or at night during sleep, causing the patient to awake ; or 
when it arises from suppressed menstruation, or from overheating during 
warm weather ; obstinate or irritable disposition. 

Dose : Four globules, as directed for Aconitum. 

Mercurius is of great service against bleeding of the nose during 
sleep, or while coughing, with speedy coagulation, so that the blood hangs 
in clots at the nostrils; or when the affection is preceded by a sensation 
of tightness round the head, as if it were bound. 

Dose : Four globules, as directed for Aconitum. 

CARBO V. is of essential service against bleeding at the nose during 
the night, with ebullition of blood ; violent nasal hemorrhage in the 
morning while in bed, followed by pain in the chest; discharge of a few 
drops of blood from the nose every forenoon; excessive bleeding from the 



* These indications afforded by particular causes and conditions, are not to be considered para- 
mount. In very many cases, it will, indeed be found that the one or other of the medicines thus 
Indicated! otherwise corresponds to the particular sy7nptoms present, as described in the subsequent 
portions of this article, in reaped Of each, Separately. But, if it should occur that, although indicated 
by such particular cause .or condition, the medicine, thus appropriate, offers no other relation to the 
case, and thai one or more of the others do more particularly correspond, the latter should bo selected. 
If, however, two medicines are identically indicated In all respects, except by the cause, or particular 
condition bare named,- snefa cause or condition will be decisive between them, and should then deter- 
mine I lie selection. 



DISEASES OF THE NOSE. 211 

nose several times a day, particularly after stooping, or after every exer- 
tion, preceded and followed by great paleness of the face. 

Dose : Two globules in a teaspoonful of water, morning and evening, 
for three days (or until the earlier development of improvement or 
change); then pause four days, after which the course may, if neces- 
sary, be repeated as before. 

Graphites may sometimes prove useful against bleeding of the nose 
towards night, with heat in the face, preceded by determination of blood 
to the head, in the after part of the day, particularly in females who have 
scanty menstruation. 

Dose : Two globules, as directed for Caroo v. 

Pulsatilla is indicated by discharge of blood from the nose every 
afternoon, evening, or before midnight, especially in females with sup- 
pressed or scanty menstruation, or in those of a mild and placid dispo- 
sition. 

Dose : Four globules, as directed for Aconitum. 

Hamamelis should be administered in cases in which the blood is 
dark colored and flows sluggishly but profusely. It is also useful if the 
nose bleed be complicated with bleeding of the lungs, or if resulting 
from suppressed menstrual flow. One of the best remedies. 

Dose : Four globules, as directed for Aconitum 

Veeateum alb. will be found efficacious when there is present, 
death-like paleness of the face, coldness of the surface of the body, and 
slow, intermitting pulse. 

Dose : Four globules, as directed for Aconitum. 

Arnica, in addition to being the principal medicine in violent 
nasal hemorrhage from external injury, or from great physical exer- 
tion, is, moreover, an important remedy in all cases in which the 
hemorrhage is preceded by itching in the nose and forehead; and when 
the nose feels hot, and the blood discharged is red and liquid. 

Dose : Four globules, as directed for Aconitum. 

Rhus is appropriate for the treatment of bleeding of the nose oc- 
casioned by physical exertion, such as lifting a heavy weight, or when 
blowing the nose, spitting, etc.; or for discharge of blood from the nose, 
which becomes aggravated or renewed on stooping, or during the night 

Dose : Four globules, as directed for Aconitum 

China is generally to be selected when the loss of blood has been 
very considerable, and when the patient is much weakened before assist- 
ance is rendered. 

Dose : Four globules, as directed for Aconitum 

Ferrum should be employed after the previous administration of 
China, in cases in which the last named medicine has been productive of 
partial amelioration only. errum is, moreover, of much service in the 
treatment of bleeding of the nose occurring in debilitated subjects, with 
excessive paleness of the face. 

Dose : Two globules, as\lirecteoffor Carbo v 



212 OUR FAMILY PHYSICIAN. 

Sepia. — Frequent attacks y)f hemorrhage from the nose, with pale or 
sallow complexion, especially in females with obstructed menstruation. 

JJo.se: Two globules, as directed for Carbo v. 

Xux v. is more particularly indicated by bleeding of the nose, espe- 
cially in the morning, from bein ; overheated, or from the suppression of 
an accustomed discharge, such as that of piles ; also after drinking wine, 
etc., or in habitual drunkards. 

/' se : Four globules, as directed for Aconitum. 

Crocus is useful for discharge of dark-colored, thick, or viscous blood 
from the nose, the blood hangs in long black strings ; particularly in 
females who menstruate too copiously, sometimes followed by fainting. 

Dose : Four globules, as directed for Aconitum. 

Moschus is frequently serviceable when the bleeding of the nose 
occurs in nervous, hysterical females, or when the bleeding has continued 
to depletion, and there is spasmodic jerking of the muscles. 

Dose: Four globules, as directed for Aconitum. 

SiiilCEA is an excellent remedy for the treatment of those obstinate 
and sometimes habitual discharges of blood from the nose, which occur 
in persons of a marked scrofulous habit of body. 

Dose . Two globules, as directed for Carbo v. 

HOME REMEDIES. 

When the hemorrhage is of an active kind, the patient should be 
placed in the erect posture, and kept cool and quiet for some time after- 
wards. 

When there is reason to fear suffocation from the bleeding continuing 
inwardly, and getting into the throat, as is liable to happen in extremely 
debilitated subjects, in whom little or no reaction appears to follow the 
administration of the remedies, the anterior and posterior outlets from 
the nose may be plugged; the latter by passing threads up the nostrils, 
and bringing them out at the mouth, then securing pieces of sponge, or 
small rolls of lint, to the ends; after this the threads should be drawn 
hack, and tied sufficiently tight so as to bring the plugs somewhat tirmly 
against the orific - 

Cold water, ice, snow, or cold or cooling articles applied to the head 
and Deck arc beneficial when the bleeding is evidently caused by excessive 
flow of blood to the head. 

In treating this disorder, as a matter of course, the exciting causes 
are of great importance. Where the symptoms of violent congestion of 
the head art present, the remedies which we have recommended for cere- 
bral hyperemia, particularly Belladonna, Aconite, Nux vomica, (also Qel- 
seminum, and Veratrum viridt I, are especially to In- kept in view. At the 
commencement of a general acute disease, Bryonia alba is the best reme- 
dy; hut it Ls nol here alone thai it is useful, hut likewise in the bleedings 
depending upon strongly marked venous hyperemia of the brain, and 
belonging rather in the category of passive hemorrhages. If such bleed- 
ing! ;■<•! in without any other accessory symptoms or fever, wegive Crocus 



DISEASES OF THE NOSE. 213 

and China, the last-named, more particularly, where distinct symptoms 
of ansemia were always present previous to the hemorrhage. In the sub- 
sequent course of acute affections, with decomposition of the blood, Arsen- 
icum, Lachesis and Secale cornutum are mostly to be commended. Hart- 
maim has seen Moschus act with quick success in cases where jactitation 
of the muscles had already set in in consequence of the loss of blood. 

Diet and regimen.— In all cases in which bleeding of the nose 
occurs otherwise than as the result of a mere casual accident (and 
even then until the discharge is thoroughly subdued), the diet should be 
plain and unstimulating ; it should, nevertheless, be nourishing, for— al- 
though, in many cases, as this discharge occurs in the place of some other 
natural evacuation, the system is not so much exhausted thereby as 
might be anticipated — it may still be looked upon as an indication of 
some local or general debility. The state of the organs of digestion should 
therefore be subjected to close attention, that any irregularities may be 
obviated, and that proper nutrition may be promoted. Regular habits, 
early hours, avoidance of over-intense application, extremes of tempera- 
ture, or of excesses of any kind, a fair proportion of exercise in the open 
air, in favorable weather (but without enduring fatigue), and the like, 
are essential. 

In cases of very debilitating and long-continued discharges of blood 
from the nose, change of air and scene will often materially assist in the 
restoration of the patient. 



214 OUR FAMILY PHYSICIAN. 



Part Fourth, 



CHAPTER XI 



DISEASES OF THE MOUTH AND THROAT. 



STOMATITIS. 

INFLAMMATION OF THE MOUTH. CANKER OFTHE MOUTH. 

We comprehend under this name all the catarrhal affections of the 
mouth and fauces, from single hypersemia to the formation of erosions, 
aphthae. 

Generally speaking it is a mere symptom of some more general dis- 
ease. In a few cases it is an independent disease, with a tendency to run 
a chronic course, and torment the patient to such a degree that it becomes 
necessary to proceed against it. In such cases, we find certain places of 
the mucous membrane, most frequently the arch of the palate and the 
under side of the tongue, covered with spots of various sizes, of a uniform 
bright, and very seldom of a dark, redness, causing a feeling of intense 
burning, impeding mastication, and frequently disappearing very sud- 
denly in order to break out again in some other part, and running alto- 
gether a very obstinate course. 

A catarrhal affection of the mouth and fauces accompanies the most 
diversified diseases of the digestive ajDparatus, as well as of the organs ad- 
joining the mouth, and acquires importance not so much from its 
inherent dignity as from the fact that by it we determine the condition of 
other organs. The coating of the tongue, for instance, which depends 
upon the degree and form of stomatitis, is, undoubtedly, an important 
diagnostic sign. The main symptoms of catarrh of the mouth are pain- 
fulness, which is particularly prominent in the case of little children, 
altered taste, secretion of a greater or less quantity of tenacious mucus, 
attended with diminished secretion of saliva, fetid smell from the mouth, 
sometimes frontal headache. The chronic form of catarrhal stomatitis is 
likewise characterized by an unusual secretion of mucus, altered taste 
and bad smell from the mouth, which is even perceptible to the patient. 
Of more Importance is the chronic form of catarrh of the fauces, which is 
a source of great annoyance. It is generally met with among singers, 
smokers, drinker.-, and is, likewise, one of the remote consequences of 
syphilis. If the affection springs from the last-mentioned cause, it fills 
tin- patients witb great anxiety, because they are in constant dread of a 
syphilitic affection in the mouth. It is generally confined to the posterior 
wall of tin- pharynx ; the tonsils, however, are frequently involved in the 
morbid process. The affected part shows a somewhat deeper redness, is 



DISEASES OF THE MOUTH AND THROAT. 215 

traversed Avith distinctly injected, varicose vessels, is more or less swollen, 
sometimes exhibiting granulations, and at times streaks of swelling, 
so that the mucous membrane seems divided in regular parallel pu^ftr ele- 
vations, between and on top of which streaks of a very tenacious, yellow 
mucus are seen. This secretion of tenacious mucus is the greatest torture 
to the patients, for the affection is not painful of itself, but only becomes 
so when, by the constant efforts made to hawk up the mucus, the mucous 
membrane of the fauces becomes irritated. This trouble is always very 
obstinate. 

By aphthae we understand a peculiar disorganization of the mucus 
lining of the mouth. Aphthae generally sets in with the symptoms of 
acute catarrh of the mouth, seldom without premonitory symptoms, hav- 
ing the appearance of small, watery or whitish blisters on the lips, tongue 
or cheeks, surrounded by a narrow, red areola. They soon break, leav- 
ing small ulcerations of the skin, with a yellow or yellow-gray base, and 
a vividly red, sharply circumscribed border. With the outbreak of the 
blisters, the fever often disappears, and only continues, if the eruption, 
instead of breaking out all at once, makes its appearance in a successive 
series of crops. The single little ulcer usually heals very rapidly, and it is 
only under very unfavorable circumstances that more deeply-penetrat- 
ing ulcerations and diphtheritic membranous formations take the place 
of the single aphthae. 

Stomatitis proper, that is, inflammation of the mucus lining of the 
mouth, commences with the symptoms of a violent, more or less exten- 
sive hyperemia, from which, however, it soon differs by the greater 
swelling of the more especially affected parts, particularly the gums. 
Every part of the mouth is very painful, not even the softest nourish- 
ment can be taken without intense pain ; if infants are the victims of 
this disorder, they refuse the breast very obstinately. In the further 
course of the disease, the gums look dark-red, with whitish streaks, but, 
at any rate at the beginning, without any loss of substance. There is no 
increased secretion of mucus, but profuse ptyalism, with metallic taste 
and disagreeable odor of the breath. Fever is always present, sometimes 
to a high degree, and attended with the most threatening cerebral symp- 
toms. After a while the digestion becomes impaired, the deficient nutri- 
tion leads to a loss of strength, which is still increased by the fact that 
the sleep is usually very much disturbed. In the higher grades of the 
inflammation the salivary glands are always very much inflamed, swol- 
len and painful. 

T his disorder scarcely ever runs a rapid course ; it lasts at least seven 
days, and may become very much protracted by secondary ulcerations 
and inflammation of the salivary glands. In this way, the lives of little 
children may be placed in jeopardy, or by an extraordinary increase of 
the cerebral irritation and the appearance of convulsions. 

The morbid processes of the mucus membrane of the mouth which 
we have enumerated so far, occur much more frequently and break out 
much more readily in the organisms of children than in those of adults. 
Whether this is owing to the greater delicacy of the infantile mucous 
membrane, or to deficient nutrition, is not very clear. Most diseases of 
this class, among infants at any rate, undeniably arise from the circum- 



216 OUR FAMILY PHYSICIAN. 

stance that the mouth is not kept sufficiently clean ; whereas on the other 
hand, stomatitis often attacks children where the utmost cleanliness is 
observed. One great cause of the disease, is the pernicious habit of giving 
children the breast much too frequently ; not only is the proper diges- 
tion interfered with by this pernicious habit, but the mouth cannot be 
kept clean when it is continually lined with milk. A mother cannot be 
too careful in this respect; a slight derangement in the functions of the 
mouth is sometimes sufficient to interfere with the assimilative process, 
and to bring on a condition of things that must inevitably lead to the 
deterioration of the infantile organism. 

Treatment.— We have placed these apparently different, and yet in 
many respects homogeneous diseases together, because the remedies 
which they require are generally the same, and unnecessary repetitions 
are thus avoided. 

ALLOPATHIC TREATMENT. 

The treatment of Stomatitis is not, as a rule, very complicated. 
In follicular sore mouth and the aphtous sore mouth of children (thrush) 
a mouth wash of two drains of Chlorate of Potash, half a dram to a dram 
of Carbolic Acid, to eight ounces of water, is generally efficacious. The 
borax and honey of domestic practice, or preferably borax and glycerine, 
(two drams to the ounce) applied with a camel's hair brush or pencil, is 
also generally effectual. Or a weak solution of Sulphate of Zinc (white 
vitriol) or Alum will generally effect a cure. 

In ulcerative sore mouth (Canker) Chlorate of Potash is almost a speci- 
fic. It should be finely pulverized and mixed with an equal part of 
pulverized sugar. The powder should be sprinkled on the ulcerated 
surface. Alum makes a servicable application by touching each ulcer 
with the crystal. Other astringent applications are useful as, Sulphate of 
Zinc (White Vitriol), Sulphate of Copper (Blue Vitriol), Nitrate of Sil- 
ver (Lunar Caustic), touching each ulcer with the dry salt, or Tannin 
Bprtnkled dry upon the surface of the ulcer. 

In infants there is probably no better treatment than the Chlorate of 
Potash. The powdered salt may also be given internally to children in 
doses of live grains in sugar and water. 

When these painful ulcers occur periodically, the ulcers may be 
touched with .Muriatic Acid and applied by means of a pine stick. In case 
there i- any derangement of the stomach in these latter cases, the internal 
use of the Dilute Muriatic or Nitro-Muriatic acid, in doses of fifteen drops 
well diluted in sweetened water, three times a day, is often extremely 

beneficial. 

The genera] health will need attention, poor digestion assisted by 
Pepsin alone or wilh Bismuth. The ordinary dose of each is five grains. 
Impoverished blood calls for bitter infusions of Peruvian Bark and Iron. 
The 1 fitter Infusions are made by macerating a dram of the crude drug in a 
pint of water tin- dose, a wineglassful. The Citrate of Iron and Qui- 
nine in dosea of three to five grains generally fills all the indications. 

In ii ii i si mj sore moil lb the above treatment is applicable, but the chief 
object is to support the system bo that the waste will be supplied. The 



DISEASES OF THE MOUTH AND THROAT. 217 

diet should consist of meat, eggs, milk, cream, oat meal, graham, etc. 
The Citrate of Iron and Quinine and Syrup of the Hypophosphites will 
be materially beneficial. 

HOMOEOPATHIC TREATMENT. 
Belladonna.— We can safely say, that in all cases where the lining- 
membrane of the mouth becomes red and inflamed, without the appearance 
of little blisters, or sores, Bell, is the best remedy. It acts most powerfully 
on the organism of children, while they are most liable to these inflamma- 
tions. It is most appropriate in the commencment of the attack; the 
higher the constitutional symptoms run, the more appropriate this remedy 
becomes. In chronic catarrh, or inflammation of the mouth, it is of very 
little use. 

Dose : Six pills in three tablespoonsf ul of water, of which solution, 
take a teaspoonful every one to four hours, as the case is more or 
less urgent. 

Murcurius — Is a specific in cases where there are little blisters, or 
sores (aphthea), as Bell, is where there are none. It is suited to every grade 
of the disorder, even to ulcerations of the mucous lining. 

Dose : As for Belladonna. 

Borax Is not suited to this disease as well as to Thrush, which see. 

Other remedies are Nux v., Dulcamara, and Nitric Acid. The latter, 
for that form of the disease, which is the result of the use of Calomel, or 
Mercury, in too large doses. 

Home remedies. Precautions in diet, are particularly important in 
cases of children, and infants. A frequent cleansing of the mouth, has a 
palliative and curative effect, not only in the case of children, but in that 
of adults. Warm water is the best means to cleanse the mouth with. The 
use of fat food must be strictly forbidden ; after eating fat food, every 
symptom of the disease becomes aggravated. Cooling washes are usually 
to be recommended. 



ANGINA. 

SORE THROAT. APHTHOUS SORE THROAT. 

By this name we understand an inflammatory affection of the poster- 
ior parts of the mouth and pharynx. According as it consists only in a 
catarrhal irritation of, the mucous lining or in actual inflammation of the 
parts, it is divided into catarrhal and tonsillary angina, which are 
two distinct forms of the disease. 

Catarrhal Agina is synonymous with acute catarrh of the pharynx 
and the posterior buccal cavity. The disease usually arises as independ- 
ent of other affections, less frequently in the course of other catarrhal 
processes. Its most common cause is a cold ; it likewise breaks out as a 
symptom of scarlatina, less frequently as a symptom of typhus, and 
sometimes it seems to spread even epidemically. Many individuals have 
from their youth a peculiar disposition to catarrhal angina, without show- 
ing in their external appearance any signs of a peculiar irritability or 



21S OUR FAMILY PHYSICIAN 

weakness; mi the contrary, they are persons of healthy-looking and 
vigorous constitutions. 

Symptoms. — These vary according as children or adults are affected. 
In either case the disease usually breaks out suddenly without any pre- 
monitory symptoms. The children were quite cheerful the moment 
previous, and are suddenly attacked with all the symptoms of a very 
violent fever and marked cerebral congestion. The temperature of the 
skin is very high, the pulse disproportionately accelerated, that is, in 
comparison with the trifling importance of the pathological process ; the 
children want to lie down, and they sink into a soporous condition from 
which they are frequently roused by sudden exclamations or anxious 
fancies, which sometimes continue even after the patients are wide awake, 
so that they seem really delirious. All these symptoms are worse towards 
evening and attain their climax about midnight, after which they 
decrease in intensity. The cerebral symptoms are so intense and, by 
their form and violence, cause so much anxiety, that it would seem at 
first sight as though the little patients were attacked with inflammation 
of the brain ; there is but one certain diagnostic sign, which is the copious 
sweat that is scarcely ever wanting in this disease, and which always 
breaks out. if the patients are covered ever so little, sometimes even if they 
are not covered at all, and which is never wanting if the patients are 
sleeping. The appearance of the tongue may be perfectly natural ; gen- 
erally, however, it shows a thin, whitish coating at an early stage of the 
disease. The pupils are at times dilated, at times contracted. If the 
children are old enough to describe their morbid feelings, they complain 
much less frequently of pain in the throat than of pain in the pit of the 
stomach and in the ears. The pain in the latter may increase to a high 
degree of intensity, and may cause the patients to moan all the time. The 
apparently threatening intensity of these symptoms in the evening or at 
night bears no proportion to their striking decrease in the morning, 
when the children are seen playing about very cheerfully, and perhaps, 
feeling a little more tired than usual. If left to itself the disease does not 
terminate here, but soon after dinner a fever sets in, which, however, 
does not attain the same degree of intensity that the fever had at the first 
outbreak, and ceases on the third, sometimes not till the seventh day. 
The appetite i- very bad, the bowels constipated, thirst moderate. There 
Lb very frequently a peculiar odor from the mouth, which is not so much 
a foul smell, as rather like that of Phosphorus; and is always more 
marked in the more violent cases, perhaps because in such cases the 
stomach i> generally very seriously involved. 

Catarrhal Angina i> undoubtedly one of the most common causes of 
the cerebral congestions with which children are so often attacked, and 
is but t<»o Beldom recognized as their exciting cause. The above-men- 
tioned diagnostic sign has never left us in the lurch, and we deem it so 
much more important a- it is difficult, especially in the case of little chil- 
dren, to undertake an Inspection of the throat. In children of six or seven 
years, marked cerebral congestions do not usually accompany this form 
otanjin:i, which runs the same course, in their case, as in the case of 
adult-. 



DISEASES OF THE MOUTH AND THROAT. 219 

Among older individuals catarrhal angina generally sets in without 
any decided fever symptoms ; if they are present, they correspond to the 
febrile stage of every catarrhal fever ; that is to say, they consist of alter- 
nate attacks of chills and heat, great lassitude, and rheumatic drawing 
and tearing in the extremities. At the same time they complain of disa- 
greeable dryness in the throat, and painful deglutition (swallowing), es- 
pecially of the saliva, which is generally very tenacious, and secreted in 
small quantities. Drinking or swallowing solid food is generally much 
less painful. The fauces (back of the mouth) especially at the arch of the 
palate, appear uniformly red, less frequently dark than bright red, the 
uvula (palate) is involved in the attack, looks swollen and elongated, so 
that its tip touches the root of the tongue, by which many patients are 
obliged to swallow all the time, and even causes an inclination to vomit. 
The tonsils are, likewise, somewhat swollen. 

If the disease is neglected at this first stage, or if the patient takes, 
perhaps, a second cold, the difficulty of swallowing increases a good deal, 
even to such an extent that the liquid returns by the nose, and the at- 
tempt to swallow solids causes actual paroxysms of suffocation. In such 
higher grades of the disease, even adults are affected with a very foul 
breath, the fever assumes a more continuous type, and violent headache, 
nausea and vomiting are seldom wanting. On inspecting the mouth, we 
find the whole of the back part of this organ dark red, sometimes we 
notice a few superficial ulcers ; the mucous lining is very much swollen, 
and the tongue thickly coated. In children we have seldom an opportu- 
nity of watching these different degrees of the disease ; on the contrary, 
they always feel sickest at the commencement of the attack. Amid a 
gradual decrease of all the symptoms, the patient generally recovers in 
seven to nine days, provided no untoward accident interferes with the 
cure. Only in the lighter forms of the disease recovery may take place 
in three, and even in two, days. 

Catarrhal angina is a prevailing affection of young people ; where 
there is a constitutional disposition to this disease, its attacks continue to 
a late age ; decreasing, however, in intensity. Before the first year it oc- 
curs less frequently, between the second and seventh it is one of the most 
common diseases. Whereas, among young people it is very commonly 
an independent disease ; among individuals between the ages of forty 
and fifty, on the contrary, it is most generally a mere symptom of some 
general disorder. 

The prognosis is always favorable, especially if the catarrhal angina is 
the only morbid symptom. Some profess to have seen death result from 
the convulsions caused by the congestion of the brain ; in such cases, 
however, the cause of death has most likely been ascertained only super- 
ficially. 

HOMOEOPATHIC TREATMENT. 

In its ordinary form, there is no better remedy for this affection than 
Belladonna. When given every two or three hours, it hushes, in twelve 
to twenty-four hours, the most violent pains in the throat, removes the 
febrile and congestive symptoms, and leaves mostly only a little lassitude 
and an impaired appetite. This effect of Belladonna is almost constant 



220 OUR FAMILY PHYSICIAN. 

among children, Mho are sometimes seen in the morning jumping about 
bright and cheerful, even if they seemed deathly sick the evening pre- 
vious. 

Dose: Four pellets every two or three hours. 

Mebcurius when there is loss of strength, profuse sweats, bad breath, 
delirium, etc. 

Dose : Six pills every two hours, in a little water. 

Acoxite if the fever is very high, with hot skin. 

Done: As for Belladonna. 



QUINSY. 

Inflammation of the tonsils, ulcerated sore throat.— This 
affection is really met with only to the age of forty or fifty years, very sel- 
dom at a later period ; most frequently between the years of seven and 
fifteen. It is certain that persons who have to use their voice a good deal 
are more liable to an attack of angina, and are more generally affected 
with the chronic form. One attack of Quinsy predisposes in a striking 
manner to relapses. Such diseases are more frequent in spring and fall 
than in summer and winter; their frequent appearance in the same lo- 
cality at certain periods, justifies the inference that this disorder is some- 
times epidemic. Damp, gloomy, and badly ventilated dwellings, are un- 
doubtedly very frequent causes of amygdalitis ; we attend families in whom 
the children are very frequently attacked with this disease, and where, in 
the absence of any ether unfavorable circumstances, the frequency of these 
attacks can only be accounted for by the unwholesomeness of their habita- 
tions. The peculiar relation of syphilis and Mercury to the tonsils, although 
as yet beyond the bounds of comprehension, is well known. In scarlatina 
we meet with amygdalitis as a characteristic symptom of the disease; in 
less frequent cases, amygdalitis likewise accompanies other exanthema, 
least frequently measles. 

Symptoms. Acute amygdalitis (Quinsy) .generally commences like all 
other acute affections, with a violent chill, which is speedily followed by an 
unusual rise of temperature and increased frequency of the pulse, with 
violent headache, and sometimes violent symptoms of cerebral hypenemia; 
so that in the absence of local symptoms, which have not yet made their 
appearance, we are easily led, especially in the case of children, to suspect 
the invasion of some acute disease. Generally all the morbid symptoms 
which occur in catarrhal angina make their appearance in this disease, 
only they are more continuous, the fever, especially, is less remittent, on 
which account acute tonsillitis is more readily than catarrhal angina, con- 
founded with some violent acute disease, such as meningitis, even in the 
case of adults. This is particularly owing to the fact that the local throat- 
symptoms do not make their appearanceat once, but not till the fever has 
lasted already a whole day; in consequence of which we neglect to exam- 
ine the threat at the onset of the disease. The throat looks generally 
redder, more so on one side than on the other. The redness is very soon 
followed by a swelling f the tonsils; at first only one tonsil being affected, 



DISEASES OF THE MOUTH AND THROAT. 221 

the other tonsil remaining either unaffected or being* attacked after the 
other. The more rapidly the inflammatory swelling increases in intensity, 
and the higher the grade to which the inflammation is carried, the greater 
the danger of the inflammation terminating in suppuration. The swell- 
ing sometimes enlarges to such an enormous size, that it is no longer 
possible to see the back of the tonsils. As the local symptoms increase, 
the general condition of the patient becomes more and more unfavorable ; 
the fever remains at its height ; swallowing is almost impossible, and yet 
there is a constant urging to swallow. Speech becomes guttural, some- 
times qui ce impossible; the breathing is more or less impeded. During 
perfect rest the pain is not so great, but is excited or aggravated by every 
motion. The lassitude is continually on the increase, partly owing to the 
violence of the fever, and partly to the deficient supply of solid, and more 
particularly of liquid, nourishment. The tongue is lined with a thick, 
tenacious phlegm, which is exceedingly troublesome to the patient, and 
seems to cause the urging to swallow, which frequently results in an in- 
clination to vomit. The bowels are constipated, the urinary secretions 
diminished, and urine is very thick. In this manner the disease continues 
about nine days, and sometimes increased to such degree in intensity that 
the patient, the day previous to the opening of the abscess, seems to be 
like one near death. Very seldom the general condition improves during 
the formation of the pus. As soon as the abscess breaks, the threatening 
symptoms disappear almost immediately. That perfect recovery cannot 
take place at once, must be self-evident to any one who considers how 
much strength the body has lost by slepplessness and deficient nourish- 
ment. 

Not in every case, and, as we shall show more particular 
when speaking of the treatment of this disease, is the course 
of tonsilitis as acute as we have described. From the most vio- 
lent fever, with sopor and delirium, to a scarcely perceptible disturb- 
ance of the general health, all sorts of degrees of constitutional malaise 
can be noticed, even though the local affection should be the same. If 
the inflammation is dispersed, this result does not take place very rapidly ; 
on the contrary, in such a case the inflammation is very apt to pass into 
the chronic from, which is much more rarely met with when the inflam- 
matory process terminates in suppuration. But even if the inflamma- 
tion is dispersed, a febrile condition of the system, lassitude and loss of 
appetite, continue for some days, whereas the decrease in the inflamma- 
tory symptoms ought to lead one to infer that the general well-being was 
much improved. The prognosis is almost always favorable. Only in 
children the disorder may terminate fatally, either in consequence of brain 
difficulties, or by suffocation, or even, under certain unfavorable circum- 
stances, by mortification of the parts. Among adults, this danger need 
not be apprehended. Anginas initiating or accompanying exan thematic 
affections (scarlet fever, etc.,) have to be viewed from a different stand- 
point to that of independent angina. 

The chronic form of amygdalitis arises in most cases out of the acute 
form, in consequence of the reabsorption of the inflammatory exudation 
only taking place partially, and the swelling of the tonsil remaining. 1 1 
seems as though, independently of* all constitutional predisposition, such 



222 OUR FAMILY PHYSICIAN. 

remaining infiltrations superinduced a tendency to relapses. Every new 
attack increases the swelling, so that an hypertrophy may ensue, by 
which access to the pharynx may be almost entirely prevented. After an 
abscess, hypertrophies of any size occur much less frequently. Without 
any previous acute attack, chronic amygdalitis may develop itself almost 
imperceptibly, in persons who have to exert their vocal organs a good 
deal, such as ministers, singers, actors ; but acute cases arising from such 
causes are not near as violent or important as cases arising from the pre- 
viously mentioned causes. 

It is only exceptionally that the enlargement of the tonsils causes 
trouble to the patients. It is seldom that they experience any pain ; nor 
is the pain ever very acute, unless an acute attack has just taken place. 
The most common derangement is an altered tone of the voice, as in an 
acute attack, and a weakness of the vocal organs, in consequence of which 
the sufferer is easily attacked with hoarseness. In spite of the swelling, 
which is sometimes very large, the difficulty of swallowing is either tri- 
fling, or else there is no difficulty at all. Only in rare cases the patients 
complain of the swelling, as of a foreign body in the throat. It is a pe- 
culiar feature in such cases, that every cold brings on an acute attack of 
amygdalitis, which is generally, however, confined to some fever with 
pain in the throat, and some difficulty of swallowing, with moderate red- 
ness of the tonsils. By neglecting such attacks, they may recur so often, 
and in such rapid succession, that the patient's health may remain dis- 
turbed for weeks. 

The enlargement of the tonsils is always a very obstinate difficulty, 
which it is so much more troublesome to remove, as the patients who feel 
tolerable well otherwise, do not feel disposed to take medicine. In an 
advanced age the swelling generally disappears spontaneously. 

ALLOPATHIC TREATMENT. 

QUINSY, (tonsilitis) is often relieved in robust persons promptly, 
especially if previous attacks have resulted in sujmuration, by a brisk 
saline purge (Epsom Salts) given in a dose a tablespoonful and a half in 
water. Cold applications should be applied to the neck and lumps of ice 
taken into the mouth. As soon as the bowels have moved a full dose of 
Quinine, ten or fifteen grains, and a third of a grain of Morphine, or its 
equivalent of Opium or Laudanum, should be given. The attack is fre- 
quently cut short by this treatment. If the opium cannot be well borne, 
Tincture of Aconite should be given in doses of a drop every hour until 
t lie fever is reduced, and then continued every two or three hours. 

In case the disease is not cut short Belladonna or Stramonium (James- 
town weed) should be freely applied to the neck and covered with a 
warm poultice. Cooling or warm drinks may be given as is most grate- 
ful to the patient. 

should the inflammation result in suppuration, as denoted by heavy 
throbbing pain, the abscess should he opened by a surgeon. 

Chronic enlargement <>f tlw tonsils generally comes on slowly in scrof- 
ulous children, weakly youths and young women. The enlargement is 
sometimes BO great that the fauces (throat) seems filled up, and both res- 



DISEASES OF THE MOUTH AND THROAT. 223 

piration, speech and hearing are interfered with. In these cases the en- 
larged organ ought to be excised by a surgeon. As much time as possi- 
ble should be spent in the open air. The habits regular, and the diet 
good. Frequent bathing should be practiced. Every morning the throat 
should be bathed freely with cold water. Tonics may be indicated by the 
general health, and will require changing from time to time. Iodine 
seems especially useful. 

The syrup of the Iodide of Iron may be given in doses of five to ten 
drops to a child, and twenty drops to an adult. Iodide of Potassium and 
Pyrophosphate of Iron have a good effect. Ten grains of the former and 
two grains of the latter, in syrup, is a dose for an adult. This treatment 
will need to be continued for a long time to be of much benefit. 

Irritating the neck over the enlargement, with Tincture of Iodine, 
applied daily, or every other day, may aid in reducing the enlargement. 
The best result from Iodine is obtained by injecting the tincture into the 



HOMOEOPATHIC TREATMENT. 

Belladonna should be given, as soon as the patient complains of dry- 
ness with difficulty of swallowing, and a sense of constriction or choking 
in the throat, which, on examination, is observed to be swollen and to 
present a florid, red appearance. Bell, is additionally indicated when the 
fever continues to run high, when the face is bloated, and the eyes are 
much inflamed, when there is considerable delirium and a disposition 
shown to leave the bed, or commit some act of violence, or when the rash, 
which sometimes attends this disorder, shows a scarlet hue. 

Dose : Of a solution of eight globules in each, two tablespoonsf ul of 
water, give one teaspoonf ul every two hours until improvement or 
change. 

Pulsatilla may be given with good effect, in cases in which the 
symptoms are mild, and an increased secretion of phlegm, has taken the 
place of the dryness usually present in the early stages, while the patient 
is at the same time afflicted with nausea and bilious vomiting. 

Dose : As for Belladonna. 

Nux-t. is preferable to Pulsatilla when the phlegm is very viscid, 
and is secreted in such a quantity as to create a feeling of threatening 
suffocation. 

Dose : As directed for Belladonna. 

The progress of matters in the throat must, however, be carefully 
watched. 

Mercurius should be prescribed, as soon as the presence of small ul- 
cers, or, still better, their incipient formation, can be detected. 

Dose: Three globules in a teaspoonful of water, repeated in two 
hours, and again in two hours more —unless the pain and extent of 
the ulceration should continue to increase, when proceed at once 
with the next remedy. 

Acidum-nitricum should be administered two hours after the last 
dose of Mercurius, when, from the increasing size and painful ness of the 



224 OUR FAMILY PHYSICIAN. 

ulcers, the latter remedy does not promise to arrest their progress or cause 
them to assume a healthy aspect. 

Dose : Three globules, as directed for Mercurius. 

In the milder forms of this disease, the two last named remedies will 
frequently be found sufficient to conduct it to a speedy and successful ter- 
mination. 

But in those much more dangerous forms, which the complaint so read- 
ily assumes when it rages as an epidemic, and when the patient at the 
commencement is seized with vomiting and purging, attended with such 
prostration of strength as to render it impossible for him to leave the 
recumbent posture without feeling faint and being compelled to fall back 
exhausted by his efforts: where, moreover, the ulcerations spread with 
alarming rapidity, and early take on a sloughing character — in such cases 
the conducting of the disease to a happy issue becomes obviously a much 
more serious and difficult task. 

Arsenicum will, in the majority of such cases, be promptly required, 
although sometimes advantageously preceded by a single dose of Pulsa- 
tilla (as before directed), if called for by the predominance of bilious vo- 
miting. Arsenicum is distinctly indicated by that marked prostration of 
strength so characteristic of this disease, accompanied by nausea or vomit- 
ing ; or when the ulcers present a livid hue. This important remedy is 
also indicated in a more advanced stage of the disease, when the ulcera- 
tions are covered with dark sloughs, surrounded by a livid margin ; the 
teeth and lips incrusted with a brownish, fetid discharge; the pulse 
small and irregular, and there is delirium or constant muttering, with 
frequent hanging of the lower jaw ; laborious respiration ; acrid discharge 
from tlie nostrils, causing excoriations; the eyes dull and glassy ; the 
skin hot and dry, the thirst excessive, yet the patient drinks but little at 
a time, ami appears to perform the act of deglutition with great pain and 
difficulty; finally, when the prostration of strength is so extreme, that 
the patient seems rapidly sinking, and a rash of a livid color breaks out 
in blotches, here and there intermingled with purple spots. 

Dost ■ Of a solution of six globules to two tablespoonsful of water, 
give a teaspoonful every hour, until amelioration or change — con- 
tinuing the administration at intervals of four hours Avhen the more 
argent aspect of the disease has been overcome. In very serious 
cases the doses may be required similarly every ten, fifteen, or 
twenty minutes. If in alternation with any other remedy, two 
doses <>!' Arsenicum should be followed by a pause of two hours, and 
then by two (loses of the other remedy in like manner. 

< iiixa will often be round of service when the tendency to gangrene 
continues, and the patienl i< still affected with considerable prostration of 
Strength, accompanied with debilitating sweats. 

Dost : Pause at least two hours after the last dose of any other reme- 
dy, and then of a solution of six globules to two tablespoonsful of 
water, give a teaspoonful every (wo hours, until amelioration or 
change. 

\ i \-\ n\ii<A is frequently serviceable after Arsenicum, when the 
diarrhoea has been checked, hut numerous small, foul, offensive ulcers are 

■ • ii in tie- inoiii h and t h roat. 



DISEASES OF THE MOUTH AND THROAT. 225 

Dose : Three globules in a teaspoonful of water every hour, until ame- 
lioration or change, proceeding with the next remedy, if the 
subjoined symptoms ensue. 

Carbo-veg. should be administered after a pause of six hours since 
the last dose of the foregoing remedy, should a copious, fetid, watery 
secretion be discharged from the ulcers, attended with extreme exhaus- 
tion, and small, indistinct, or scarcely perceptible pulse. 

Dose : Of a solution of six globules to four teaspoonsful of water give 
a fourth part every hour, until amelioration or change. 

Actdum-nitricum may be employed with great advantage when, 
from the beneficial effects of Arsenicum, or any of the other remedies 
above mentioned, the strength of the patient becomes invigorated, the 
countenance more animated, and the sloughs are thrown off in a satisfac- 
tory manner, yet the ulcers threaten to become indolent; under the 
influence of this remedy these will, in most cases, very speedily acquire a 
clean and florid bottom, and begin to heal. 

Dose : As for Belladonna. 

PHARYNGITIS. 

In simple inflammation of the throat (Pharyngitis) is most properly 
treated by a mild purgitive. Gargles of a solution of Chlorate or Nitrate 
of Potash (Saltpetre) may be used to relieve the dryness and irritation of 
the throat. A small quantity of mucilage or Glycerine applied to the 
throat with a brush or mop will meet the same end. If the case should 
not end at once in recovery, Chlorate of Potash may be given internally in 
doses of ten grains, three or four hours apart and Quinine in doses of 
three grains three times a day. Should restlessness be great, an anodyne 
of Opium and Hyoscyamus will be needed. One grain of each may be 
given at bed time. 

Should there be much secretion from the throat, five drops of the 
Tincture of Belladonna should be given every hour until a slight dryness 
of the throat is felt, and every three or four hours thereafter. If there is 
much fever Aconite should be given as directed for Quinsy. It can be 
given with the Belladonna. 

In sub-acute cases the throat is frequently dry and may be relieved by 
the frequent application of Glycerine and by allowing lumps of sugar to 
dissolve in the mouth. If other measures are needed they are the same 
as those just described for the acute form of the disease. 

For the chronic form of the disease, which is quite common among 
professional men and others who lead a sedentary life, the treatment is, 
I believe, mostly hygienic. More time should be spent in the open air. 
Indeed it would be better if some calling " out of doors " could be follow- 
ed until the throat wholly recovers. Then such time should be spent out 
of doors as will maintain the body at its greatest vigor. This and recre- 
ation for both body and mind is necessary, and no treatment is useless 
without it, generally unnecessary with it. Regular sleep of eight hours 
every night is also an essential. Every working man (physical or men- 
tal) requires one day's rest in seven. The clergyman should rest every 
Monday and all others on the Sabbath. The throat requires protection 
For this there is nothing better than a full beard, which nature provides. 

15 



226 OUR FAMILY PHYSICIAN. 

Tonics may be necessary, if the body does not regain its vigor. The form 
of the tonic should be changed from time to time and their use continued 
for a long time. 

Astringent applications are useful especially in the follicular variety. 

A gargle of Alum a dram to the pint of water, or Sulphate of Zinc a 
half a dram to the pint, or Tannin in Glycerine, a dram to the ounce, ap- 
plied with a camel's hair brush or mop are useful. If the secretion is 
great, ten drops of the Tincture of Belladonna may be given two or three 
times a day. 



DIPHTHERIA. 

This disease generally commences with unimportant symptoms of 
fever, and most commonly without and local appearances. Only in a few 
cases may be observed symptoms of a not very intense inflammation of the 
tonsils. Hence, the case is usually neglected at this important point, be- 
cause neither the patient nor the family are disturbed or uneasy about 
the matter. At first, there is a slight redness of the back of the mouth, 
(fauces), the vessels in one or more places being full or injected. It is 
here that in a few hours you may first see traces of the patches of mucus 
(exudation). At the same time the redness increases considerably, with- 
out, however, spreading to the front part of the mouth. One or more 
snow-white membranous patches seem to be laid loosely upon a deep-red 
or bluish-red or violet base ; they have exactly the appearance of a layer of 
cream spread upon the mucus membrane (skin of the mouth). But yet 
the general health is not very much disturbed; the fever is slight, the pulse 
not very much increased in rapidity, the skin is not very dry, even a slight 
perspiration breaks out from time to time, swallowing is not much hind- 
ered, the pains at the affected part of the throat are not very acute. Only 
a general feeling of lassitude shows that the local appearances have a 
deeper significance than one would suppose. The affection may, (if not 
prevented by remedies), thus remain unchanged for the first seven days, 
only the exudation at most, invades a few other parts, in addition to the 
former. In the most fortunate cases the membranes become detached at 
the end of this period, leaving sores on the surface, (where they were at- 
tacked), with shaggy borders, which heal rapidly and leave the patient 
restored to perfect health. If the disease does not take this favorable turn, 
it assumes a much more serious form in the second week. The formation 
of the membranes keep spreading; they assume rather a dingy, blackish 
hue; the constitutional disturbance is more marked; the pulse remaining 
about the same. The prostration increases, yet the patients, even in 
violent cases, are not always compelled to lie down. Sleep is generally very 
much disturbed. The pains in the throat are intense, swallowing and 
Bpeech are very much impeded; the patients often complain of violent 
earache, which is nol constant, but comes in by spells. This stage also 
lasts a week fit not prevented by remedies) and may be followed by re- 
covery; the ulcerative process, however, is much sharper than at the end 
<»f the first week. The further progress of the disease in the third week 
consists hi an increase of the constitutional symptoms, but principally in 



DIPHTHERIA. 227 

gangrenous destruction of the affected parts in the fauces. There arise 
deep ulcers of various sizes, with a gray or blackish bottom, with shaggy 
borders and having a horrid smell. The loss of substance may be very 
considerable. The salivation is copious and very fetid ; the patients look 
very ill, although they may yet be capable of walking about. The termin 
ation in recovery is a very slow process, in so far, at least, as recovery 
depends upon the healing of the ulcerated surface ; for the constitutional 
symptoms show a marked improvement, at a period when the ulcers still 
retain their malignant appearance. The return of the appetite is the 
most favorable symptom, likewise the decrease of the salivation and the 
fetor from the mouth. It takes several weeks before the ulcerated sur- 
faces are completely healed. It is peculiar to this disease that, as the local 
symptoms disappear, a more or less universal paralysis sets in ; this is not 
always the case, but very frequently. 

In the preceding description we give a picture of an attack of moder- 
ate violence, and running a favorable but very protracted course. This 
case may be regarded as a fair illustration of most cases of diphtheria. Un- 
der certain circumstances, the disease oilers a very different group of 
symptoms, which the importance of the subject demands should be faith- 
fully portrayed by us. In the more violent cases, the preliminary stage is 
often very short. The disease sometimes enters the system so rapidly and 
with such extraordinary intensity, that the patient is at once attacked 
with excessive prostration, a small pulse, death-like pallor and death takes 
place as soon as the membranes begin to form. In other cases the disease 
begins quite suddenly with vomiting and an intensely sore throat, violent 
fever, heavy sleep, stiffness and external swelling of the neck and extra- 
ordinary frequency of the pulse. 

The speech is peculiarly altered, on account of the difficulty of moving 
the tongue. The vomiting consists of a thin, yellowish liquid, and is very 
often accompanied by a similar diarrhoea. The formation of the mem- 
branes takes place very rapidly, spreading almost simultaneously over the 
entire mouth and throat, even extending to the nose. The swelling of the 
adjoining parts and of the external neck becomes quite considerable, so 
that it extends like a thick pad around the lower jaw. At this time the 
fever symptoms are not very high, even if they had run ever so high at 
the commencement of the attack ; but the strength decreases very rapidly. 
When the attacks are so violent, the formation of the membrane extends 
towards the lungs, where it occasions all the symptoms of true croup, in- 
duces, at an early period, suffocative paroxysms and stupor and usually 
terminates fatally, death being preceded by very violent vomiting. Yery 
seldom conciousness remains undisturbed until the moment of death. 
After such violent attacks, death generally follows in two to four days. In 
certain conditions of the system, the affection runs a chronic course, the 
membranes being frequently detached and renewed again, and at thesame 
time being confined within definite localities. In this way the strength of 
the patient vanishes by degrees, and death is almost always the end of 
this chronic form of the disease. If the constitution of the patient is, at 
the outset, thoroughly tainted with scrofula, consumption or other dis- 
eases, the membranes evince, from the commencement, an extraordinary 
tendency to decomposition, and death results at an early period,«although 



228 OUR FAMILY PHYSICIAN. 

the extent and intensity of the disease may not yet seem very far ad- 
vanced. Unfavorable external circumstances, such as damp dwellings, a 
crowd of persons living together in small rooms, insufficiency of fresh air 
likewise exert a deleterious influence, on which account the worst forms 
of the disease are more frequently met with among the lower than among 
the higher classes. 

The prognosis of diphtheria is always doubtful, for the disease may 
terminate fatally, no matter what course it may take. If the disease sets 
in accompanied by symptoms of violent constitutional disturbance, the 
danger of a fatal termination is very great, since we may almost be sure 
the more unfavorable the constitutional and domestic conditions of the 
patient, of a more general spread of the poison, the more rapid the pros- 
tration, the less the chances of recovery. The extension of the the diph- 
theritic process to the larynx and lungs, is almost always fatal. Xor 
should the protracted and mild course of the disease superinduce a feeling 
of security, for even then a malignant aspect may supervene. One of the 
most threatening symptoms is a deposit in the urine, that, when heated, 
changes like the white of an egg (albumen), especially if there is a large 
amount of it. 

When the disease has subsided, it is found that paralysis, either gen- 
eral, or of special parts, or derangement of the special senses, such as 
hearing, smell, taste, etc., remain as sequeke of this formidable malady. 

A LLOPATHIC TREATMENT. 

We have to contend with a constitutional disease belonging to the 
same category as small-pox, scarlet fever, and other infectious diseases, 
and, like them, due to a special virus, or blood poison. This, of late years, 
has become more generally recognized,. The trouble in the throat, and 
the development of a false membrane are regarded as special lesions (local 
disorders) characterizing the disease. The treatment will then be both 
general, or addressed to the condition of the system, and local or ad- 
dressed to the local lesions, the former being regarded as supreme. 

in the great majority of cases which prove fatal, the mode of dying 
i- by asthenia, (failure of the powers of life). This fact calls for remedies 
of a supporting kind. These, as almost everyone who have witnessed 
much of diphtheria musl feel, almost alone give any promise of being 
useful. Tluic i-, no specific for the disease, and all we can reasonably 
hope from treatment is, to guide the patient safely to the end. It is true 
some practitioners report almost uniform success in treating t his disease, 
but as the same plans of treatment have not proved more than usually 
successful in other hand-, it is to he inferred that the cases reported were 
largely or wholly a disease less dangerous, probably follicular sore throat, 
which have, by mistake, been called diphtheria. 

In local treatment, the meat objects to he kept in view are, to favor 
the separation of the false membrane and prevent its extension, and give 
relief, as far as possible, from the suffering experienced from the affection 
in the throat, of the external applications to the throat, they are all 
either injurious or useless. Blisters, leeches, ami remedies of that class, 
are powerful for harm, while poultices and other mild applications fail to 
give relief, though it cannot he -aid that they are productive of harm. 



DIPHTHERIA. 229 

In selecting local remedies, it should be borne in mind that the pro- 
gressive extension of the false membrane and local inflammation is not a 
spreading of the same properly considered, but the successive invasion of 
the different parts as to the agency of an internal determining influence, 
and that influence is the special morbid condition which constitutes the 
disease. If that is true, topical treatment will be likely to exert but little 
influence in controlling the extent of the local disease. In conformity 
with this view, many, if not the great majority, of practitioners have 
abandoned the use of cauterizing and irritating local applications to the 
throat, (both inside and outside), and are content with the use of soothing 
and antiseptic (anti-putrid) local measures. Hence the strong solution 
or solid stick of nitrate of silver, sulphate of copper, alum, hydrochloric 
acid, and the astringent preparations of iron are not to be used. So far as 
my own opportunities for observation enable me to decide, \ the milder 
measures are to be preferred. 

The remedies which enjoy a reputation for meeting the ends desired 
in local applications are, carbolic acid, sulphurous acid, lactic acid, chlo- 
rate of potash, and permanganate of potash. I usually combine carbolic 
acid with a solution of chlorate of potash as follows : Take of chlorate of 
potash four drams, dissolve in eight ounces of hot water, and when cold 
add one dram of carbolic acid. This is a useful gargle, or it may be ap- 
plied with a soft linen mop, or by a spray-producer, in cases not old 
enough to gargle. 

Sulphurous acid one or two drams to an ounce of water, is also useful 
and may be applied by a mop or in atomized spray ; the usefulness of this 
remedy is attested by high authority, and is so grateful to the patient 
that its use is frequently asked for every few hours. 

Lactic acid enjoys a reputation of being an excellent solvent of the 
false membrane, used in the same way as before mentioned, in the 
strength of three and a half drams of the acid to two ounces of distilled 
water; if the spray is used, the eyes should be protected by a bandage or 
napkin ; if used as a gargle, it should be diluted until the water is dis- 
tinctly sour. One or two grains of permanganate of potash to the ounce 
of water is the proper strength for the use of that drug, and the methods 
of using it are the same as above mentioned. 

Bromium five grains, Bromide of Potassium two grains, water one 
ounce, is a mixture highly extolled by some practitioners. It should be 
applied by a mop or in spray. 

Probably as useful an application as can be found at hand in domestic 
practice is common lime water. It may be used in any of the ways before 
named. Small pieces of ice held in the mouth, or in young children a 
teaspoonful of ice water, swallowed occasionally, give relief. 

When the false membrane is removed and the local inflammation be- 
gins to decline, all local applications should cease. 

The greatest danger from the local affection is from its invasion of the 
larynx (the organ at the top of the wind-pipe) ; it is accompanied by a 
croupy cough. As soon as respiration is interfered with an emetic should 
be given, which produces but little prostration. 

The end is to expel the false membrane from the wind-pipe. For this 
purpose the Yellow Sulphate of Mercury in three to five grain doses 



230 OUR FAMILY PHYSICIAN. 

rubbed up with sugar, may be given ; Sulphate of Zinc in doses of five to 
ten grains, repeated every fifteen minutes until vomiting is produced ; or 
powdered Alum, in doses of a teaspoonful mixed with syrup or honey, 
repeated every half hour, until the patient vomits, meets the end re- 
quired. 

The patient should, also, breathe steam constantly, either from Rou- 
cheti's CroupjKettle, or by keeping the room filled with steam from boil- 
ing water. Quinine given internally, given to the extent of reducing the 
pulse, is thought useful by most physicians. A grain may be given to a 
child, from three to five years old, every two hours, or five grains to an 
adult. If the respirations become greatly embarrassed and lividity of the 
face occurs, the case will probably prove fatal in spite of all efforts, but 
the physician ought at once to perform tracheotomy (opening the wind- 
pipe that the air may enter the lungs through the opening). Sometimes 
life is saved, and at all events the last hours are rendered more comfor- 
table. 

Regarding general treatment, there should be no prostrating remedies 
used. Emetics or cathartics are not to be given ; but if the bowels are 
constipated they are to be moved by an injection of a dessert spoonful of 
castor oil, or a couple of compound cathartic pills. The line of treat- 
ment should embrace tonics, nourishment and stimulants. Of remedies, 
the Sulphate of Quinine, the Tincture of the Chloride of Iron, Chlorate 
of Potash and Brandy are especially to be named as having been found 
useful. In my opinion, quinine should be given from the beginning of 
the disease to the extent of tolerance, i. e. until the pulse is slowed and 
a slight ringing of the ears is produced — in doses of one grain to a child 
and five grains to an adult, from two to four hours apart. In debilitated 
patients there is no doubt of the benefit of iron ; it should be given from 
the first and is well combined with Chlorate of Potash. I consider this 
a useful mixture : Take of Tincture of Iron two drams, Chlorate of Pot- 
ash two drams, Simple Syrup two ounces. Mix. 

Dose : A teaspoonful to an adult, or fifteen or twenty drops to a child, 
in water, every four hours. 

Nourishment forms an important point in the treatment. It should 
oe concentrated, highly nutritious and varied. Milk, cream, eggs, and 
animal essences best meet these requirements. They may be used in the 
forms described in the article on the treatment of scarlet fever. A serious 
difficulty in the treatment often arises from the refusal to take food, pos- 
sibly from repugnance and from vomiting. Owing to this difficulty in 
some cases and sometimes from a failure to appreciate the importance of 
feeding, death takes place from starvation. Food should be given from 
four to six hours apart, night as well as day. 

Should the fever run high or prostration be noticeable brandy should 
be given tit once without reference to other medicines, as a means of sup- 
porting the powers of life. There is also reason to believe that both bran- 
dy and quinine protect the system against the action of the disease poison. 
A teaspoonful of the former for a child and a tablespoonful for an adult, 
properly diluted in sweetened water or milk, from two to four hours 
apart, is the usual method of administration, though double these quan- 
tities have been given hourly with good effect, and without producing 



DIPHTHERIA. 231 

excitement. Permanganate of Potash, two grains to the ounce of water, 
given in teaspoon fill doses every three hours, is thought by many to be 
useful. Bisulphite of Soda is thought by some to have special powers over 
the disease, but pro' -ably its usefulness is overrated. It may be given as fol- 
lows : Take of Bisulphato of Soda four drams, Tincture of Orange Flowers 
one ounce, Water four ounces. Mix. Give a child three years old a tea- 
spoonful and an adult a tablespoonful every two or three hours. 

Incidental symptoms demand attention. Vomiting is to be relieved 
by Bismuth in five grain doses, Creosote in doses of a drop in water, or 
Hydrocyanic Acid in doses of three drops, repeated hourly. Diarrhoea 
calls for astringents, and if severe, for opiates (see article on the treat- 
ment of Diarrhoea.) Anodynes may be required to relieve restlessness; 
for this purpose equal parts of Paregoric and Tincture of Hyoscyamus 
is useful for children, and may be given in doses of from ten drops to a 
teaspoonful according to age. For adults ten to fifteen drops of Deodor- 
ized Tincture of Opium may be given with a teaspoonful of Tincture of 
Hyoscyamus. Hemorrhage may be relieved by Persulphate of Iron, used 
locally, and Gallic Acid or Fluid Extract of Ergot internally, in doses of 
a dram. 

Under all circumstances, the patient should be kept in bed, and in 
the recumbent posture. The disease is so weakening that slight exertion 
has been known to cause fatal syncope (fainting.) The room should be 
kept warm, and the air moist with steam. The room should, occasional- 
ly, be disinfected by burning powdered sulphur upon a shovel of coals, 
or by evaporating a few drops of carbolic acid on the surface of hot water. 
Ozone (active oxygen) may be generated in the room, by pouring a little 
strong sulphuric acid upon iodine scales in a deep glass dish, with benefit. 
Cleanliness is absolutely necessary, and the management should be simi- 
lar to that for contagious diseases. (See article on scarlet fever. ) 

Children not affected, being specially liable to the disease, should, if 
possible, be removed to a neighborhood free from the disease. 

In a disease so serious as diphtheria where physicians are not content 
to trust their own judgment alone, in case of its occurring in a member of 
their family, without calling in the aid of a physician, I hardly presume 
that any intelligent person will take the responsibility of managing the 
disease in his family without the guidance of a skilled physician, even if 
the directions in this, article are never so plain. 

HOMCEOPATHIC TREATMENT. 
Belladonna is frequently of great value in the early stage of mild 
cases, more particularly when the disease sets in with marked febrile 
symptoms, and there is marked redness and inflammation of the tonsils ; 
the patient is uneasy and restless, and complains of the throat ; is drowsy, 
and cannot sleep, or starts up suddenly out of every sleep. 

Dose : Of a solution of twelve globules to five teaspoonsful of water, 
give a teaspoonful every two hours, until amelioration or change. 
Many mild cases, with the above characteristics, will be properly 
relieved and cured, by this remedy alone ; and should amelioration 
be noticed, the interval between the doses should be lengthened to 
three or four hours, according to circumstances. Should the sjmip- 
toms recur with violence, however, after having been once mitigated 
under the action of Belladmma, do not resort to that remedy again, 
but select one of the subjoined. 



-32 OUR FAMTT.Y PHYSICIAN. 

Acidum mubiaticum. — This remedy has proved of great efficacy in 
a number of cases of simple diphtheria, and may very generally be ad- 
ministered as soon as the membranous deposit begins to appear, and 
particularly when there is not much glandular swelling, but considerable 
prostration of strength and fetid breath, with little fever, but marked 
lassitude and weariness. 

Z>q>^ ; Three drops of the second decimal dilution in a teaspoonful of 
water, every hour, until relief or change. In the event of improve- 
ment, lengthen the intervals to two hours, then to three hours, and 
so on, until the cure is complete ; but if the exudation spreads to 
fresh surfaces, in spite of the employment of Acid. Muriaticum for 
from twenty-four to forty-eight hours, another remedy must be 
selected. 

Mercurius prottodatus. One of the best remedies. Should the 
throat present a deep-red appearance, and the tonsils and the surrounding 
parts be considerably swollen and studded with specks of exudation ; and 
if, moreover, there be cold in the head, accumulation of mucus in the 
throat, and excessive secretion and flow of sal too, of a fetid odor, Mercurius 
is a useful, if not an indispensable remedy. It is an important remed3 T in 
all forms of the disease. 

Dose : One grain of the third trituration in six teaspoonsful of water, 
a teaspoonful every two hours ; or as much of the trituration as can 
be carried on the^ point of a penknife, administered dry (undis- 
solved,), at the same intervals, until amelioration or change; but if, 
after the lapse of forty-eight hours, or even a shorter period, the ex- 
udation, fetor, and swelling increase, proceed to select another 
remedy. 

Kali bichromicum. In the event of no improvement, from thirty- 
six to forty-eight hours after the employment of Mercurius protiodatus, 
and particularly when the disease extends into the posterior parts of the 
throat, and thence into the nostrils, Kali bichromicum should be selected. 
It is, moreover, indicated by a tough and stringy discharge from the nose 
or mouth ; pain in the left ear ; swelling of the glands under the ears ; 
croupy cough ; measle-like eruption, and red and shining tongue. 

Dose : As directed under Mercurius protiodatus. 

Acidum NITBICUM. When, notwithstanding the employment of 
Acidum mur, or Mercurius, superficial patches of exudation continue to 
present themselves ; and when the throat, in place of healing, becomes 
painful and of a vivid-red color; also, when there is a tendency to ulcer- 
ative complication, and the gums are disposed to bleed, this remedy may 
be employed with advantage. It is further indicated by the presence of 
ulcers on the mucus membrane of the mouth, and by an acrid, corrosive 
discharge from the no-". 

Dose: Two drops of the third decimal dilution in a teaspoonful of 
water, every two hours, until relief or change. 

Kali CHIiOBlCUM. When, after a period of not longer than forty- 
eighl hours, the above described symptoms Neither remain stationary, or 
become aggravated ; or when the gums are more or less red and swollen, 
and the exudation is extensive, bin confined to the mouth and palate, 
Kali cTilor, may be substituted with the best results. 

Dose: Same a- directed for Acidum Nitruum. 



DIPHTHERIA. 233 

Phytolacca is a remedy which has been promptly curative in many 
cases of diphtheria, particularly in the mild, or non-malignant variety. 
It is indicated, more particularly, when there is considerable febrile man- 
ifestation ; headache ; violent, aching pains in the back and limbs ; great 
weakness, so that the patient cannot stand, and gets faint and dizzy, 
even when rising up in bed. 

Dose : As directed for Acidum Muriaticum. 

Lachesis will prove useful when the inflammation and the diphthe- 
ritic deposit commence on the left side of the throat, and either remain 
there, or spread to the right side. It is further indicated when the pa- 
tient is always worse after sleeping, and cannot bear the slightest press- 
ure on the throat. It is frequently useful after the previous employment 
of Belladonna, and in malignant forms of the disease, when mortification 
or sloughing of the parts threatens. 

Dose: As directed for Belladonna. 

Lycopoditjm should be given, in mild cases, when the right side of 
the throat is first invaded, and the soreness is aggravated by warm drinks; 
the nostrils are stopped up, and the patient cannot breathe with his 
mouth closed ; starting and jerking of the lower limbs; dread of being 
left alone. 

Dose : As directed for Belladonna. 

Apis mellifica should be given when there is great debility from 
the commencement of the disease ; the false membrane presents a dirty- 
grayish hue ; there is puffiness around the eyes, pain in the ears when 
swallowing ; an itchy, stinging eruption on the skin ; numbness of the 
feet and hands. 

Dose : As directed for Belladonna. 

CanthaPvIDES will prove very efficacious in many cases when the 
diphtheritic exudation appears in patches ; the adjoining surfaces of the 
mucus membrane being of a bright-scarlet redness, with intense burning 
and dryness of the throat, and great thirst, the burning resembling that 
Xoroduced by the application of a blister. It is further indicated by de- 
rangement of the urinary organs, manifested by burning and scalding on 
urinating ; or by a suppression or increased discharge of urine ; as well 
as by extreme prostration, and an irritable looking rash upon the skin. 

Dose : As directed for Acidum Nitricum. 

HOME REMEDIES. 

Frequently gargle or wash the mouth and throat with a solution of 
Salt, Pepper, and Vinegar ; or a solution of Saleratus in water ; or Borax 
and Alum in solution of water with a little Brandy added, if at hand. 
The patient should be removed to a clean bed, in a dry, well ventilated 
room, kept sweet and clean, and no one should be allowed to sleep in the 
room except the attendent. All visitors or callers should be positively 
kept out of the sick room. 



PAROTITIS. 

We comprehend under this designation two tolerably distinct condi- 
tions which have, however, this in common : that the salivary glands 



234 OUR FAMILY PHYSICIAN 

are the seat, or rather the starting point of the disease. Consequently we 
shall first describe parotitis proper, or an inflammation of the parotid 
gland, together with the non-malignant inflammation of the other sali- 
vary glands, and afterwards the malignant form of the disease attended 
with gangrene of the cellular tissue. 

PAROTITIS, INFLAMMATION OF THE PAROTID GLAND, (MUMPS, ANGINA 

PAROTIDE A.) 

This affection is at times epidemic, and as such has received the above 
series of names; at other times it is a secondary disorder, to be regarded 
as a complication of other diseases. The symptoms differ accordingly. 

Mumps is generally preceded for a few days by febrile symptoms. 
The patients feel languid, sleep is uneasy, the appetite is gone ; headache, 
with a feeling of stiffness in the muscles of the back of the neck, is 
scarcely ever absent ; a slight catarrhal irritation of the digestive tract is 
likewise generally present. After these preliminary symptoms have 
lasted for a short period, sometimes even for several days, the region be- 
low the ear on one side begins to swell, the swelling spreading very 
rapidly over the cheek and under the jaw ; in a short time the face looks 
very much disfigured by the swelling. The -swelling is not very painful 
even to rather hard pressure ; the color of the swelling does not differ 
from that of the surrounding skin, except sometimes a slight redness; 
the swelling is at times of a stony hardness, at times it is soft, and at 
other times has an uneven feel. The movements of the head, more espe- 
cially of the jaws, are very much impeded. With the appearance of the 
swelling, the general symptoms usually improve, the fever abates rapidly, 
and the patients, in spite of their great disfigurement, feel tolerably well. 
In most cases the swelling spreads to the other side in one or two 
days, but here never attains the same size as on the former side. If 
the swelling runs a normal course, it generally reaches the climax on the 
fifth day, after which it gradually begins to disperse, so that between the 
tenth and fourteenth day no trace of the swelling remains visible. With 
a higher grade of inflammation, or under otherwise unfavorable circum- 
stances, the redness assumes an inflammatory erythematous character, and 
suppuration may take place, which, in comparison to the size of the 
swelling, remains inconsiderable, but protracts the course of the disease 
very greatly. The swelling takes this course more frequently in the case 
of adults than in that of children ; in the case of the former, an inflam- 
matory hardness of greater or less extent frequently remains for some 
time. Only in rare cases, or if the affection assumes a certain degree of 
malignancy, as il sometimes does in certain epidemics, the brain may 
become involved in the process. What is more frequently the case is, 
that the testicles, or the labia majora, swell suddenly, while the swelling 
about the neck disappears; both swellings may, however, coexist. 

Secondary parotitis occurs in the course of many acute diseases, par- 
ticularly typhus; in some typhus epidemics it is a constant sequelae of the 
disease, whereas, in other epidemics, it is entirely absent. The appear- 
ance of the swelling is not bound to any definite period of the disease; at 
times we see it break out at the commencement, at other times during 
tin- period <>t' convalescence. Ii is generally preceded by local pains, in- 



DISEASES OF THE MOUTH AND THROAT. 235 

creased congestions of the head, even delirium and chilly creepings ; its 
rapid development is seldom attended with abatement of the fever. The 
further course of the local process is similar to that of the genuine mumps; 
the swelling either scatters or else it terminates in violent inflammation 
with suppuration, which, during a state of great constitutional prostra- 
tion, may assume a malignant form, with the discharge of pus. Whereas, 
in the former case, parotitis always indicates a favorable course of the 
general disease ; the formation of pus, on the contrary, always portends 
danger, and is at least a disturbing complication. It is difficult to deter- 
mine beforehand of what character the swelling will be ; but when paro- 
titis sets in at the acme of the disease, it is always more dangerous than 
when it occurs at the commencement or during convalescence. Here, 
too, as in the case of mumps, an induration may be left behind for a long 
time. In isolated cases, of either variety, the ear seems to be affected, 
hardness of hearing and discharge of pus from the ear, remaining after 
the disappearance of the swelling. 

The causes of parotitis is involved in obscurity, in so far as we are 
unable to determine by what atmospheric or other influences the disease 
is caused. Its epidemic character leads us to adopt the existence of some 
peculiar miasm, similar to the miasm of typhus, cholera, etc. We know 
that the common epidemic mumps prevail most frequently in the fall and 
spring. But it is a mystery why the parotid gland should be invaded in 
acute diseases of the general organism, in one epidemic quite frequently, 
in another scarcely ever ; or why, at one time, it should be harmless, and 
at another time a phenomenon portending great danger. This difference 
accounts for the circumstance why some consider this form of parotitis a 
dangerous, and others a trifling, disease. 

An inflammation of the other salivary glands often accompanies par- 
otitis as an accessory disorder. Numerous facts lead us to believe that 
each separate salivary gland may become the seat of an affection like 
mumps. After very acute diseases we have often noticed stony swell- 
ings of the lesser salivary glands of a very obstinate character, and run- 
ning their course amid a general prostration of strength. 

ALLOPATHIC TREATMENT. 

The treatment of parotitis (or mumps), only requires soothing ap- 
plications, as warm fomentations and wool flannel or cotton to the neck. 
Severe pain will call for an anodyne for its relief. Opium combined with 
hyoscyamus is generally the best for this. A pill of a grain each of Ex- 
tract of Opium and Hyoscyamus at night, and repeated once or twice in 
the twenty-four hours, will generally be effectual. Generally, when 
warm applications, the addition of a little Laudanum to the fomenta- 
tion will suffice. The bowels should be kept regular. The diet should 
be light. Milk is the one article which seems best suited. 

HOMOEOPATHIC TREATMENT. 

In ordinary mumps, which run a very rapid and painless course, it 
makes very little difference what medicine is given; indeed, the affec- 
tion might safety be left to take its own course. However, inasmuch as 



236 OUR FAMILY PHYSICIAN. 

we cannot well know what the final termination of the affection may 
be, it is best to always give the suitable remedy, since we can rest as- 
sured that under its use suppuration will only take place exceptionally. 
The best remedy is Merewrius. The specific action of Mercury upon the 
salivary glands is well known. It not only increases the secretions of 
these glands, but likewise causes a real inflammation in the body of the 
glands which may readily terminate in suppuration, as is often seen in 
the violent treatment of diseases with large doses of Mercury. No reme- 
dy prevents suppuration as certainly as Mercurius. Belladonna deserves 
a preference, if the constitutional symptoms are very severe, and the 
swelling assumes an erysipelatous character. 

TOOTHACHE. 

ODONTALGIA. PAIN IN THE TEETH. 

When we find a constant disposition to this painful condition of the 
teeth on the slightest exposure to cold, or indiscretion in diet, without 
any other presumable cause, or what is generally called rheumatic tooth- 
f><-/te, we are warranted in concluding that some taint lurks in the consti- ■ 
tution which must be sought for, and, if it can be, eradicated. Otherwise 
the best selected remedies will frequently fail in affording relief where 
most expected, or, if relief is obtained, it is only temporary. By common 
consent this, and all other diseases of the teeth are turned over to the 
dentist, and as they are now generally educated and fully prepared for 
their professional duties, this custom is becoming more and more general, 
and now it is safe to depend on them to do the best that can be done for 
you. 

ALLOPATHIC TREATMENT. 

Toothache may be neuralgic, and if so, will be treated as described for 
that disease. When resulting from a decayed tooth, a drop of Carbolic 
Acid or Tincture of Opium (Laudanum), Aconite or Belladonna usually 
gives relief. Often in instances of old, decayed teeth, inflammation of 
the fang has occurred. Heat may then relieve, or the discharge of a 
little blood may accomplish the result. Generally, however, the advice 
of a dentist should be followed. 

HOMCEOPATH1C TREATMENT. 

Mepx'URIUS holds a front rank among medicines, being indicated by 
pains in decayed teeth, or in the roots of the teeth, frequently occupying 
one whole side of the head and face, extending even to the ears, loosening 
of the teeth, and a feeling as if they were too long. The pain becomes 
worse towards evening, and especially at night in the warmth of the bed, 
is worse alter eating or drinking anything cold. Swelling and inflam- 
mation of the gums. This medicine is especially useful to persons who 
are subject to swelling of any of the glands of the body. 

Dose. Four pills or a small powder of the 3d x potency every two or 
three hours until improvement or change. 

Belladonna. — When the pains are very severe, of a drawing, tear- 
ing or shooting nature in the teeth, face, and ears, with swelling of the 
cheek, dryness of the mouth or excessive secretion, like salivation ; great 



DISEASES OE THE MOUTH AND THROAT. 237 

thirst. Pains come on suddenly and leave just as suddenly ; face flushed 
and eyes red. 

Dose : Six pills every two or three hours. 

Bryonia. — Pains in sound teeth. Sensation of being too long, with 
drawing, jerking pains. Worse at night and from taking anything warm 
in the mouth. Constipation, stools dry and hard as if burnt. Improved 
by being still, and cold applied in the mouth. 

Dose: As for Belladonna. 

Chamomilla. — After taking cold when in a perspiration. The pains 
are drawing, jerking, beating or stitching. Intolerable pains at night, 
driving one to despair. One cheek red and the other pale. Becomes al- 
most furious about the pains. Worse in the open air. Very impatient. 

Dose : As for Belladonna. 

Pulsatilla. — Suited to persons of a mild disposition easily moved to 
tears. Toothache with earache or headache. Pains as if the nerve was 
put on the stretch and suddenly let go again like a piece of rubber. Bet- 
ter from cold things and worse from warm. Chilliness even in a warm 
room. Scanty or suppressed fnenses. 

Dose : Five pills every three or four hours. 

Sepia. — Toothache during pregnancy where there is sallow complex- 
ion with spots on the face. 

Dose : As directed for Mercurius. 

Nux vomica. — Sore pains or jerking, drawing stitches in the teeth 
and jaw. Worse early in the morning. Where the result of mental la- 
bor, sedentary habits, or constipation or the use of intoxicating drinks. 

Dose : As for Belladonna. 

Sulphur. — Where Nux appeared indicated but tailed. Pains in hollow 
teeth. Made worse by cold drinks. Burning heat on top of the head. 

Dose : As for Pulsatilla. The 30th potency is best. 

SCORBUTIS.— ALLOPATHIC TREATMENT. 

ScoRBU r J is (scurvey) will scarcely be met with in the history of the 
family that is even moderately well supplied with a variety of food. 
Though lack of food in proper quantity and quality is the chief cause of 
the disease ; exposure to wet and cold, bad ventilation and depression of 
spirits causing indifference to food, maybe added as causes of the disease. 
For its preventive and, also, its cure, these causes must be removed. The 
diet should be composed of articles which will supply the system with its 
needed elements. Of these, I believe, milk stands first. Fresh meat and 
fresh vegetables, in great variety, with fresh fruits and starchy food, are 
to be freely given. The apartments should be warm and well ventilated. 
When the skin is dry, warm baths are called for. Constipation is to be 
relieved by injections or mild laxatives. Diarrhoea will call for the as- 
tringents directed in the treatment of that disease. 

Pain in the limbs ol- joints can generally be relieved by rubbing them 
with a mixture of Laudanum and Turpentine in equal parts. If it is too 
irritating, a little Sweet Oil may be added. Or a liniment of equal parts 
of Tincture of Aconite, Chloroform and Soap Liniment, may be used. 



238 OUR FAMILY PHYSICIAN. 

Tonics are generally called for. The Citrate of Iron and Quinine in 
doses of three grains, meet the end required. Bitter infusions made with 
an ounce of the crude drugs (Peruvian Bark, Gentian, Quassa, etc.), to a 
pint of hot water, in doses of a half a wineglassful, before meals, will an- 
swer the purpose. If this be used, the Tincture Muriate of Iron should be 
given in doses of ten to twenty drops, in sweetened water, after each 
meal. 

The juice of lemons, oranges, or limes should be given to the extent 
of the patient's wish. Cream of Tartar (Bitartrate of Potash) may be 
given quite largely, as having a direct effect on the disease, in doses of a 
teaspoonful several times a day. A couple of teaspoonsful four times a 
day, is thought, with reason, capable of preventing the disease, when the 
supply of fresh vegetables, etc., is deficient. 

A solution of Alum will generally suffice as a mouth wash, called for 
by the condition of the gums. Other astringents may be used. 

Hemorrhage will be met by scruple doses of Gallic Acid, or teaspoon- 
ful doses of Ergot, or turpentine in doses of fifteen drops, given on sugar. 

A similar condition of the system to that existing in this disease, 
which results from continued prostrating disease, is to be met with the 
same remedies. 

Much of the so called scurvey of the gums results mostly from neg- 
lect of cleaning the teeth, "tartar" accumulates on them, and the gums 
become unhealthy. The proper course is, to have the tartar removed by 
a dentist, and then kept off by frequent and thorough brushing. 



INDIGESTION OR DYSPEPSIA, 239 



Part F'iftli, 



DISEASFS OF THE STOMACH AND INTESTINES. 



CHAPTER XII 



BILIOUS COMPLAINTS OR DYSPEPSIA. 

Bilious complaints have, of late years, become the popular term for 
almost all derangements of the digestive functions. The truth is, how- 
ever, that in affections of this nature, although in very severe cases, the 
Liver or Biliary system is more or less powerfully affected, yet it is gener- 
ally so only by sympathy; and the real seat of the disorder is in the 
stomach and bowels, except, indeed, amongst Europeans resident in trop- 
ical climates, or who have recently left the tropics. 

In considering the various forms of derangement of the stomach 
under the general, more appropriate, and more comprehensive designa- 
tion of Indigestion, therefore, we shall have occasion to include the 
majority of those symptoms which are ascribed to the two opposite causes 
of derangement, inactivity of the liver, and too great a secretion of bile. 

INDIGESTION OR DYSPEPSIA. 

FUNCTIONAL OR ORGANIC DISTURBANCE OF THE MUCOUS MEMBRANE OR 
NERVES OF THE STOMACH. 

Nausea, Eructations, Depression of Spirits y and other Sympathetic Af- 
fections. —What is termed Indigestion may be identified as the prolific 
parent of Chronic Disease. 

This disease, however, appears in so many forms, that we shall simply 
content ourselves here with sketching out a general outline of its chief 
distinguishing features, and enumerating some of the principal predis- 
posing and excitinjfcauses to which it may usually be traced, directly or 
indirectly. 

Predisposing Causes.— Close, unhealthy, ill-drained, ill-ventilated 
dwellings ; the atmosphere of some factories ; hereditary or other constitu- 
tional defects; the influence of the atmosphere of particular climates and 
localities ; exposure to unhealthy exhalations ; the water of particular lo- 
calities, which is impregnated with mineral substances (such as lead) and 
in which the diseases of this nature assume an endemic character, etc. 

Exciting Causes.— Irregularities.in diet— such as an over-indulgence 
in the pleasures of the table, partaking of rich and indigestible food and 
stimulating soups ; excess in the quantity of food ; excessive use of wine, 
malt and spirituous liquors, tea, coffee, and other stimulants ; imperfect 
mastication of food, irregularity of, or too long fasting between meals ; 



240 OUR FAMILY PHYSICIAN. 

indolent or sedentary habits ; exhaustion from intense study ; keeping 
late hours ; mental emotions ; reaction from the external surface, etc., 

The foundation of this disorder is frequently laid in early life, by the 
frequent and copious administration of aperients, calomel (in large doses) 
and other deleterious drugs ; and the evil is perpetuated in more mature 
age, by a continuance of the same absurd and injurious system. 

An abuse of coffee and tea is a frequent cause of many descriptions of 
sick and nervous headache, a+tended with excitement and symptoms of 
deranged digestion, which will frequently disappear of themselves on 
the disuse of these beverages. If, however, the troublesome symptoms 
should continue, a course of treatment should be adopted in conformity 
with the following regulations. 

Indigestion, or that which we understand by the term, is not, 
however, necessarily associated with physical suffering of any kind, 
much less with sensation of pain, or any distinguishable sensation in 
the stomach or intestinal region itself. It very frequently occurs in its 
worst organic forms, without so much as observed, exhibiting any 
symptoms whatever, developed in the digestive organs themselves. 
But in such cases it has reacted upon some other portion or portions 
of the organic structure, and may be distinguished in the affections 
occurring in other organs, and which, therefore, very frequently be- 
come susceptible of mistaken interpretation. Wherefore, in such complica- 
ted cases, the most careful review of the antecedent course of life, con- 
stitution, circumstances, and the like, as well as very minute inspection 
analysis of every symptom, becomes necessary to come to a correct con- 
clusion, and thereby to pursue a correct course of treatment. In the great 
majority of cases of chronic disease, in fact, which daily occur in civilized 
life, the original seat of disturbance may be identified in the digestive and 
nutritive functions, whence the progress of disease may be traced through 
the organic apparatus in which such functions are lodged to the centers of 
vital action and throughout the system. 

Abstractedly, the primary disease consists— first of local increase of 
the natural irritability, that is of irritation, and afterwards, (when this 
irritation has expended itself in exhausting the natural irritability) of com- 
parative deficiency of irritability, that is of weakness or debility, with 
susceptibility to irritation. But it is worthy of notice, that whilst this 
irritative process, at first purely local and superficial, has exhausted the 
vital energy of the particular organs in which it was first developed, it 
may (even without having possessed sufficient violence to alter the organic 
structure of such parts) have" been conveyed through the medium of the 
communicative nerves to the center of sensation, — the Brain, — and conse- 
quently, also, to the mental and moral faculties; -to the center of motive 
impulse- the spinal cord; by regurgitation or other interference with the 
biliary discharge, or bj nervous affinity, etc., t<> the liver, by insufficient or 
altered supply of material to the blood, through the channels of that fluid 
bo the heart ; and, owing to similiar irregularities, as well as from the de- 
teriorated condition of the center of the Nervous System to the lungs, the 
skin, and to the moiory muscles of the frame. 

[1 is, of course, understood, thai the derail gem fml of the stomach, of 
whatever description, may readijj be communicated to the Intesti i 



DISEASES OF THE STOMACH AND INTESTINES. 241 

and that, more or less, the whole of the apparatus of nutrition and its 
appurtenances, are directly affected, and, in general, necessarily involved. 
The just appreciation of these facts, pursued by the progressive dis- 
ease, is of paramount importance, because, should affections be developed 
in one or more of these origans which occur sympathetically, and as the 
result of primary derangement of the stomach, it is needless to argue that 
a perfect cure (if yet possible) can only be attained by attacking the original 
seat of disease. The important observance of accessory measures, such as 
the appropriate diet, exercise, habits, and the like, may be materially quali- 
fied by the accurate discrimination of the original derangement. And in- 
asmuch as the original character of functional derangement, or organic 
disease of the stomach, consists of an increase of the -natural irritability, 
or of irritation, and the subsequent character consists of a morbid sensi- 
bility (whether there be increase or decrease of sensation) and of conse- 
quent susceptibility to irritation,— and as the recurrence of active irritation 
will, in each successive instance, subtract more from the vital energy, or 
sooner or later unhinge the organic structure, and do irreparable mischief, 
— it is sufficiently obvious, that in every disease which owes its origin to 
the stomach, any internal, external, or inducted cause of irritation will 
have a tendency to confirm the disease. Whence, it maybe deduced that 
the accessory treatment resolves itself in the most perfect avoidance of every- 
thing stimulating or irritating, whether in the department of diet, in that 
which involves mental or corporeal exercise, or in that which affects the 
mind in its moral capacity, including all emotions, whether productive of 
immediate pleasure or pain. Everything which may tend to engender or 
sustain excitement of any kind, especially if it operate suddenly, should be 
strictly prohibited. 

SYMPATHETIC AFFECTIONS OF OTHER FUNCTIONS OR ORGANS. 

As the primary organs of digestion are readily and materially influ- 
enced by disturbances of the brain and its tissues, so in like manner do we 
as frequently find that the Brain and the Nervous System in general 
sympathize immediately with the stomach, and are subject to the induc- 
tion of derangement from that source, whether the primary cause affect 
merely the Lining Membrane, or the tributary Nerves :— or again, whether 
the disturbance in either case be merely functional (affecting the operation 
of such organs) or organic (affecting their substance). There is, however, 
some difference in these derivative sympathies, both as regards variation, 
intensity, and locality. 

1. Mental derangement upon a given point, or general aberration of 
mind, extreme and restless anxiety, with visionary fears, or apprehension 
without foundation, alternation between extreme excitement and utter- 
prostration or inaction, both of will and of impulse, indomitable pusill- 
animity, uncontrollable irascibility and excitability, morbid impatience, 
wretchedness with agitation, thoughts confined to self and generally clouded, 
unaccoutable dread of undefined ills, conveying an intense inclination to 
engage actively in the investigation of such supposed misfortunes, fitful 
and capricious temper and disposition, and a highly suspicious disposition, 
etc., may be distinguished as an affection of the tributary Nerves of the 
apparatus of nutrition. 

16 



242 OUR FAMILY PHYSICIAN. 

2. Pains in various parts of the head ; expansive, darting, or spas- 
modic pains, of various descriptions and often indescribable, giddiness, the 
multitude of sensations of weakness, of heat or cold, of expansion or con- 
traction, of trembling or uneasiness, convulsive and involuntary move- 
ments of particular limbs or muscles, local or general cramp or spasm, are 
also amongst those symptoms which may be traced to an affection of the 
tributary Nerves. 

3. Gradual deterioration of nervous vitality amounting to palsy, and 
temporary or permanent loss of control by volition over the muscles of 
voluntary motion, owing the the nervous implication of the spinal cord, 
are attributable to a similar orginating cause. 

4. Sudden arrest of the functional operation of the brain, and tor- 
pidity, numbness, or suspended sensibility of the nervous structure- 
locally or generally, — as well as dullness of thought, aversion to exercise 
of the mind or body, general torpor or indolence, listlessness, drowsiness, 
depression of spirits, characterized by constant stupor, sluggishness of the 
perceptive or reflective faculties, vacancy, listlessness, incapability of fix- 
ing the attention, imbecility without mania, confusion of ideas, irresolute, 
yielding and dependent (submissive) disposition, — which arise from de- 
termination or accumulation of the blood,— are associated with derange- 
ment of the (mucus) lining membranes. 

5. Pains in the head, of a dull, obtuse description, pain in the fore- 
part of the head, sick-headache, numbness or dullness of the head, heavi- 
ness of the head, sensations of smell — whether pleasant or unpleasant, — 
which are merely morbid, deficiency, dullness, or suspension in the sense 
of smell, sensations of unnatural tastes in the mouth, and the like are, 
also associated with morbid condition of the lining membrane. 

(5. Palsy, occurring suddenly and without premonition, which is at- 
tributable to an oppressive accumulation of blood, is also amongst the 
affections of the nervous system, which are attributable to the same condi- 
tions as the last. 

[When both portions of the nutritive organs are simultaneously 
affected, these results may appear in combination.] 

THE LUNGS and RESPIRATOY apparatus are liable to be organically 
affected by sympathy with the stomach, when the tributary nerves of the 
organs of nutrition are affected. 

The LIVER may be fitfully or occasionally implicated in the general 
derangement, resulting from such affection of the nerves of the stomach; 
but important functional or organic derangement of this organ is gener- 
ally associated with disturbance of the stomach, consisting of morbid 
condition of the lining membrane. 

THE HEART is, necessarily, more or less affected by both conditions of 
disturbance in the digestive apparatus, because in both is there either de- 
ficient, Irregular, or morbid assimilation and distribution of the constitu- 
ents of the blood. 

1. Accelerated act ion, with, however, imperfect, incomplete, and irregu- 

laroperation of the circukdive process, with tooabrupt, sudden contraction 
■Ami, analogically, a spasmodic condition, characterized by quick, pointed 



DISEASES OF THE STOMACH AND INTESTINES. 243 

pulse ; or, generally, identified by sudden flushes of heat or chills, is asso- 
ciated in the generality of cases with disturbance of the nerves of the 
stomach. 

2. Retarded action, with, at the same time, the distribution of vitiated 
blood, or with deficient supply of the constituents of the blood, and, con- 
sequently, insufficiency of the volume of that fluid, generally character- 
ized by a slow and tardy, but hard pulse, and attended with coldness of 
the extremities, and general deficiency of the animal heat, may usually 
be attributed to derangement existing in the lining membrane. 

[When both portions of the nutritive organs are simultaneously affect- 
ed these results may appear in combination.] 

The skin almost immediately sympathizes with the stomach when 
the slightest derangement occurs, being doubly susceptible of the effects 
of impaired circulation of blood, and of irregular nervous action or sensi- 
bility. Whether one or the other, or both portions of the organs of nutri- 
tion be affected, and, whether functionally or organically, the skin 
manifests its immediate sympathy, either in sensation, appearance, feeling 
to the touch, or all three. 

1. Extreme susceptibility to sensation of cold (or chills,) is more or 
less associated with every variety of derangement of the stomach. 

2. Sensations of pricking, tingling, crawling, shuddering, itching or 
irritation, burning (flushes of heat), with redness, further characterized 
by the appearance of marked spots, pimples, and other eruptions, etc., 
are generally associated with derangement of the nerves of the stomach. 

3. Turgid, sallow, dirty hue of the skin, without loss of softness, 
moisture, or elasticity, though usually associated with derangement whose 
seat is in the lining membrane, may be observed in both varieties. 

4. Flaccid or withered, or deadened skin, having the appearance of 
parchment, with general deficiency of sensation, though usually attrib- 
utable to the continuance of derangement of the membrane, may also be 
identified in cases in which every other indication identifies the nerves 
of the stomach as the seat of the affection. 

5. Dryness of the skin may be associated with derangement, whether 
functional or organic, of either portion of the apparatus of nutrition. 

The eyes and sight readily sympathize with the stomach, owing to 
the uninterrupted continuity of the mucus membrane of the various pass- 
ages to that which comes into contact with the external portions of the 
eye. Whence tvatery eyes, dark appearance around the eyes, redness of 
the edges and inner surfaces, or swelling of the eyelids, bloodshot eyes, 
glutinous discharge from the eyes (adhesive gum), which occur as mani- 
festations of irritation or accumulation of blood about the membranous 
surfaces— extending along such membranous surfaces from those of the 
stomach, — may generally be associated with disturbance of the lining 
mucous membrane. 

1. Even blindness, from palsy of the nerve of sight, is generally de- 
pendent upon pressure occasioned by similar local accumulation of blood, 
and is, therefore, associated with a similar cause; although, in some cases, 



244 OUR FAMILY PHYSICIAN. 

it may result from affections of the nerves of the stomach. The associa- 
tion of other symptom-; will be distinctive in such cases. 

Thk ears and i{K.\R[NG are also most frequently affected by irrita- 
tion, accumulation >f blood, or dryness (deficiency of wax) extending to 
these organs from the lining membrane of the stomach. It is, however, 
obvious that exce^ively acute hearing, or total deafness, etc., might re- 
sult from affection of the nerves acting sympathetically on the brain. 

2. Eaxiessive dryness- of the ears, sometimes characterized by increased 
sensibility of the organ of hearing, and sometimes by sensation of heat, 
or by burning pain, is usually attributable to derangement of the lining 
membrane of the stomach ; and the same may be said of a sensation as if 
the ears were muffled, a deadness of sound, the internal passages being 
swollen, and the orifice being, consequently, lessened. 

DISTINCTIVE CLASSIFICATION OF VAKIETIES. 

It is apparent from the foregoing remarks, that we should distinguish 
five modifications of that form of disease which is popularly termed in- 
digestion or dyspepsia ; namely — 

1. That which is merely functional, or which consists in irregularity 
in the operation of the organ involved. 

2. That which is organic, or which consists in some change in the 
structure of the organ affected. 

3. That which affects the lining membrane of the organ — which is 
at first evidently superficial, and is generally conveyed to contiguous or- 
gans by the irritation extending along the uninterrupted surface of the 
membrane — but which, inasmuch as it embraces the extremities of the 
nerves, may sooner or later become complicated with — 

4. That which is seated in the tributary nerves of the organs of nu- 
trition — which may therefore be conveyed directly to the substances of 
the brain and spinal cord, through the medium of the nerves which are 
in direct communication with these concentrating points, and front 
which we may anticipate a more immediate development of sympathetic 
manifestations in the nervous system generally. 

5. That in which the nerves and membrane are both implicated. 
The third and fourth distinctive varieties are those which require the 

most particular investigation ; not only because they may or may not in- 
volve the first two, but, more particularly, because, whether the disease 
be organic or merely functional, the distinction between the nervous and 
membranous varieties will afford the real clue to, or at all events materi- 
ally facilitate, the treatment. 

The initiatory condition both of nervous and of membranous derange- 
ment of the stomach is the same; it consists in determination and accu- 
mulation of inactive blood in the vessels associated with the tributary 
nerves, on the one hand, or in those connected with the Lining membrane 
on the other. In both cases, the first unnatural condition. is increase of 
the natural irritability— thai is, irritation— respectively of the portion af- 
fected : and in both cases tin- exciting cause is something which impedes 
or unduly Minnies the natural operation, and consequently excites an 
irritative effort in the organ either to repel the matter which oppresses or 



DISEASES OF THE STOMACH AND INTESTINES. 245 

disturbs it, or to fulfil its functions with that degree of acceleration to 
which it is impelled. 

Disturbance or oppression of the functions of the tributary nerves 
may therefore be occasioned (chiefly) either : 1. By the reception of irri- 
tating, stimulating, or indigestible substances into the stomach. 2. By 
superabundance of food, however plain and digestible, too suddenly cram- 
med into the stomach. 3. By the imperfect preparation of the food (by 
mastication, etc. ) before it is conveyed to the stomach. 4. By over-exer- 
tion of the mental faculties of the brain, which operates directly to the 
medium of the communicating nerves. 5. By sudden depression or 
excitement of the moral faculties of the brain (as by passions or emotions 
conveying pleasure or pain.) 6. By deficiency of physical muscular action 
(as in sedentary habits), whereby the evacuation of matters rejected (se- 
creted) from the nutritive apparatus is impeded, and whereby, therefore, 
the organs whose function consists in the appropriation of the aliment 
and the expulsion of the residue are opposed with the latter, which gives 
rise to an irritative effort to expel the obnoxious matters. 7. By excess of 
physical muscular action, which compels the organs of nutrition to make 
an undue effort for the supply of the necessary sustenance over and above 
what is ordinarily required. 8. By the abstraction or undue discharge of 
animal fluids (such as blood, sweat, etc.) which equally renders an undue 
effort necessary for the supply of the deficiency. 9. Generally— by irreg- 
ularity of habits, or by deviation from habitual method, whereby the 
organs of nutrition are either checked or accelerated, or otherwise com- 
pelled to provide for the disturbed balance between the tributary functions 
and the vital energy to which they are subservient. 10. By external 
influences (such as cold, heat, etc.,) whereby the circulating and secreted 
fluids are either too quickly absorbed or dispersed, etc., or, on the other 
hand, are arrested or suspended in their progress, and consequently driven 
back upon the secreting organs, or left to impede the channels through 
which the successive course of secretions, etc., should be circulated or 
dispersed. 11. Which may be superadded to the foregoing general causes 
— by abuse of bitter tonics, sal-volatile, sedatives generally, opium, iodine, 
and mercury, as also by depletive measures in nervous fevers — all of com- 
mon occurrence. 

Respecting disturbance or oppression of the functions of the lining 
membrane; it may be said in general that the conditions 1, 2, 3, 6, 7, 8, 9, 
and 10, just mentioned, operate as exciting causes; but that conditions 4 
and 5 more rarely (if ever) operate as direct exciting causes. A twelfth 
class of causes may, however, be added with regard to this variety ; 
namely — 12. By abuse of arsenic and other mineral tonics, and still more 
frequently of saline purgative medicines. 

Respecting disturbance implicating both the nerves and the mem- 
branes, it will readily be distinguished that any or all of the conditions 
above mentioned may operate as exciting causes. 

GENERAL SYMPTOMS EXHIBITED BY IRRITATION, ETC., OF THE LINING 
OR MUCOUS MEMBRANE. 

This variety of the disorder is more apt to be developed at the stage 
of maturity, or within the period of life which is termed middle age ; 



246 OUR FAMILY PHYSICIAN. 

and in general, individuals who are little susceptible of excitement, 
whose sensations are not acute, and whose temper is even, or whose 
disposition is indolent or listless, are more likely to become thus 
affected. Distinctively it consists of tardy, insufficient, or oppressed 
functional operation, and of inactive accumulation of blood in various 
parts. The first characteristic manifestation which springs from it is 
Acidity — usually, however, attended with little pain ; regurgitation of 
food, insipid or acrid risings in the gullet, and heartburn ; occasionally 
nausea, but more rarely vomiting ; habitual deficiency of appetite ; 
habitual or continued predominance of thirst, especially in obstinate and 
continuous cases ; dryness of the mouth and throat from deficiency of 
saliva, or thick, adhesive saliva or phlegm in the mouth ; bitter sweet, or 
salt taste in the mouth ; — or, again, insipid, clammy, or metallic taste ; ex- 
treme susceptibility to change of temperature and weather, affecting the 
throat and nostrils, and consequently to relaxed or inflammatory sore-throat, 
or to cold in the head, excessive discharge from the nostrils, or continual 
dryness or itching in the nose, with or without altered or diminished sen- 
sation of smell ; ^offensive breath, internal dryness with heat of the ears and 
acuteness of hearing, or internal swelling with impeded hearing; humming 
or buzzing in the ears; red suffusion of the eyes and bleared appearance, 
especially on waking in the morning ; dark rim around the eyes, with red 
ness and swelling of the inner side and margin of the eyelids ; watering of 
the eyes; oscillation as of fluctuating vapors before the sight; flashes of 
light or appearance of sparks before the eyes ; dark shade as of clouds or 
flickering of black spots before the eyes ; adhesion of the eyelids— es- 
pecially on waking in the morning ; yellowish or waxy appearance of the 
eyelids— with glutinous matter; in recent or casual cases, and when the 
affection is neither severe nor inveterate, the tongue may be flabby or 
coated with a brownish-white fur, but neither very dry nor enlarged ; in 
cases in which the liver and first portion of the intestinal tube are affected, 
the tongue will generally be coated in the center with a yellowish fur, 
somewhat dry, the tip and margins being of a bright-red color and free 
from fur ; in cases in which the affection is confined to the stomach, but is 
of a severe character and of long standing, the tongue will usually be 
covered in the center with a slimy fur, the margins and extremity being 
in this state also free from fur, and exhibiting bright redness; in cases in 
which the nerves of the stomach are also implicated, and in which the irrita- 
tion of both portions is of a most severe and inveterate character, the 
tongue will usually be enlarged, and will exhibit a glistening, white, and 
thin coating in the center, the margins and extremity being free from fur 
and of a bright-red hue ;— or, again, it may be so much swollen as to be- 
come indented along the lateral margins by the impression of the teeth; 
progressive decay of the teeth ; constant or casual toothache or predispo- 
sition to toothache; accumulation of brownish and offensive matter on the 
teeth; yellowness, blackness, or other discoloration of the teeth; offensive 
exhalation from the gums; soreness or tenderness of the gums; unhealthy 
and spongy puffiness, or redness and swelling of the gums; the gums bleed 
spontaneously, or are easily provoked to bleed; unhealthy and spongy puf- 
finess or excessive redness and swelling of the lips, usually indicative of 
recent affection— when associated with such symptoms as identify the 



DISEASES OF THE STOMACH AND INTESTINES. 247 

Lining Membrane as the seat of disease, but occurring irrespective of de- 
gree and length of continuance when associated with such symptoms as 
identify the Nerves as the seat of disease -—scaliness of the lips; in cases in 
which the liver and first portion of the intestines are- implicated in the 
derangement, we may notice the mottled appearance of the lips ; in similar 
cases of longer standing, and of the most inveterate and incorrigible char- 
acter, — especially if continual excess in the use of fermented liquors, and 
particularly of ardent spirits, has been the exciting cause of disease,— 
sallow whiteness?and hardness of the lips may be exhibited, or what has 
been oppositely described as a icaxy appearance; pressive headache, 
seated in the anterior part of the head, or what is called sickhead- 
aclie; dull or intense, fixed, aching pains in the head, with sensation of 
confusion, heaviness, and sometimes, also, with giddiness or numbness ; 
general uneasy sensations about the head, or as if the contents were ex- 
panded ; determination of blood to the brain, and sudden attacks of apo- 
plexy without premonitory symptoms ; dullness and confusion of thought ; 
general dullness of sensation; tardiness of perception, reflection and 
motion; vacancy and incapability of fixing the attention for any length of 
time; drowsiness, or even lethargy, general indolence, and inaction, or 
even torpor of mind and body; excessive reluctance to move or exert one's- 
self in any w r ay; deep depression of spirits, with listlessness ; deficient vigor 
of will and consequent irresolution and indecision; hard but tardy pulse, 
generally also decreased in frequency ; unhealthy puftiness of the body, 
morbid accumulation of fat; flabby skin, muddy sallow complexion; and 
in severe and obstinate cases, chippy deadened, parchment-like skin ; in- 
action, or even torpor of the bowels, and, therefore, suspension of evacua- 
tion, slow, tardy evacuations, or evacuated matters paler than in health ; 
habitual constipation. 

GENERAL SYMPTOMS EXHIBITED BY IRRITATION OF THE NERVES. 

This variety of the disorder is more apt to be developed amongst fe- 
males and young persons ; and, in general, individuals of acute sensibility, 
of active, restless habits, of quick impulses, excitable and irritable dispo- 
sition, and choleric temperament, and of spare, wiry frames, are not liable 
to be thus affected. Distinctively it consists of inordinate, irregular func- 
tional operation resulting in defect in the distribution of blood, or even of 
the quality of the blood distributed. The first characteristic manifestation 
which springs from it is Flatulency, this variety of the disorder being also 
characterized by the multiplied development of pain and painful or other- 
wise acute sensations, — or, in the worst and incurable cases of organic dis- 
order, total suspension of pain, which has previously been acute, and of 
which the cause is not removed ; intense and pressive pain at the lower 
part of the chest, sometimes extending through the body ; wrenching 
gnawing pain at the pit of the stomach ; sinking at the stomach ; heart 
burn very predominant; nausea, and generally vomiting; irregular, 
fitful, capricious appetite, either inordinately voracious and insatiable 
or very deficient, or more generally greater than in health, but some- 
times also, in very severe cases, totally suspended ; eating provokes or, 
aggravates the suffering; stimulants, and even hot plain drinks 
have the same effect ; eructations and hiccough, and in fact, all mani- 



248 OUR FAMILY PHYSICIAN. 

4 

testations of spasmodic contraction of the muscles, connected with 
and operating upon the stomach ; — consequently, general spasm of the 
stomach; thirst usually absent, occurs fitfully or irregularly, but some- 
times of excessive temporary intensity ;— morbid taste in the month, 
chiefly the metallic; thin, acrid saliva; fitful or periodical pains in the 
teeth, of the most intense and distressing description ; lips habitually of 
an over-vivid redness, or spongy ; morbid acuteness of the senses of smell 
and hearing ; occasional darting, fugitive or distracting pains in the cav- 
ity of the ear and deep in the head ; the tongue generally free from coat- 
ing, but of a bright red, fiery hue; in cases which are of recent occurrence 
there will not usually be either swelling or dryness of the tongue, but the 
extremity will exhibit a species of roughness from papillary elevations ; 
in more severe and old-established cases, the redness of the tongue will 
be further qualified by dryness and glistening appearance (glossy surface) ; 
in cases in which the intensity of the irritation may have become com- 
plicated with sympathetic affection of the brain, the redness of the tongue 
will be further qualified by general swelling, and sometimes, also, by a 
slight degree of white coating, — not sufficient, however, to conceal the 
characteristic redness of the surface beneath ; the tongue much swollen , 
and deeply intei^sected with fissures, indicates a very serious advancement 
of the disorder ; the swollen tongue, with a bright, glistening, white sur- 
face, (whereby is conveyed a distinct indication of severe sympathetic 
affection of the brain, as in highly hypocondriacal subjects, especially 
those who have been treated with large doses of Mercury) ; the co-exist- 
ence of both varieties of the disorder of considerable duration is evinced 
in the swollen tongue, of which the margins and extremity are red, but 
the center is slightly covered with a glistening white coating ; the tongue 
quivers on protrusion (wherby is identified a sympathetic affection of the 
spinal cord). The change from vivid redness, with or without swelling, 
but without coating, to brownish hue and more or less thick coating im- 
plies a modification of the disorder, or progress towards cure. In general, 
moreover, we may notice every variety of hysterical or hypochondriacal 
excitement ; unaccountable uneasiness and restlessness ; sudden fits of 
laughter, or the contrary, — the one terminating in, or alternating with, 
the other, apparently without a cause, or provoked by very slight causes; 
sudden starting or shuddering ; incessant tossing about or moving from 
place to place ; general or local convulsive movements of every descrip- 
tion, — such as trembling, jerking of the limbs, coughing; convulsive 
cough, difficult respiration, and sensation as of a ball rising in the throat ; 
cramps in muscular parts; chattering of the teeth, or clenching of the 
hands and teeth, or grinding of the teeth during sleep; on interminable 
variety of erroneous impressions, upon which the mind harps with per- 
sistency, and which appear to haunt the patient more painfully at stated 
periods ; intense and restless anxiety about one's self, one's affairs, one's 
health, with impulses even to self-destruction ; extraordinary exaggeration 
of every feeling ; intense sensitiveness of temper and disposition ; intense 
impatience, not only of contradiction, disappointment, vexation or pain, 
but even of one's own moral feelings; excessive irascibility and excita- 
bility; temporary suspension of control over the muscles of voluntary 
motion ; sudden local and temporary paralysis; apoplexy; pains in the 



DISEASES OF THE STOMACH AND INTESTINES. 249 

head, of various descriptions — giddiness, sensation of weakness in the 
head; ticdouloureux or nerve-pain in the face, etc.; pains on one side of 
the head ; darting pains starting from one point and piercing the head in 
every direction ; pains of the back of the head ; darting pains in the eye- 
balls ; pains which seem to run from one extremity of the body to the 
other, leaving an indiscribable sensation after them; palpitation of the 
heart; quick, and sometimes small and frequent pulse ; anxiety and op- 
pression of the chest ; flushes of heat, with patchy, circumscribed, or 
suffused redness ; crawling, pricking sensations in the skin ; redness and 
swelling of the gums and lips ; spare, meagre, or even withered frame ; 
great deficiency of flesh ; scanty and wiry flesh ; irregular operation of 
the bowels, both as to the frequency and the nature of the motions, which 
vary in color and consistency. 

GENERAL SYMPTOMS OF COMBINED DERANGEMENTS OF THE NERVES AND 

MEMBRANES. 

These will obviously consist of a combination of symptoms associated 
with each variety in its distinctive form, and will, therefore, need no 
further description. 

ALLOPATHIC TREATMENT. 

This is one of the diseases in which the patient ought to give but lit- 
tle thought to his trouble, and every one guided only by the advice of his 
physician. Indeed it might be better, if a single line upon this subject 
had never been written for a popular work, because they direct the im- 
agination of the subject to his disease in a way that creates such a state 
of mind which tends to prolong the trouble. All fears which the patient 
expresses, probably proceed from the condition of the body and don't 
indicate a disordered mind. They should be submitted promptly to the 
physician in whom he has most confidence, who will doubtless be able to 
trace them to the cause suggested. Exemption from inconvenience; with 
the mind pleasantly occupied during eating and digestion, as is the case 
when in agreeable company, frequently enables the patient to indulge the 
appetite freely without inconvenience, but when they dine alone they 
experience trouble during or after the meal. In the latter case they 
watch carefully the sensations of digestion, while in the former case the 
diversion of the mind causes the unpleasant experiences to disappear. 
Good cheer and a good moral are valuable both in the way of prevention 
and cure of dyspepsia. 

As to diet, there is no doubt that when the dyspepsia succeeds overindul- 
gence of the appetite, one of the first things to be done is to give the 
stomach rest for a time, by abstaining from food or by taking less than 
the patient requires. The period to which this is appropriate is of short 
duration, and must not be continued long enough for the system to be- 
come reduced. This abstinence may, of itself, become a cause of dyspep- 
sia, as is the case when persons attempt to live on as little and as coarse 
food as possible. 

The food should be simple, but nutritious, and taken in ample quanti- 
ty and variety. Often it is an object of treatment to overcome the 
erroneous idea, that various healthy articles of food do not agree with 



250 OUR FAMILY PHYSICIAN. 

him. Food which is wholesome for most people cannot be harmful for 
any. It is often said that " what is one man's meat is another's poison," 
but there is scarcely a maxim which is more generally untrue. Almost 
all cases of dyspepsia can and should conform to the ordinary rules of 
diet, and not to any particular rules. He should take, from time to time, 
any and all articles of wholesome food, and aim to eat like a well person 
without the need of selecting food to suit his particular case. In most 
cases of dyspepsia lean meat is digested the best, especially from mature 
fat animals. They should be plainly but well cooked, never fried. Some- 
times milk with starchy articles of food, such as bread, rice and the like 
agree best. Doubtless milk is not healthy when taken on a full stomach, 
in large quantities, but if taken with the understanding that it is hearty 
food, it w T ill almost never disagree. Bread to be in its best condition 
should be in that state between fresh and stale. Cornmeal, oatmeal, and 
cracked wheat or Graham mush, and boiled rice are easily digested. Ripe 
fruits partaken of moderately are beneficial. Pastries, rich puddings and 
sweetmeats are inappropriate. 

The kind of food most appropriate will vary, as it is found that the 
digestive derangement is in the stomach or intestines. If in the former, 
starchy articles and fat will agree best, but if in the latter, meats, eggs, 
and milk will be found most appropriate. 

The habits regarding eating should be regular, but at the same time 
the dyspeptic ought never to go hungry. If no breakfast or an insuffi- 
cient one has been taken, a lunch in the early part of the day is desirable. 
His most hearty meal should be at an hour that can be followed by leisure 
and recreation. A little food often had better be taken before retiring at 
night. Xo one ought to go to bed hungry. Hearty indulgence of the 
appetite is not to be permitted, but moderation is to be practiced until the 
digestive powers increase, when food may be taken in larger quantities. 
Only a moderate amount of liquid should be taken at the meals, but may 
be freely taken between meals. 

Regular habits of life, early hours, plenty of sleep and such changes 
in the occupation as will secure sufficient bodily exercise and relieve 
from harrassing care and troubles of business, a rest of one day in seven, 
horse-back riding, a daily cool or tepid sponge bath and abandoning the 
use of tobacco and alcohol will cure most cases of dyspepsia. 

It is a common, and truthful saying in the main, that exercise w T ill 
cure dyspepsia, but if taken simply for exercise it becomes neglected and 
tends to keep the mind of the patient on his disorder which is harmful. 
It is, therefore, desirable that the mind of the patient may be turned 
from his dyspeptic trouble, that he adopt such a mode of life as will of 
itself require a requisite amount of exercise in the open air. Most, if not 
all, these requisites are secured by an overland tour in our own country 
and mountains, or by foreign travel. 

I believe exercise never should be carried to the point of exhaustion, 
but should be sufficient to have earned a good sleep of eight hours at 
night. 

The benefit which can be derived from medicines is secondary, but 
important. The uneasiness of the stomach may sometimes be relieved 



DISEASES OF THE STOMACH AND INTESTINES. 251 

by a counter-irritant over the stomach as a small blister, or rubbing the 
skin with a liniment made of equal parts of Ammonia water (hartshorn ( 
Turpentine and Olive Oil, or a couple of drams eaeh*of Croton Oil, Tur- 
pentine, and Olive Oil. 

If the blood is impoverished, and the appetite is poor, bitter infusions 
(teas), made of Columbo Gentian. Cinchonia Bark, or Quassa, etc.; in the 
strength of one ounce of the crude (dry) drug to the pint of hot water. 

Dose : Two or three tablespoonsful before eating. 

The Tincture Muriate of Iron may be given in doses of fifteen drops 
in sweetened water, after eating. The Citrate of Iron and Quinine, in 
doses of three to five grains, in solution, in water or syrup, almost always 
answers the same purpose as both the foregoing. 

Digestion is often greatly helped by the use of Lactic or Hydro- 
chloric Acids and Pepsin. 

A good formula is this : Take of Glycerole of Pepsin three ounces, 
Lactic Acid an ounce. Mix, and give a teaspoonful after each meal. If 
Iron is required, half a dram Lactate of Iron can be added to this mix- 
ture. In case the Hydrochloric Acid is used, if Iron is also given, it 
should be the Muriate Tincture of Iron. In case of acidity and heart- 
burn, the acid mixture should be given before meals instead of after. 

Should this not relieve, Bismuth, in doses of fifteen or twenty grains, 
with a little baking soda, or salaratus, may be given after meals upon the 
development of this symptom. 

Flatulence and wind in the intestines is best relieved by the contin- 
ued use of Nux-vomica. Ten drops of the Tincture of Nux-vomica, in 
water, or a quarter of a grain of the Extract in pill, may be given three 
times a day. 

In extreme instances, when everything is vomited, the so called milk 
cure is often appropriate. In its use all other food is omitted. A couple 
of tablespoonsful, with lime-water, is given every three hours during the 
day, and the quantity gradually increased until the invalid can take one 
or two tablespoonsful four times a day. One or two quarts is generally 
the amount that can be taken in the day. It is best given a little warm. 
The quantity of lime-water should be one-fourth that of the milk. If 
necessary, the milk can be flavored with a little coffee. Other useful pro- 
ceedures are counter-irritation, as above suggested, a drop of Creosote, in 
water, after each act of vomiting. Bismuth and Nux-vomica, also, as 
above directed, etc. 

It is probable the length of this article is already too great for the 
good of the dyspeptic, because it induces him to study and brood over his 
case. He is best off under the direction of an intelligent, regular phy- 
sician. 

HOMOEOPATHIC TREATMENT. 

Nux-vomica is particularly applicable to the treatment of indigestion 
in hypochondriacal subjects. It covers the following symptoms, either 
when they have arisen in consequence of sedentary habits, excessive 
mental exertion, or long watching, or of overloading the stomach, of ex- 
cessive draughts of milk, or even of water, or of eating or drinking acid 
things, or of using spices and seasoning to excess ; or, again, in cases in 



252 OUR FAMILY PHYSICIAN] 

which all food or driiik, however plain, light, and digestible, provokes 
indigestion; or from the abuse of coffee, tobacco, wine or ardent spirits; 
or, again, when the irregularity of digestion has been induced or ©on- 
firmed by loss of animal fluids (profuse sweating, bleeding, and the like), 
or by habitual recourse to aperients ; the head confused, with, occasionally, 
a feeling as if resulting from intoaticaUon, and giddiness, with sensation 
of turning and wavering of the brain ; headache, unfitting for, and 
increased by, mental exertion ; tearing, drawing, or jerking pains in the 
head or cheeks, and pulsative pains, and a sensation as if a nail were driv- 
en into the brain : congestion of blood to the head, with humming in the 
ears. The headaches are often deeply seated in the brain, or in the back 
part of the head, frequently confined to one side, or over the eyes, and at 
the root of the nose, coming on chiefly in the morning, after a meal, or in 
the open air. Yellowness of the lower part of the white of the eyes, with 
a mist before them ; a sensation as if one were about to fall; sparks, or 
small gray or black spots before the eyes ; short-sightedness ; pale or yel- 
lowish color, or redness of the face, especially about the mouth and nose ; 
frequent headache, and impaired powers of digestion, with insipidity 
of food : foul, dry, white ox yellowish tongue; vivid redness of the 
margins of the tongue ; tfiirst, with water-brash particularly after 
acids or rich food ; accumulation of slimy phlegm or water in the 
mouth ; metallic, salt sulphurous, herbaceous, bitter, sour, sweetish or 
putrid taste, chiefly in the morning, or after meals ; bitter eructations, 
or continued nausea, especially after meals, or even after drinking cold 
water or milk — or on going into the open air after a meal, or after parta- 
king of acids; heartburn, hiccough, acidity, flatulence, frequent and 
violent vomiting of food, phlegm, or bile, ineffectual efforts to vomit ; 
distension and fullness in the region of the stomach, with excessive tender- 
ness to the touch; a feeling of tightness of the clothes round the upper 
part of the waist; cramps of the stomach : constipation; reddish urine, 
with brickdust-colored sediment; sleep, unrefreshing and restless, either 
from suffering or otherwise, with disagreeable dreams, and drowsiness in 
the morning ; tendency to exacerbation of symptoms during the preva- 
lence of a northerly or easterly wind, or when the atmosphere is loaded 
with vapor ; better after warm food. 

One of the most distinctive indications for the employment of this 
remedy, in preference to the next mentioned, is the temperament, which 
is restless, irritable, lively and choleric A disposition to piles is also a 
good indication. 

Dose: Three globules in a teaspoonful of water, night and morning, 
for a week; then pause four days, resuming the same remedy in a 
similar course, or suspending treatment, or proceeding with another 
medicine, according to the circumstances which are present. 

Cocculus is appropriate to the treatment of highly bilious subjects, 
or when the derangement can be traced, however remotely, to long 
watching or intense application to study; or when coffee, tobacco, or 
brandy, can be traced as the exciting cause. Et may generally be employ- 
ed in cases in which nioroseness and hypochondriacal disposition are 
marked characteristics cither before, after, or in alternation with Nn.c-r., 



DISEASES OF THE STOMACH AND INTESTINES. 253 

according as the characteristic effects of the one or both most clearly cor- 
respond with the case. 

Dose: Three globules in a teaspoonful of water every twelve hours, 
until amelioration or change. Or if, again, Coccnlus be apparently 
inadequate to complete the cure, consider the next remedy. 

Carbo-veo. is especially appropriate to the treatment of derange- 
ments of this nature occurring amongst persons of advanced years; or 
when the derangements can be distinctly traced to long watching, to 
abuse of wine, of ardent spirits, of coffee, to milk diet or casual use of 
milk, to excessive use of butter, or to rancid butter, to fat and greasy 
things, such as pork, to fish, especially if tainted, or to shell-fish in par- 
ticular, to flatulent vegetables, etc., to pastry or acid things, to excessive 
use of salt, or unguarded use of ices or very cold drinks. This remedy is 
particularly indicated by excessive and constant flatulence, with heavy 
respiration, repugnance to animal food, or especially to fat or greasy 
things, or to milk, and when acidity is constantly provoked by such food; 
bitter taste in the mouth ; accumulation of phlegm in the gullet and sto- 
mach, frequent empty, sour, or bitter eructations, etc. 

Dose: Three globules in a tablespoonful of water every twelve hours. 

Pulsatilla is indicated by a series of symptoms very analogous to 
those which have been enumerated under the head of Nux-v., but with 
this distinction, that it is particularly adapted for females generally {es- 
pecially for hysterical subjects), children, individuals with light hair, and a 
marked predisposition to purulent exudations at the edge of the eyelids, 
or to styes, and for mild or phlegmatic dispositions. Under such condi- 
tions it is appropriate to the treatment of derangements of the stomach 
occasioned by excessive application to study, overloading the stomach, 
abuse of wine, spirits, beer, coffee, or rich chocolate, by excessive draughts 
of milk, or even of water, by new, slack-baked, or otherwise unwholesome 
bread, or butter, fat or yreasy things, tainted or unwholesome meat (pork 
especially), by eating oysters or tainted fish of any kind, by pastry, flatu- 
lent vegetables, fruits, or by ice cream ; or even when an external injury 
(as a strain) has been the exciting cause of the ailment. Amongst its 
characteristic indications, we more frequently find a want of thirst, than 
thirst; a repugnance to fat and rich meat, and suffering after taking pork 
or pastry ; general chilliness, or great difficulty in keeping the hands and 
feet sufficiently warm ; deficient sense of smell, sometimes accompanied 
by increased secretion from the nostrils; frequent and loose, or difficult 
and loose, or sluggish evacuations ; hypochondriasis, and convulsive fits 
of laughing and crying. 

Dose: Three globules as directed for Nux-v. 

Ionatia may in some cases be employed twelve hours after the fourth 
dose of Pulsatilla, if the latter has failed in affording permanent relief, 
and does not promise to complete the cure. It may also, in some cases, 
be employed before or instead of Pulsatilla, when there is a tendency to 
alternations of exuberant and depressed spirits, or particularly if grief be 
associated with the derangement. Ignatia is also appropriate for the 
treatment of derangements of digestion occurring amongst highly hys- 



254 OUR FAMILY PHYSICIAN. 

terical females ; or of cases which result from abuse of coffee, beer, bran- 
dy (or even ardent spirits in general), milk, sweet things, or tobacco. 
Dose : Three globules in a teaspoonful of water three times a day. 

Bryonia is often appropriate to the treatment of derangements of 
the stomach, associated either with a hypochondriacal or hysterical dis- 
position, or with habitually sedentary habits; or when occasioned by 
depressing emotions, by chocolate, milk, new or slack-baked bread, 
tainted sausage-meat, flatulent fruit or vegetables, or pastry; the 
indicative symptoms are as follow : Headache, burning or expansive, 
particularly after drinking, attended with bewilderment of the head 
and giddiness ; tongue glazed, dry, and red, or covered with a whity- 
yellow fur ; sometimes the aversion to food is so strong, that the 
patient cannot bear the smell of it ; loss of appetite, alternately with 
unnatural hunger; craving for acid drinks; great thirst; insipid, 
clammy, putrid, sweetish, or bitter taste in the mouth; acidity and 
flatulence, or bitter risings after every meal, or after partaking of 
milk. Hiccough, nausea, water-brash, vomiting of food or bile, par- 
ticularly at night ; tenderness, in the region of the stomach, to the touch, 
sensation of swelling in the pit of the stomach, especially after a meal, 
or on walking ; sensation of burning in the pit of the stomach, especially 
when moving. Constipation, temper, restlessness, irascible and obsti- 
nate ; also when want of exercise or anger are frequently the exciting 
causes of the derangement, or the means of aggravating the indiges- 
tion. The indigestion is more apt to manifest itself in summer, or in 
damp weather, with a northerly or easterly Avind, and is frequently 
accompanied with chilliness. 

Dose : Three globules in a teaspoonful of water, every twelve hours, 
until amelioration or change. In cases in which the sufferings are 
very great, the like dose should be repeated every three hours 
during the attack, until the symptoms subside or change. 

Khus-tox., which is particularly appropriate for the treatment of 
indigestion resulting from mechanical injuries (such as a strain), or when 
freer, spirits, coffee, milk, copious draughts of cold water when heated, new 
or slack-baked bread, tainted sausage-meat or fish (especially shell-fish, 
as muscles), may directly have provoked the attack. The specific symp- 
toms arc as follows: Flat, sticky, sweetish, or bitter, or foul taste in the 
mouth ; drowsiness, eructations, and sensation of fullness, languor or gid- 
diness, after eating; a sensation of repugnance to food, especially to meat, 
bread, etc, or sensation of satiety : or want of appetite, with hankering 
alter dainties ; <>>n( innal, empty , paiuj'td and noisy eructations; offensive 
and very abundant flatulency ; the derangements of the digestive func- 
tions more apparent and troublesome at night ; distension and pressure 
in the region of the stomach. Extreme depression of spirits, despond- 
ency, insuperable anxiety and uneasiness respecting affairs. 

Dose; Three globules in a teaspoonful of water every lour hours, 
until the symptoms are modified,— and (hen every twelve hours, 
i:nt il posit ive change. 

\ a i 'RUM-M. is particularly appropriate to the treatment of chronic 
cases occurring amongst hypochondriacal subjects, or, sometimes, of preg- 



DISEASES OF THE STOMACH AND INTESTINES, 255 

nant females ; or when habitual excess in the use of fermented liquors 
has been the chief cause of derangement ; or when milk diet, mineral 
waters of particular localities (unless brackish), or the water of hard 
springs and mountain streams, — or unwholsome bread, or fat and greasy 
food (especially pork), — or excess in the use of fruit or tobacco, may be 
distinguished as associated with the origin of the affection. Natrum-m. 
is generally useful in such obstinate chronic cases as have resisted the 
operation of Bryonia, Nux vomica, etc., and which are characterized by 
frequent attacks of morning sickness, or by heartburn after every meal, 
water-brash, constant nausea, occasional sensations of faintness, pressure 
in the stomach, or intractable humor after eating, and obstinate eostive- 
ness, or when milk, and liquids in general, invariably disagree. 

Dose : Six globules in a tablespoonful of water, every morning, the 
first thing (fasting), for ten days (unless earlier improvement en- 
sues), then pause four days, resuming the same course, if necessary, 
and so on. 

Kali-bich. is particularly applicable to the treatment of chronic 
cases in which milk, bread, fish, or pastry, constantly disagree with the 
patient. The distinctive symptoms are as follows : 

Indigestion, with aggravation of symptoms in the morning and dur- 
ing movement, relieved after eating (sometimes, however, a distressing 
feeling of weight is experienced after a meal); mouth and tongue dry ; 
thick yellow fur on the tongue ; conflux of water in the mouth ; metallic, 
acid taste ; want of appetite ; nausea, flatulence, frequently accompanied 
by colic. Constipation or hard stools, attended with straining and burn- 
ing in the outlet ; alterations of hard and relaxed motions, great sensi- 
bility to cold air, complications with affections of the liver and spleen ; 
extreme depression of spirits, hysterics. 

Dose: As directed for Natrum-m, 

Chamomiela is of great service in some derangements resulting from 
or associated with excess in the use of coffee or of sweet things ; or more 
especially depressing emotions, such as vexation, disappointment, a, fit of 
passion, and the like; or, again, if the derangement has been provoked 
by check of perspiration. The characterizing symptoms are as follows : 

Headache, with, sometimes, semi-lateral pulling, shooting, fullness, 
and beating in the head ; giddiness and staggering in the morning when 
getting up ; oppressive heaviness, swimming in the head, and sensation 
of a bruise; headache, felt sometimes during sleep, with obscuration of the 
eyes, and yellow color of the whites ; tongue dry and cracked, with a 
thick and yellowish coating ; mouth dry, with occasional presence of 
frothy phlegm ; excessive thirst and desire for cold drink; bitter taste of the 
mouth and of food ; want of appetite and dislike to food. Acidity or 
sour risings, regurgitation of food, nausea, vomiting of food, phlegm and 
bile; oppressive pain in the region of the heart, distention at the pit of the 
stomach and upper part of the waist, chiefly after eating and at night, at- 
tended with inquietude and terror ; burning pain in the pit of the stom- 
ach ; uneasiness, and feeling of sinking in the stomach; cramps in the 
stomach, especially when traceable to coffee; sometimes constipation, 
but generally relaxation of the bowels. 



256 OUR FAMILY PHYSICIAN. 

Dose : In casual cases, of a solution of six globules to three table- 
spoonsful of water, give a teaspoonful every three hours, until ame- 
lioration or change. In chronic cases, three globules in a teaspoon- 
ful of water night and morning, until similar variation occurs. 

Ipecacuanha is available for the treatment of indigestion occurring 
amongst children and pregnant females, or when occasioned by overload- 
ing the stomack. imperfect mastication of food, hurried and voracious 
feeding, or by irregularity of meals, or by abuse of tobacco, or even of 
coffee; or in pases in which veal or other young meat particularly disa- 
grees ; or when cold, nervous excitement, late hours, or over-application 
to study in particular, are to be traced as the exciting causes of derange- 
ment. The distinctive symptoms are : Paleface and yellowish ; tongue 
sometimes clean, at others coated white or yellow; aversion to food, and 
particularly to fat or rich indigestible food, such as pork, pastry, etc., or 
suffering from indigestion on partaking of such ; vomiting of drink, food, 
phlegm or bile, sometimes after a meal; retching, easy vomiting, generally 
attended with coldness of the face and extremities, and sometimes alter- 
nation with watery looseness of the bowels, feeling of emptiness and 
flaceidity, and sensation of sinking at the stomach. Headaches attended 
with nausea and vomiting ; shooting pains, with heaviness and painful 
pressure on the forehead. 

Dose: Against the acute symptoms when present, of a solution of 
eight globules to a wineglassful of water, give a teaspoonful every 
hour, until amelioration or change ; against the chronic aspect of 
the affection, that is, the recurrence of the acute symptoms, give 
three globules in a teaspoonful of water, night and morning until 
distinct change. 

China is appropriate to the treatment of derangements of this kind, 
according to the subjoined indications, when occurring in aged persons, 
<>r in patients of a hypochondriacal disposition, particularly if the loss of 
animal fluids, or mental afflictio?l, be distinguishable as the predisposing 
cause, or when the suffering can he attributed to overloading the stomach. 
to excessive indulgence in strong i<-u, or. in some cases, to abuse of spirit- 
uous liquors or coffee, to milk diet, or to unguarded or too copious 
draughts of water; or, again, when bread, butter, fal and greasy things 
generally, disagree, or when tainted fish lias been the immediate cause of 
derangement ; or, again, if the symptoms can he traced to flatulent food. 
over-indulgence in fruit or spices and other seasoning, or, in some cases, 
to tobacco; or. again, when every kind of food provokes an attack. This 
remedy is a valuable auxiliary in the treatment of this derangement, 
when there i- impaired appetite with great weakness of digestion, which 
i- more liable to be experienced on partaking of supper ; flatulence, bitter 
taste, languor, hypochondriacal disposition, and particularly when we 
can trace the affection to debilitating losses of fluids, such as the abstrac- 
tion or loss of blood, too great a drain upon the resources when nursing, 
prolonged use of aperient medicines, etc., also in disorders arising from 
the abuse of tea, or from a residence iu impure atmospheres, especially 
such as are overloaded with the exhalations of decayed vegetable mailer, 
w here the drainage i> insufficient, the cull ivation imperfect, where stag- 
nant pools or ditches, charged with rank matters, abound, more particu- 



DYSPEPSIA. 251 

larly in the midst or vicinity of half-dried marshes, or on a level with 
them, or in such position in relation to them as exposes the habitation to 
the current of prevalent winds from them, or near the beds of periodical 
streams, when the water ceases to flow, and the bed appears to be dried 
up (especially in warm climates), or when the rays of the sun have great 
power; or, again, in districts which are habitually dry and well drained, 
but which have been extraordinarily saturated by a wet season, and are 
beginning to dry up again. 

Dose : Six globules, night and morning, one week : wait four days, 
and if still indicated by the symptoms present, resume the admin- 
istration of the same remedy night and morning, every fourth 
day. 

DERANGEMENT OF THE STOMACH ARISING FROM CASUAL 
CAUSES— NOT HABITUAL. 

This should be understood to apply to those who are only casually 
affected, but whose digestion is habitually unimpaired. 

Causes. — The ordinary causes of this derangement are : hurried, im- 
perfect mastication ; overloading the stomach ; fat, greasy, indigestible 
or tainted food, flatulent vegetables, ices, stimulants, and others equally 
well known . 

HOMOEOPATHIC TREATMENT. 

When the symptoms of approaching derangement of the stomach 
declare themselves immediately, or a few hours after a repast which has 
been too freely partaken of, a cupful of strong coffee, without milk or 
sugar, is frequently a sufficient restorative. 

Should, however, this fail to relieve, and sick headache and inclina- 
tion to vomit be present, we should assist nature by various artificial 
means — the milder, if sufficient, the better — such as tickling the throat 
with a feather, and by giving tepid water to drink until the stomach has 
completely evacuated its contents. 

Bryonia is very serviceable when the following symptoms are pres- 
ent : bitter eructations ; fever, alternately with coldness and shivering, a red- 
ness of the face, heat in the head, and thirst with coldness and shivering; 
also when looseness of the bowels or constipation, and peevishness or ex- 
cessive irritability are present. In derangement of the stomach, arising 
from succulent vegetables, and attended with excessive flatulence, this 
remedy is frequently productive of speedy relief. 

Dose : Of a solution of six globules to two tablespoonsful of water, 
give a teaspoonful every two hours. 

Arsenicum. — When there are acrid and bitter eructations with nau- 
sea and vomiting; also dry tongue, excessive thirst, salt taste in the 
mouth, and burning or violent pressure in the stomach, with diarrhoea or 
colic, and griping in the lower part of the belly, particularly when arising 
from the effects of an ice which had been partaken of, the patient being 
warm, or from fruit, stale vegetables, or acids. 

Dose:- Three globules in a teaspoonful of water, every three hours, 
until amelioration or change. 

l 7 



258 OUE FAMILY PHYSICIAN. 

Carbo-vegetabilis is a very valuable remedy in this affection, either 
for the initiatory treatment, or after the previous administration of one 
or more of the other remedies, according to indications, for the purpose of 
removing any symptoms that may remain; it is, moreover, particularly 
useful where great susceptibility to the influence of the atmosphere, par- 
ticularly to cold, exists at the same time ; or in suffering arising from 
abuse of wine, ices, or salt ; further, in derangement of the stomach, aris- 
ing from having partaken of game or fish which has been too long kept, or 
meat that has been recooked whilst in a state of fermentation, which is 
liable to occur in warm weather ; in the latter instances, Carbo-v. is to be 
preferred to any other medicine, and will rarely fail to afford relief. 

Dose : Of a solution of twelve globules to three tablespoonsf ul of 
water, give a teaspoonful every four hours, until amelioration or 
change.-- 

Nux- vomica is indicated by offensive or acrid eructations, constipa- 
tion, and confused headache, particularly when arising from previous in- 
toxication, or even slight over-indulgence in wine or other stimulants ; 
when possible, it should be taken the same night, as when taken in the 
morning, although eventually relieving, it frequently causes an aggrava- 
tion for a few hours. In derangement of the stomach, with heartburn, 
flatulence, more or less nausea and headache, etc., in consequence of a chill 
or of indulging in mental or corporeal exertion immediately after a meal, 
this remedy commonly affords speedy amelioration. 

Dose : Four globules in a teaspoonful of water. 

Arnica is indicated in cases of derangement of the stomach, charac- 
terized by eructations resembling rotten eggs. 

Dose: Of a solution of eight globules to two tablespoonsf ul of water, 
give a teaspoonful every three hours, until amelioration or change. 

Pulsatilla, in recent cases of deranged digestion, with rising of food, 
tongue foul, and covered with phlegm; chilliness and lowness of spirits; 
and also when a rash has been thrown out in consequence of the derange- 
ment. This remedy is almost specific when the disturbance has arisen 
from the effects of rich food, such as pork or pastery, or even tainted meat, 
or from the effects of ices, cold fruits, or erode vegetables, acid or impure 
wine, etc. 

Dose : Four globules in a teaspoonful of water. 

obstinate chronic cases of functional derangement. 

in cases of derangement of the functions of digestion, which, though 
modified, are extremely difficult of removal, the remedies hereinbefore 
noticed will be required for initiatory treatment; but in the majority of 
instances the patient will have to be subjected to an appropriate course 
of such remedies as those hereto subjoined, in order to complete the cure. 

SULPHUR is one of the most important remedies for administration 
after the previous exhibition of Nux-v.oinica or Pulsatilla, and in cases 
which would otherwise correspond with the indications for either of those 



* A KUiiiil quantity ol finely powdered charcoal, in a littlle good French brandy, or water will be 
tound an equally efficacious mode of administering this remedy, as a correctire against derangement 
the Stomach, arising from baTing partaken of tainted meat or fish. 



INDIGESTION. 259 

medicines, but when either of them has been inadequate to effect a per- 
fect cure. 

Dose : Six globules in a wineglassful of water every morning the first 
thing (fasting), for ten days (unless there be earlier improvement or 
change); then pause four days, resuming the course similarly, if 
necessary, and so on from time to time, until positive amelioration 
or change. 

Hepar-suephuris is also of great value in cases in which the diges- 
tion is naturally weak, and sour vomiting, with burning sensation in the 
throat, colic and looseness of the bowels, are liable to be provoked by the 
slightest error in diet, and particularly when anything of an acid nature 
has been partaken of; or especially in cases in which the patient has 
previously taken blue pill, or any other mercurial preparation for a con- 
siderable time. 

Dose : If singly, three globules in a teaspoonful of water night and 
morning for a week (unless earlier and decided improvement or 
change ensue ; pause four days, and resume the course, if neces- 
sary, and so on, from time to time, until amelioration or change 
ensues. 

Sepia is also indicated by a sensation of coldness, and is to be preferred 
to either of the preceding remedies when this symptom is associated with 
a multiplicity of other equally characteristic indications, particularly if 
there be no appetite, or voracious appetite, and aversion to meat or milk, 
water-brash, especially after drinking; constant acidity of the stomach, 
aggravated by eating, and if fat things, milk, etc., continually dis- 
agree. 

Dose : Four globules night and morning. 

Siucea is especially indicated when the patient entertains a repug- 
nance to cooked food, and is particularly averse to meat; when the patient 
is subject to severe pains in the stomach, attended with excessive thirst 
and water-brash, bitter taste in the mouth in the morning, vomiting after 
drinking, and habitual nausea predominating after a meal, or upon rising 
in the morning. 

Dose : Six globules in a wineglassful of water, every morning the 
first thing (fasting), until amelioration or change. 

Carbo-veg. —Here, again, this remedy is peculiarly valuable when 
annoyance or inconvenience is felt after every meal, amounting to nausea 
and vomiting, attended with excessive flatulency , and when the pit of the 
stomach is tender on pressure. 

Dose: Three globules in a teaspoonful of water, until amelioration or 
change. 

OBSTINATE CHRONIC CASES OF ORGANIC DERANGEMENT. 

In cases in which organic disease has been established, that is, in such 
eases as assume the critical aspect described in the general description of 
symptoms at the commencement of this article, it were desirable, if possi- 
ble, that the interference of an experienced Homoeopathic practitioner 
should be invoked. 

GENERAL DERANGEMENT OF THE STOMACH IN CHILDREN. 

The foregoing particulars applying to general cases are equally to be 
kept in view in considering this affection more particularly amongst 



260 OUR FAMILY PHYSICIAN. 

children ; but as the causes and features of such derangements are neces- 
sarily far less complicated amongst children than amongst adults, it may- 
save the administrator much trouble to extract and render in a summary 
form, such details respecting the treatment of this affection amongst 
children, as will otherwise be gathered only in scattered portions of this 
article. 

Ipecacuanha, or Pulsatilla, or Carbo-veg. These medicines 
are of chief importance, either for independent, alternate, or successive 
administration in cases in which hurried feeding {bolting the food), im- 
perfect mastication and overloading of the stomach, or rich, indigestible 
food, can be distinctly traced as the exciting causes of derangement. The 
particular indications for each may be gathered from those details which 
have already been afforded. 

Dose: If singly or successively of either remedy, two globules in a 
teaspoonful of water, every three hours, until amelioration or 
change. If in alternation, dissolve eight globules of each remedy, 
separately, in a wineglass of water, and give a teaspoonful, first of 
one solution, then of the other, so that an interval of four hours 
shall elapse between the doses; and so on, until amelioration or 
change. 

Pulsatilla, or Arsenicum, or Carbo-veg. These are in like man- 
ner appropriate in cases in which ices or cold fruits have been the excit- 
ing causes of derangement. In this instance, also, the particular indica- 
tions for each may be gathered from the foregoing part of this article. 

Dose ; In every respect as directed in the foregoing prescription . 

Pulsatilla, or China, or Carbo-veg. These medicines, selected 
according to the indications afforded in respect of each in the former part 
of this article, are particularly appropriate to the treatment of derange- 
ments of digestion occurring amongst children, in consequence of having 
eaten tainted meat or fish. 

Dose : In every respect as directed in the foregoing prescription. 

Carbo-veg ., or Arsenicum. These medicines, respectively, accord- 
ing to the indications hereinbefore afforded respecting each, are most ap- 
propriate, in the generality of cases, to the treatment of derangements of 
digestion occurring amongst children as the result of excessive use of 
salted articles of diet, especially salt meat. 

Dose : Of either medicine, give two globules in a teaspoonful of water 
every four hours, until amelioration or change. 

Aconitum, or Arsenicum, or Carbo-veg. These again occur as the 
most important remedies whence a selection should be made according to 
the special indications for each, which have already transpired in previ- 
ous portions of this article, when acids (such as vinegar, etc.) are identi- 
fied as the exciting causes of derangement. 

Dose: Of the remedy selected, as directed in the last prescription. 

NAUSEA. 

With respect to this affection, which must be considered purely as a 
symptom, the reader is referred to the foregoing portions of this article, 
wherein directions have been given for the treatment. In the majority 



ERUCTATIONS, SICK HEADACHE. 261 

of simple and casual cases, however, it might suffice to consider the indi- 
cations afforded for Ipecacuanha, Cocculus, Nux-voinica, Bryonia, Cham- 
momilla, Pulsatilla, and Aconitum, following the same regulations re- 
specting the dose. 

In inveterate cases, however, in which this symptom occurs continu- 
ously, the accurate investigation of all symptoms associated with it, and 
of the whole of the foregoing details, becomes necessary, and one or more 
of the following remedies, according to the directions hereinbefore oifered, 
may become necessary. Natrum-m., Arsenicum, Lycopodium, Lachesis, 
Carbo-veg., Rhus-tox., or Silicea. 

ERUCTATIONS. 

With reference to eructations, as well as to nausea, as they must be 
considered purely as symptoms, the reader is referred to the foregoing 
portions of this article, wherein more distinct indications have been af- 
forded, to facilitate the selection of the appropriate remedy. In most 
cases of a simple and uncomplicated character, the consideration of such 
indications as are afforded for the administration of the following reme- 
dies (chiefly) both as to selection and dose, will be sufficient to meet the 
requirements of the case : Arnica, Nux-vomica, Pulsatilla, Sulphur, Bry- 
onia, Carbo-veg., Chamomilla, Cocculus, China, Antimonium-crudum, 
and Antimonium-tartaricum . In cases of inveterate nature, and which 
are evidently associated with complications involving the whole of 
the digestive and nutritive system in more or less continual derange- 
ment, it may be advantageous to consider the indications afforded for 
Sepia, Acidum-sulph., etc. 

BILIOUS, OR SICK HEADACHE. 

In ordinary cases, in which sick headache is evidently the result of a 
casual cause, it will suffice to consider the indications afforded for Anti- 
monium-crudum, Ipecacuanha, Nux-vomica, Pulsatilla and Sulphur; or 
Bryonia, if this symptom be associated with costiveness. 

SYMPATHETIC AFFECTION OF THE BRAIN AND NERVOUS 

SYSTEM. 

Depression of Spirits— Hysterical and Hypochondriacal Affections. — 
These most distressing results of long-continued or very severe derange- 
ment of the digestive functions, are almost invariably associated with 
what is termed "chronic indigestion," and not unfrequently afforded an 
important clue to the treatment of the primary seat of disease. But 
nothing can be a greater source of error in most cases, than to deal with 
them as primary diseases of the brain and nervous system. Depression 
of spirits may occur as the consequence of derangement, either of the 
nerves or lining membranes of the stomach, but with very different char- 
acteristic features; for when the nerves are the seat of the disease, restless 
and uneasy anxiety, sudden fits of violent excitement, extreme irritabil- 
ity, impatience and despondency with violent impulses, are the result; 
when, however, the lining membrane is the seat of disease, extreme de- 



262 OUR FAMILY PHYSICIAN 

pression of spirits occurs associated with languor, utter prostration, indo- 
lence, and listlessness. 

Sulphur is appropriate to the treatment of both varieties, but is more 
especially indicated by the indolence of mind and body, or by the vacancy 
of thought, or absence of mind and irresolution, which characterize the 
latter; it is however, also appropriate when the depression of spirits is 
associated with painful anxiety of mind, extreme solicitude concerning 
the future and respecting one's health and affairs, erroneous or exaggerated 
notions on given, subjects, general wretchedness without any ascertainable 
reason, sudden tits of violent excitement and periodical return of extreme 
impatience, restlessness, irritability and impatience, when the following 
symptoms are also present:— sensation of fullness and weight at the pit of 
the stomach ; habitual constipation, headache, and particularly pain at the 
top of the head; dullness and heaviness of the head, the patient being un- 
able to exert his mental faculties, or becoming exceedingly weary and ex- 
hausted after any application of this kind; disposition to piles; or when 
chronic eruptions and affections of s.the skin are associated with the 
complaint. 

Dose: Repeated doses are generally required, administered thus:— 
For adults six globules, or for young persons four globules in a wine- 
glassful of water, every morning the first thing (fasting), for ten 
days (unless new symptoms or a change in the nature of the symp- 
toms be sooner developed) then pausing for a week, and resuming 
the like course, if necessary; and so on until distinct amelioration or 
change; if in alternation with Calcarea, commence with three doses 
of Sulphur, as just described; pause four days and then administer 
three doses of Calcarea likewise, and so on until amelioration or 
change. 

Calcarea is indicated by depression of spirits with disposition to 
tears; flushing of blood to particular parts associated with attacks of indis- 
cribable anguish, and generally palpitation of the heart, or painful sensa- 
tions in the region of the heart; general uneasiness with aversion to mental 
or physical exertion ; despondency respecting one's health, and apprehen- 
sion of death; dread of mental aberration— or of contagion, or other causes 
of disease, or of imaginary misfortune; and when there is intense acute- 
ness of all the senses. 

Dose : In every respect as directed for Sidphur, whether singly or in 
alternation. 

Xatrum-m, is indicated by depression of spirits accompanied with 
apprehensive foreboding, and witli fretful, tearful disposition with des- 
ponding expression ; love of solitude, which however nourishes the disease, 
and dread of society, whereby however it is alleviated; occasional bursts 
of violence; disgust of life; habitual moroseness and incapacity of mental 
labor; weakness of digestion characterized by aggravation of the sufferings, 
mental as well as bodily, and by general and indiscribable uneasiness after 
a meal and until the proper maceration of the food is completed in the 
stomach and lias been conveyed to the bowels, or by susceptibility to the 
recurrence of such symptoms provoked by the least excess or irregularity ; 
headache and want of appetite ; nausea occurring every morning, etc. 

Do.se : Six globules, or for voung persons four globules, in a wineglass- 
ful of water every morning, the first thing, fasting until amelior- 
ation or change. 



INDIGESTION, NERVOUS SYMPATHY. 268 

Aurum-met, is indicated by incapability to concentrate the reflective 
faculties and want of power of combination in the mind, characterized by 
crushing headache after the least exertion of the mind or attention, and a 
sensation as if the brain were dashed to pieces; painful anxiety of mind 
and excruciating- restlessness; whining, fretful disposition and dread of 
death. This remedy is often of great service against the hysterical attacks 
of females. 

Dose : As directed for Natrum-m. 

Lachests is particularly indicated when the patient is haunted by the 
idea that he is the object of dislike, suspicion, or even hatred amongst his 
friends. 

Dose : Three globules in a teaspoonf ul of water, morning and even- 
ing, until amelioration or change. 

Nux-vomica is indicated by almost every variety of nervous, hysteri- 
cal or hypochondriacal derangement, either characterized by indolence, or 
excitability, but especially the latter ; deep dispondency with disgust of 
life, moroseness, and aversion to labor or exertion of any kind, character- 
ized by the following symptoms : excessive sensitiveness, and aversion to 
the open air; fainting Jits, after the least exertion, especially after motion 
in the open air, or giddiness, sensation of being stunned, and sparks of 
black spots before the eyes under the like circumstances; sensation of 
heaviness in the body, with weariness, languor, and great desire to assume 
or retain a recumbent position, by which the symptoms are alleviated; 
emaciation, and wiry condition of the flesh; intense sensation of lassitude 
and fatigue, even in the morning after rest, and often excitability which 
renders the patient reluctant to retire to rest at night: drowsiness in the 
morning, after meals, or in the evening, followed by sleeplessness at night; 
sallow, pallor or yellowness of the skin ; heaviness, with pressive, tensive 
and expansive pain in the head ; intense headache seated in the fore pare 
of the head along the brows; or pain— often acute and piercing, as if some 
sharp e instrument were lodged there, — deep in the brain; swelling and 
redness of the eyelids, and red suffusion of the eyes, particularly in the 
morning ; cramp-like, contractive gnawing or pressive pains in the region 
of the stomach and below the ribs, and at the pit of the stomach ; extreme 
sensitiveness of the pit of the stomach to pressure ; constipation character- 
ized by slow and sluggish action of the bowels, with dark, hard, dry, and 
large but unfrequent evacuations, — or by intermingled, loose, and lumpy 
evacuations ;— particularly appropriate, if there be disposition to piles ; 
frequent discharge of pale, watery urine,— dragging and rheumatic aching 
pains in the back towards night; contused pains in the loins and back; 
numbness of the arms at night. 

Dose : Three globules in a teaspoonful of water, night and morning, 
until a degree of good effect results, and then four globules in a tea- 
spoonful of water every night, until positive amelioration or change. 
After which a course of Sulphur as above directed will usually be 
beneficial. 

Phosphorus is particularly appropriate for the treatment of deli- 
cate and highly hystrical females, and fair subjects of a spare and 
slender frame, and is indicated by sadness, alternated with apparently 
good spirits (with mirth) ; attacks of indescribable anguish, affright— 



264 OUR FAMILY PHYSICIAN. 

and even distressing hallucination, when left by one's self, or during stor- 
my weather; timid disposition, startled at every sound and apprehensive 
of thieves and acts of violence, etc., painful anxiety, or uneasiness respect- 
ing one's health. 

Dose : Four globules in a teaspoonful of water every night, until 
amelioration or change. Suspending treatment for four days after 
a week's course. 

China is indicated by distress, languor, or dullness of mind, the patient 
being easily disheartened and laboring under the impression that insu- 
perable combinations are devised against him by adversaries to frustrate 
every undertaking ; the patient gives way to despondency, and is over- 
come by a prevailing idea, that he is doomed to be unfortunate — symptoms 
which are characterized by the following : weakness of digestion, with 
recurrence or aggravation of symptoms generally, and with indolent dis- 
position, ill-humor and distention of the belly after eating; chronic 
relaxation of the bowels; loose, yellowish, or slimy evacuations, or char- 
acterized by discharge of undigested food ; or pale evacuations with dark 
urine; small, detached evacuations with slow and sluggish discharge and 
with deficiency of muscular vigor in the intestines ; sometimes the organs 
of sense are acutely sensitive ; sleeplessness occasioned by the crowding of 
ideas upon the mind, and by visionary projects, or sleep much disturbed by 
anxious, painful dreams, which continue to haunt the patient when awake, 
and attended with frequent change of position and tossing. 

Dose : Three globules in a teaspoonful of water, night and morning, 
until amelioration or change. 

Sepia is of pre-eminent service in many confirmed and inveterate 
cases, particularly in females, and when complicated with severe hyster- 
ical affections ; the patient being wholly abandoned to despondency and 
weary of existence, anxious respecting her own health, but averse to the 
consideration of household or other affairs, and often indifferent to every 
one but herself. 

Dose : As directed for China. 

Silicea is of great service generally, in obstinate cases of hypochon- 
driacal affection, resulting from stomach derangement, particularly if 
noise easily frightens or startles the patient, or if there be constant 
anxiety and agitation, weakness of the memory, incapability of reflection 
moroseness and taciturnity, intense irritability and tendency to be provok- 
ed to violence by contradiction, or excessive weariness of existence, 
further characterized by confusion of the head, or of ideas ; pain ascend- 
ing from the nape of the neck to the top of tliehead; headache recurring 
every morning ; heat in the head, particularly in the forehead ; lacerating 
or darting pains in the head, or pulsating headache, with flushing of 
blood to the brain ; temporary defect or suspension of vision; confusion 
and mistiness of sight when reading ; redness of the eyes and adhesion 
of the eyelids at night; the strong light of day is painful to the eye; 
bleeding at the nose; continued and watery discharge from the nose ; con- 
stant sneezing; hardness of hearing ; scabby eruption on the lips, or 
swelling of the glands of the lower jaw ; toothache at night, aggravated 
or provoked by hot or cold things ; soreness of the tongue, or dryness of 



VOMITING OF BLOOD. 265 

the mouth ; deficiency of taste or bitter taste ; acid risings and water- 
brash, or pains in the stomach or bowels, or even vomiting after eating ; 
nausea every morniny ; colicky pains associated with constipation; pierc- 
ing or nipping pains in the bowels ; puffing of the belly and difficult ex- 
pulsion of very fetid flatulency ; hard stools with constant urging, or con- 
stipation characterized by hard, knotty, detached motions, evacuated slow- 
ly, and with difficulty; wetting the bed; looseness ; suffocating cough at 
night ; aching pain in the chest and impeded breath ; numbness of the 
arms induced by lying upon them ; trembling of the knee ; offensive 
smell from the feet ; cold feet, sweating of the feet, or, lastly, cramps of 
the legs, particularly during rest and after exertion. 

Dose: As directed for China. 

ACCESSORY TREATMENT AND DIET. 

In no class of disorders is it more requisite to adhere strictly to diet- 
etic regulations, than in those which consist of derangement in the di- 
gestive system, whether so-called functional or organic ; the patient 
should, therefore, in such cases, regulate his regimen, as closely as possi- 
ble, by the rules laid down at the commencement of this treatise (pp. 79 
and 80), carefully avoiding, moreover, all such articles as he may find 
disagree with him, even if they be allowable as a general rule. 



H^EMATEMESIS, HEMORRHAGE FROM THE STOMACH. 
vomiting: of blood. 

This is scarcely ever an original affection, but almost always symp- 
tomatic of some other diseaes. 

Vomiting of blood may depend on a variety of causes, and if it in- 
clines to become profuse and threatening, it is of the utmost importance 
in practice to investigate with accuracy and care the precise causes in 
each attack. As a complicating symptom bleeding occurs, more particu- 
larly, in diseases characterized by a peculiar alteration of the whole mass 
of blood, such as typhus, scurvy, yellpw fever, etc. The hemorrhage 
may be very copious, although none of the larger vessels are ruptured. 
A second cause of the bleeding is a rupture of the walls of vessels. 
It may be caused by excessive accumulation of blood in the stomach 
depending upon disturbances, engorgements, etc., of the vena porta, 
liver, spleen- -hence it is not of unfrequent occurrence in the case of 
individuals afflicted with piles ; or the hemorrhage may be caused by 
menstrual suppressions and stoppages, on which account it occurs more 
frequently at the climateric age ; it sometimes seems as if the hemor- 
rhage took place as a substitute for the menstrual discharge. The vomit- 
ing, during pregnancy, is very frequently stained with blood. The worst 
kind of bleeding arises from injuries of the stomach walls, consequent 
upon ulcerations of the mucous membrane. It is met with in chronic 
dyspepsia and cancer of the stomach. If there is a disposition to bleed- 
ing, it may be provoked by a blow upon the stomach, a fall, or violent 
emotion. 

The symptoms of hsematemesis differ, according as the bleeding is 
more or less copious, and arises from different causes. If the bleeding is 
but slight, and the blood is not vomited up, the accident remains some- 
times entirely unnoticed. If the vomited substance only contains a few 



2Gti OUR FAMILY PHYSICIAN. 

streaks of blood, it has uo particular significance at the time, but the 
patient has to be watched with more care, because we can never be sure 
whether a more dangerous hemorrhage is not threatening. The blood 
should likewise be examined, with a view to discovering disease changes 
that had remained latent heretofore. The bleeding likewise acquires im- 
portance from the circumstance, whether the blood is discharged with 
violent straining, or is vomited up easily ; in the latter case, the bleeding 
is much more significant, on account of its indicating ulceration of the 
mucous membrane, or some important change, dilatation, etc., of the 
vessels, whereas a little blood may be discharged in consequence of vio- 
lent straining, even if the vessels are perfectly intact. 

As soon as a somewhat considerable quantity of blood is vomited a 
series of characteristic symptoms appear. The morbid symptoms that 
already happen to be present, become associated with a constantly in- 
creasing dull pressure in the pit of the stomach, and a distressing feeling 
of distention of the stomach, generally attended with nausea. If the 
bleeding takes place slowly, the preliminary symptoms may be confined 
to these few ; on the contrary, if the blood is expelled with rapidity and 
force, the patient experiences the usual symptoms of a considerable loss of 
blood, such as anxiety, paleness, cold sweat, cold skin, vertigo, and even 
fainting. A large quantity of blood is vomited up at once, and with 
great force. The action of the gastric juice imparts to it a blackish hue, 
and has the consistence of coagulated sour milk. The quantity discharg- 
ed at one vomiting often exceeds one quart, so that it seems scarcely 
possible that the stomach could have contained such a large quan- 
tity at once. Immediately after the vomiting the patients feel 
faint and exhausted, and are tormented by an almost unquenchable 
thirst ; at the same time a visible throbbing occurs in the pit of the 
stomach, of which the patient himself is conscious. After this par- 
oxysm, a period of rest and comparative ease sets in, until another 
attack of bleeding occurs. The interval to the next bleeding, lasts from a 
few hours to several days; in violent cases four or five attacks may occur 
on the same day ; of course, in such a case, severe symptoms of anaemia 
may set in even unto convulsions, and death may be the immediate con- 
sequence. If so much blood is expelled from the stomach, the stools are 
likwise black as coal, and very thin ; it may even happen that the blood 
is not vomited up first, but that the black stools may be the first sign of 
the bleeding. Regarding a return of the bleeding, we cannot speak with 
certainty; it depends entirely upon the primary exciting cause. If there 
is a frequent return of the bleeding anaemia and dropsy are unavoid 
able results. .Recovery from a single attack usually takes place slowly, 
the patients being at the same time tormented by a variety of gastric- 
disorders, such as a burning distress in the region of the stomach, foul 
taste, sweetish or foul eructations, horrid thirst, and by a long-continued 
abdominal pulsation. Under all circumstances there is great dauger lest 
the bleeding should return, hence the patient cannot be too careful in 
not overtaxing the stomach. Bleeding resulting from ulceration may 
not afford much relief, but in cases of hajinatemesis, of which we are un- 
able to discover the exact cause, or which depend upon the suppression 



VOMITING OF BLOOD. 267 

of other hemorrhages, the relief afforded by such bleedings may be quite 
considerable. 

As regards diagnosis, two circumstances may deceive us. In the first 
place a violent paroxysm of haemoptysis may be mistaken for vomiting 
of blood, and the deception may be kept up, if a physician does not him- 
self examine the vomit, since patients often are so overwhelmed with 
anxiety that they lose all calmness and presence of mind. In other re- 
spects the black color of the vomit, and the absence of the bloody expec- 
toration, which always follows a paroxysm of bloody cough, furnish the 
surest indications regarding the true character of the attack. It likewise 
happens that a person may have a violent attack of nosebleed over night, 
and that the blood may be swallowed ; if the quantity of the swallowed 
blood becomes excessive, it awakens the person, and the blood is then 
vomited up, and may look precisely as it does when true heematemesis 
takes place. It is difficult to distinguish one from the other ; our diagno- 
sis has to be more particularly determined by the absence of all precur- 
sory symptoms and subsequent gastric derangements. The use of whor- 
tleberries and similarly colored fruit may likewise occasion a momentary 
deception, more particularly if the patients are very anxious. 

As a general rule, the prognosis in all ordinary cases, is favorable, 
except where the hemorrhage is at once so excessive that death results 
from the mere loss of blood. The prognosis, however, is always doubtful 
in so far as a first bleeding leaves an inclination to a renewed attack, and 
the bleeding always indicates the presence of dangerous alterations in the 
stomach. Hence a permanent cure is never absolutely certain. 

ALLOPATHIC TREATMENT. 

H-EMATEMESis (vomiting of blood) is a symptom of some other affec- 
tion, the most serious of which are an Ulcer and Cancer of the Stomach. It 
may be well to enumerate the symptoms of hemorrhage of the stomach, 
and hemorrhage of the lungs, inasmuch as by so doing needless fears may 
be allayed by understanding fully the contrast between the symptoms 
accompanying each. The distinction may be more clear, if given in this 
table. 

In Bleeding from the stomach. In bleeding from the lungs. 



Sickness of the stomach. 
Fullness in vicinity of stomach. 
Blood vomited freely. 
Blood not frothy. 
Blood dark colored. 
Blood mixed with food. 
Symptoms refer to stomach. 



Difficulty in breathing. 

Pain or heat in the chest. 

Blood coughed up by mouthful*. 

Blood frothy. 

Blood of a bright red color. 

Blood mixed with spittle. 

Symptoms refer to lungs and bronchial tubes. 



The first efforts in treatment will be to arrest hemorrhage. The pa- 
tient should be confined to the bed ; cold may be applied over the stomach ; 
small pieces of ice should be swallowed. If the bleeding is excessive 
there should be entire rest of the stomach and nourishment should be 
given by injection. Among the most suitable for this purpose is strong- 
beef tea and milk. 

From four to six ounces may be used at each injection, four times a 
day. The addition of half a teaspoonful of pepsin will aid its digestion. 
If the return should be especially sensitive and does not retain the injec- 



268 OUR FAMILY PHYSICIAN. 

tion, twenty to thirty drops of laudanum should be added, and after the 
injection firm pressure should be made upon the anus with a napkin 
under the hand, until al] efforts to expel it cease. It sometimes happens 
that vomiting of blood takes the place of the menstrual flow. If this is 
the case it should not be immediately arrested, but kept in proper limits. 
The swallowing of ice, cold over the stomach, and hot foot baths, are per. 
missible. Pain will require an anodyne — twenty drops of laudanum, or a 
third of a grain of morphine every hour or two, until relief is obtained. 

Kemedies addressed directly to the flow of blood may be called for. 
Those most likely to be in the house, ready for an emergency, are : Ace- 
tate (sugar) of Lead, Turpentine and Alum. Acetate of Lead may be 
given in powder in doses of a sixth or eighth of a teaspoonful, and re- 
peated in an hour, if necessary. The dose of Turpentine is ten to twenty 
or thirty drops, given on sugar or in mucilage or syrup. Alum may be 
given in powder, in. doses of a quarter of a teaspoonful. Cathartics or 
emetics must not be given. 

Mousel's solution of Subsulphate of Iron is the best remedy known to 
staunch hemorrhages. In these cases ten drops of the solution should be 
given in ice water, and after the first two or three drops, can be given 
frequently, from ten to thirty minutes apart, if the bleeding does not 
cease. 

Tannin is a useful remedy ; the dose in this disease is from ten to 
twenty grains. It should be given in powder. 

Excluding the existence of ulcer, cancer or other lesion of the stom- 
ach, treatment will have reference to the debilitated condition of the sys- 
tem, and the prevention of a recurrence of the hemorhage. To this end 
easly digested food, which is nutritious, as beef essence, milk, raw eggs' 
and broths. Ten-drop doses of Aromatic Sulphuric Acid may be given 
before meals, in an ounce or two of some of the simple bitter infusions 
(teas), as Columbo Gentain, Quassa, Peruvian Bark, etc., made with an 
ounce of the drug to the pint of hot water. 

The tincture Murite of Iron may be given in doses of from ten to 
twenty drops, in sweentened water, after meals. The Citrate of Iron and 
Quinine frequently answers the purpose better than anything else. It 
should be given in a solution, in water or syrup of orange flowers, in doses 
of three to five grains. 

HOMCEOPATHLC TREATMENT. 

Aconitum should be given when the premonitory symptoms detailed 
declare themselves, and particularly when a considerable degree of fever 
precedes the attack. 

Dose: Dissolve six globules in two tablespoonsful of water, and give 
a teaspoonful of the solution, repeating the dose in half an hour, 
and then every hour till positive amelioration or change. In this 
mode, if taken in time, we may often, by calming the circulation, 
prevent an attack. 

Ipicacuanha— For a first attack we know of no better remedy than 
this; unless some very peculiar symptoms should render some other 
medicine necessary, we would use this. Against following attacks it is 



VOMITING OF BLOOD. 289 

not so good. The less the vomiting of blood depends on some previously 
existing disease, the more this remedy is indicated. 

Dose : This must be large ; 5 or ten drops of the tincture and frequent- 
ly repeated every thirty or sixty minutes, if the case is urgent. 

Nux- vomica. — In a full habit of body, with a marked tendency to 
congestion of the stomach and bowels, particularly when arising from 
suppression of haemorrhoids, or of the menstrual discharge, or from 
indulgence in vinous, spirituous, or fermented liquors; this remedy is 
still further indicated by irritability of temper, and liability to constipa- 
tion. 

Dose : Four globules in a teaspoonf ul of water, every four hours, until 
amelioration or change. 

Pulsatilla.— The value of this remedy is noticed in the diseases of 
females above mentioned ; it is also in many cases found more suitable 
than Nux-vomica for males, when of lymphatic temperament and mild 
disposition. Distinctive derangement of the digestive or menstrual func- 
tions constitutes the general indication for this medicine. 

Dose : As directed for Nux-vomica. 

China.— When a quantity of blood has been already vomited, this 
remedy, from its power of restoring the energy of the system after debili- 
tating losses, is clearly indicated; it should also be chosen when the 
patient has had a severe attach of vomiting of blood, which has ceased of 
itself, but still left great weakness. 

Dose : Six globules, in a teaspoonf ul of water, every two hours, until 
improvement or change ; if, however, there be very palpable ameli- 
oration after the first dose, the repetition may be suspended until 
the symptoms recur, or for twenty-four hours. 
Arnica. — One of our most important remedies in severe cases, and 
especially when occurring in individuals of a robust constitution, of a san- 
guine temperament and choleric disposition . It is further indicated when 
the patient complains of pains, resembling the results of contusion, in all 
the extremities. 

Dose : Dissolve six globules, in two tablespoonsf ul of water, and give 
a teaspoonf ul of the solution every hour, until distinct improvement 
or change. 

Sulphur is useful in scrofulous habits, or when the affection has 
arisen from suppressed haemorrhoids; its value, also, in cases of unhealthy 
menstruation will be pointed out in the proper place. 

Dose: Three globules in a teaspoonf ul of water, every four hours, for 
the first day, , or until the violent symptoms subside. Then six glo- 
bules in a wineglassful of water, every morning the first thing (fas- 
ting) for ten days ; pause four days, and resume the course, and soon 
from time to time when no acute symptoms are present. 

ACCESSORY MEASURES. 

The application of dry cupping-glasses to the stomach and under the 
ribs,— or of a cloth, which has been dipped in moderately cold water, to the 
lower region of the belly,— sometimes forms a useful auxiliary in arrest- 
ing the discharge of blood. See also the articles on "Discharge of blood from 
the Lungs:' 



27CI OUR FAMILY PHYSICIAN. 

Diet and Regimen. The rules hereafter given under Spasm of the 
Stomach should be enforced, with the utmost rigor ; solid food cannot be 
permitted, and all drinks should be cold; animal jellies, preparations of 
milk, light puddings and broths, merely tepid, may be allowed in cases 
where the patient may require such nourishment, but nothing more must 
be taken than is absolutely necessary for that purpose ; immediately after 
the attack, no food shouid be given for some hours, and then very cau- 
tiously, and in small quantity. It is evident that, in such cases, absolute 
rest, both mental and bodily, is essentially requisite. 



CABDALGIA. 

SPASM OF THE STOMACH. 

Symptoms. Contractive and spasmodic or gnawing pains about the 
region of the stomach, extending to the chest and back, attended with 
anxiety, nausea, eructation or vomiting, with faintness and coldness of 
the extremities ; the patient is sometimes relieved by emission of ascend- 
ing wind, and, when complicated with heartburn, by a discharge of a 
quantity of limpid fluid ; occasionally headache and constipation are 
present. In some cases the pain is very slight (but there is always more 
or less), and a degree of anxiety, with nausea, often increased by taking 
food. 

Complications. The disease is frequently accompanied by a disease 
of the liver, spleen, or of the pancreas gland, or even by cancerous degen- 
eration of the stomach or first portion of the small intestines, in its ad- 
vanced stages. It is a frequent attendant on gout. 

Ace, sex, etc. It is a more frequent affection in the female than 
the male sex, often occurring after the cessation of the usual monthly dis- 
charge, or from any interujjtion of its usual course; in such instances it is 
frequently accompanied with hysterics and fainting, and may pass on to 
vomiting of blood. It very rarely occurs before the age of puberty. 

The paroxysms last lor a longer or shorter time according to the vio- 
lence of the affection, and return in many instances periodically; and 
may be brought on by partaking of improper articles of diet, or, in severe 
cases, by any solid food whatever. 

ORIGIN. This disease originates in an unhealthy state of the watts Of 
i lie stomach . 

Tin; EXCITING CAUSES auk : Long lasting between meals, very hot 
or cold drinks, an habitual use of ardent spirits, or of indigestible food. 
Worms, and, in some instances, exposure to cold or damp weather. Bui 
coffee is the article to which most persons owe this pain. 

PRECAUTIONS TO BE OBSERVED BY THOSE WHO ARK SUBJECT TO SPASM 

OK THE STOMACH. 

The chief article.- to be avoided by an individual suffering from this 
malady, are : Crude, uncooked vegetable substances (such as salads), 
cheese, now bread, sweet meats, cherries, nuts, olives, and roasted chest- 
nuts, and stimulants of all kinds, whether tea, COFFEE, alcoholic or Per 
mented drinks. 



SPASMS OF THE STOMACH. 271 

ALLOPATHIC TREATMENT. 

Spasm or cramp in the stomach. If the trouble occurs suddenly 
upon the ingestion of some article of food, which isjplainly irritating the 
stomach, the organ should be relieved by an emetic of twenty grains of 
powdered Ipecacuanha in a glass of warm water. If the trouble is not 
plainly referable to such a cause, neither emetics nor cathartics should 
be given, but the pain must be relieved. This is done most quickly by 
giving thirty drops of Laudanum, and repeating the dose at intervals of 
half an hour to an hour, until the pain is relieved ; or a third of a grain of 
Morphine may be given at the same intervals. A laxative of a couple of 
Compound Cathartic Pills may be needed after the pain is relieved, to pre- 
vent constipation from the opiate. 

In cases subject to frequent returns of the pain, it is not advisable to 
give opiates, on account both of the liability of producing the "opium 
habit' 7 and of the disturbance its frequent administration produces in di- 
gestion. 

Sometimes cold and sometimes hot applications, over the stomach, 
relieves the spasm and pain. Rubbing the skin over the stomach with a 
liniment made of an ounce each of Chloroform, Tincture of Aconite and 
Soap Liniment, or laying a flannel, wet with equal parts of Turpentine 
and Laudanum, and covering it with oiled silk. Tincture of Belladonna 
in doses of ten drops, or Tincture of Hyoscyamus in doses of one or two 
teaspoonsful, taken internally, is useful in relieving pain. 

When pain occurs in the stomach, with spasms, the same proceedures 
are useful, but some remedies seem to have especial benefit. If there is 
indigestion and irritation of the mucous membrane, Bismuth, in doses 
of a scruple three or four times a day, may be given. In these cases the 
following is a good formula : Take of Sub-Nitrate of Bismuth two drams, 
Pepsin one dram, Dilute Hydrocyanic Acid half a dram, Mucilage of 
Gum Arabic and Peppermint Water of each two ounces. Mix, and take 
a tabiespoonful three times a day. 

The Purified Black Oxide of Manganese, in doses of ten to twenty 
grains, is also a beneficial remedy, and can be used in case of failure with 
the Bismuth. 

Cases accompanied with the formation of gas, should be treated with 
Nux-vomica, in doses of ten drops of the tincture, or one-fourth of a grain 
of the extract in pill, three times a day ; or Strychnine, in doses of one- 
thirtieth of a grain, may be given instead. 

The Elixir of Bark, Iron and Strychnine, or Elixir of Quinine, Iron 
and Strychnine, in doses of one or two tablespoonsful three times a day, 
are appropriate to these cases. 

In cases resisting other remedies, Fowler's Solution (Solution of the 
Arsenite of Potash), in doses of one or two drops, in water, after eating, 
is almost always beneficial. 

Some change in the mode of life may be particularly important as 
from inactive pursuits indoors to an active life in the open air ; as, also, 
in some instances change of scene and climate, may be of the greatest 
value. 

In the use [of stimulants, the advice of a conscientious physician 



272 OUR FAMILY PHYSICIAN 

should be rigidly followed. Harm will result from their use if taken at 
other times than with the meals, and in small quantities. The symptoms 
of dyspepsia should be met as are directed in that article. 

The tonics recommended to be of use should be taken for a long time. 
Each recurrence should be met as directed in the first part of the article. 

Pyrosis.— Sour eructations after meals may generally be prevented 
by taking fifteen drops of Dilute Hydrochloric or Lactic Acid, in sweet- 
ened water, before meals. Sulphurous Acid, in doses of twenty drops, in 
sweetened water, before meals, will sometimes have a better effect. Ei- 
ther of these Acids often has a better effect when given in a teaspoonful 
of Glycerole of Pepsin. 

Alkalies, to be useful, should be taken when the sour eructation be- 
gins to appear in an amount sufficient to correct the symptoms. Bicar- 
bonate of Soda (Baking Soda) is best suited to this end. It is best given 
in milk or water. Alkalies are beneficial when the amount taken can be 
gradually diminished with relief of the symptoms. 

Bismuth is a very useful agent in most of these cases. It is best 
given with a little Carbolic Acid, as in this formula: Take of Subnitrate 
of Bismuth three drams, Carbolic Acid four grains, Mucilage or Gum Ar- 
abic one ounce, Peppermint Water three ounces. Mix. Shake the vial 
and give a tablespoonful three or four times a day. 

When Bismuth is given alone it is best given in milk. 

HOMOEOPATHIC TREATMENT. 

Notwithstanding the usually intractable nature of this affection, it 
has been treated with marked success by the method about to be pointed 
out. 

Xux-vomica is one of the principal, and, in a large number of cases, 
the most appropriate of remedies against spasms of the stomach, and 
paticularly in cases where this affection can be attributed to the long- 
continued use of strong coffee, or an excessive indulgence in spirituous 
liquors ; it is of essential service in many cases of the same disorder, 
which have arisen after the suppression of chronic or hemorrhoidal dis- 
charges, or when the party affected is liable to fits of hysterics or nervous 
despondency. The following are the immediate symptoms which call for 
the administration of this medicine. 

Constriction, pressure, sqeezing, or spasm in the stomach, accompa- 
nied with a sensation, as if the clothes were too tight at the waist, or as if 
wind were pent up in the sides, beneath the lower ribs. This sensation, 
as well as the pains before mentioned, become generally increased after a 
meal, or after partaking of coffee ; in addition to which, a feeling of de- 
pression or constriction is experienced at the chest, which in many cases 
extends to between the shoulders and the lower part of the back. Fre- 
quently, also, we find nausea, accumulation of clear water in the mouth, 
or risings of sour bitter fluids, attended with a sensation of burning in the 
throat and gullet (heatburn); the tongue tremulous, cracked or fissured, 
clean, of a vivid red, coated yellow, or covered with white mucus; lips 
and gums white, red and swollen ; blanched, yellowish, and somewhat 
indurated lips; eyelids inflamed at the margins; sour or putrid taste in 



SPASMS OF THE STOMACH. 273 

the mouth ; vomiting of crude materials ; flatulent distention of the bow- 
els; constipation; aching in the forehead; palpitation of the heart, and 
anxiety. When these symptoms are liable to be excited by a fit of pas- 
sion, or become aggravated in the morning, or when the patient is occa- 
sionally awakened out of his sleep by the spasmodic attack, this remedy 
is still more certainly indicated. 

Dose: In severe cases, of recent origin, three globules in a teaspoon- 
ful of water, every three hours, until amelioration or change. In 
chronic cases, with more or less acute pain after every meal, of a 
solution of six globules to two tablespoonsful of water, give a tea- 
spoonful every evening until the whole is consumed, or in the like 
proportion, until positive amelioration or change. When the spasm 
of the stomach returns periodically , or when from some imprudence 
in diet we have reason to apprehend an attack, three globules should 
be taken in a teaspoonful of water, three hours before the expected 
recurrence of the symptoms, or, in the latter case, immediately 
after the possible cause has transpired. This rule applies in respect 
of any of the remedies herein prescribed, which have been adminis- 
tered with success against former attacks. If temporary relief, only, 
followed by more intense suffering, has ensued, and continues three 
hours after a second dose of Nux-vomica, proceed with the next 
medicine. 

Cakbo-vegetabilis should be given three hours after the second 
dose of Nux-vomica, if that remedy has produced only partial good effect, 
and will generally complete the cure, provided the affection be not too 
deeply seated, and consequently one of long standing. 

Dose : Three globules in a teaspoonful of water, morning and even- 
ing, for four days. 

Chammomilla. For the employment of this remedy, the principal 
indications are : Pressure, as if from a stonein the pit of tlxe stomach, or 
painful pressure and flatulent distention at the same part, as, also, of the 
region beneath the lower ribs and the belly itself , with shortness of 
breath, anxiety and throbbing headache ; mitigation of the above symp- 
toms on partaking of coffee, — a distinguishing mark between the indica- 
tions of this remedy and those of Nux-vomica ; — on the other hand (as in 
the case of the latter), it is also indicated when the symptoms as described 
are liable to be brought on by a fit of passion. 

Dose : Three globules in a teaspoonful of water, every four hours, 
until amelioration or change. 

Belladonna ought to be substituted for Chammomilla, or should be 
administered four hours after the third dose of the latter, when it has not 
been followed by relief, notwithstanding the apparent similarity of these 
symptoms ; farther indications for Belladonna consist of gnawing, press- 
ure, or spasmodic tension in the pit of the stomach, relieved on \hending 
backward and holding in the breath ; or, further, spasm of the stomach, 
which recurs daily during dinner, or else pain of so violent a nature as to 
deprive the patient of consciousness ; tremulous, vivid-red and shining 
tongue, or redness of the tongue and elevation of the papillae; red and 
spongy lips. 

Dose: Three globules in a teaspoonful of water, every four hours, 
until the indicative symptoms are removed. If followed by more 
suffering after the third dose of Belladonna, proceed with Ge'lsemi- 
num, as directed for Belladonna, 

1$ 



274 OUR FAMILY PHYSICIAN. 

Cocculus, in many cases of this complaint, is particularly indicated, 
when, in addition to the usual symptoms, there are constipation and con- 
strictive pains over the entire stomach, with flatulency, and accumulation 
of water in the mouth, and alleviation of the sufferings on the recurrence 
of the latter symptoms. 

Dose: Of a solution of six globules to two tablespoonsful of water, 
give a teaspoonful every three hours, until amelioration or change. 

Pulsatilla is useful in cases with shooting pains in the stomach, 
which are aggravated by movement, and particularly making a false step. 
Pulsatilla is also one of the most appropriate remedies when the attacks 
are followed by vomiting, or accompanied by violent tension and squeez- 
ing, or throbbing and sensation of anxiety about the pit of the stomach, 
increase of pain after eating, or more particularly a feeling of pressure 
and pinching after dinner, with a relaxed state of the bowels, or a dispo- 
sition thereto. Disposition to hysterics or nervous despondency. This 
remedy is very serviceable in cases of this affection, arising from suppres- 
sed menstruation. 

Dose : Of a solution of twelve globules to four tablespoonsful of water, 
give a tablespoonful every six hours, until amelioration or change. 

Sepia is an efficacious medicine in spasm of the stomach, arising from 
suppressed or difficult menstruation, and may in general cases advantage- 
ously follow Pulsatilla; it is indicated when most of the sufferings arise 
after a meal, by pressure in the stomach as from a stone and by a burning 
pain in the pit of the stomach; and by restoring singly, or in conjunction 
with Pulsatilla and Sulphur, the menstrual flux, it frequently removes the 
spasm at the stomach and hysterics consequent upon this derangement, or, 
at least, places the affection in such a position that it is easily cured by 
some other medicine, closely corresponding to the remaining symptoms. 

Dose: In recent (not chronic) cases, of a solution of four globules to 
two tablespoonsful of water, give a teaspoonful every four hours 
until amelioration or change. In chronic cases give three globules 
in a teaspoonful of water night and morning for a week, then pause 
four days and resume the course, suspend treatment, or change the 
remedy according to circumstances, the thirtieth potency is best. 

China is of great service in most cases of spasms of the stomach with 
general weakness, arising from loss of humors, the result of blood-letting, 
or repeated loss of blood, abuse of emetice or aperients, too long-continued 
suckling, etc.; and it is further indicated by great weakness of digestion, 
distention, and uncomfortable weight, pressure or pains in the stomach 
after eating, so that the patient feels much easier when fasting; these lat- 
ter symptoms are the more immediate indications for the employment of 
this medicine. 

Dose: Of a solution of four globules to two tablespoonsful of water, 
night and morning for three days; and afterwards three globules in 
a teaspoonful of water every third night, until positive improvement 
or change. 

Bryonta. This medicine is more particularly adapted to the milder 
cases of spasm in the stomach, with painful pressure, or a feeling of disa- 
greeable fullness in the stomach after a meal, which occasionally becomes 
converted into a feeling of constriction, cutting or pinching, and is relieved 
by eructation and external pressure. This remedy is, moreover, still more 



SPASMS OF THE STOMACH. 275 

clearly indicated when the symptoms are generally acompanied by severe 
headache or painful compression in various parts of the head, and particu- 
larly at the temples, which is liable to be excited whenever any article of 
diet disagrees in the slightest degree ; increase of the sufferings by move- 
ment ; habitual costiveness. 

Dose : Three globules in a teaspoonf ul of water every two hours, until 
amelioration or change. 

W^' Arnica-montana, in spasm or pains in the stomach, which have 
originated in the effects of a strain, or from a blow, etc., will be found spe- 
cific. It is, however, also an excellent remedy when there is a sense of 
fullness and constrictive pain in the stomach and in the fore part of the 
chest, shooting pain in the pit of the stomach, with painful pressure as 
from a stone, or aching, extending to the back, and tightness of the chest, 
increased by eating, drinking, and external pressure. 

Dose ; Of a solution of four globules to two tablespoonfuls of water, 
or in the like proportion, give a teaspoonful night and morning, 
until amelioration or change. 

Arsenicum is required for periodic pains in the stomach, chiefly con- 
sisting of a burning character, and attended with acrid, sour eructations, 
vomiting of crude materials, or of mucus, sometimes even of blood; 
tremulous, swollen, or glazed, red and fissured tongue ; blanched, waxy, 
and somewhat indurated lips ; want of appetite ; extreme debility, ema- 
ciation. 

Dose: Two globules in a teaspoonful of water, every three hours, 
until amelioration or change ; or in very acute cases characterized 
by excessive prostration and livid aspect, give one globule in a tea- 
spoonful of water immediately, repeating the dose after half an 
hour, and again every two hours, until positive amelioration or 
change. But if little or no permanent relief ensue within two hours 
after the sixth dose, consider the various other remedies herein 
named. In chronic cases, give three globules in a teaspoonful of 
water, night and morning, until distinct amelioration or change. 

Calcarea. — In obstinate cases, occurring in individuals who are 
habitually addicted to the abuse of wine or ardent spirits, Calcarea will 
generally be found of great service, especially after the previous employ- 
ment of Nux-v. It is further a valuable remedy in the cases of females of 
full habit of body, subject to discharge of blood from the nose, or to exces- 
sively copious menstruation ; and is generally indicated when the parox- 
ysms of pain come on usually at night, or after a meal, in which latter 
instance, vomiting sometimes results, or nausea and acidity, with painful 
sensibility on pressure at the region of the stomach. Constipation, haem- 
orrhoids, or chronic looseness of the bowels are additional general 
indications for the employment of this remedy. 

Dose : Six globules in a wineglassful of water, every morning the first 
thing, for a week (unless earlier relief or change ensue) ; pause four 
days, and then, if necessary, resume the course as before, and so on, 
until positive amelioration or change. 

Diet and Regimen.— These are subject to the same general rules as 
have already been afforded in the article on Indigestion. 



276 OUR FAMILY PHYSICIAN. 

HEARTBURN. BLACK-WATER. WATER-BRASH. 

This is not an affection of the organ whose name it bears, but a 
painful or uneasy sensation of heat or acrimony about the pit of the sto- 
mach, sometimes extending upwards. It is frequently accompanied 
with anxiety, nausea, and vomiting ; or a violent gnawing, spasmodic 
pain in the region of the stomach, from which the patient experiences 
no relief, until he succeeds in ejecting a quantity of limpid fluid. 

Treatment.— As Heartburn is, strictly speaking, a mere symptom 
emanating from derangement of the stomach, the general articles on 
11 Indigestion " and its subordinate affections should be considered. 



CHAPTER XIII 



DISEASES OF THE INTESTINES. 



DIARRHOEA. 



Diarrhoea, or Looseness of the Bowels, is a disease of frequent occur- 
rence, manifesting itself more especially during the warm months of the 
year, though it may take place at any season. All persons are alike sub- 
ject to it when exposed to the causes. 

Symptoms. Diarrhoea consists in frequent evacuations from the bow- 
els, of a more fluid nature than usual, eacli discharge being usually accom- 
panied with, or preceded by, a rumbling in the bowels, together with a 
sense of weight or pressing down, and commonly relieved as soon as the 
evacuation takes place, but are renewed before the one, which is to suc- 
ceed, ensues. More or less griping is present, and not unfrequently 
nausea and vomiting. Fever is not usually present in diarrhoea. When 
the discharges are very frequent, or in large quantities, they rapidly re- 
duce the strength of the system; emaciation takes place; the functions of 
the system become impared ; the skin becomes pale, dry, rigid and eventu- 
ally sailor; and if the disease continues, the feet and legs become dropsi- 
cal. The discharges become more and more offensive, a slow fever ensues 
from the exhaustion, and the patient dies. 

According to the character of the evacuations and the exciting causes, 
diarrhoea has been divided into several varieties, thus: 

1. Lienteric Diarrtioea, in which the food is rapidly passed into the 
bowels, and appears in an undigested condition in the evacuations; and' is 



DIAKRHCEA. 277 

due to an impairment or suspension of the functions of the stomach, with 
great irritation in the intestinal canal. 

2. Chylous or Cceliac Diarrhoea, in which the discharges are of a milky 
white, or dirty white color, and is due either to a congested condition of 
the mucuous membrane of the small intestines, or to tubercular (consump- 
tive) disease of the mesenteric glands (small glands in the membrane 
uniting the bowels). 

3. Mucus Diarrhoea, in which considerable mucus is found in the 
discharges, being occasionally streaked with blood; due to colds and 
exposures. 

4. Bilious Diarrhoea, in which the evacuations are mixed with much 
yellowish or greenish looking bile,* and most generally accompanied by 
nausea and vomiting, due to cold, anger, chagrin, etc. 

Causes.— Diarrhoea may be caused by improper exposure to excessive 
heat or cold ; by the use of acid, unripe fruit, indigestible or other irrita- 
ting food, from the presence of worms; from overloading the stomach 
with food ; sudden frights ; fits of anger, grief, and other depressing emo- 
tions; certain articles of diet occasion diarrhoea in some persons which 
are quite agreeable and salutary to others. A very frequent cause of diar- 
rhoea, among infants, is the use of spoon meats and other gross articles of 
diet; it may also arise from the bad quality of the mother's or nurse's 
milk, from the irritation caused by teething, etc., thegoing-in of cutaneous 
eruptions; fermented liquors, etc., are also among the exciting causes; 
changes in the atmosphere, rendering the disease epidemic in certain lo- 
calities; the unwise use of cathartics, is not an unfrequent cause. 

ALLOPATHIC TREATMENT. 

This dsisease is frequently transient, due to temporary indigestion, 
or following some dietetic error. In these instances little or no treat- 
ment is necessary, except guarding indulgence of the appetite more 
carefully. If the contents of the large intestine (bowel) is not spon- 
taneously expelled, a cathartic shonld be given. For this purpose, a 
tablespoonf ul of Epsom Salts, with ten drops of deodorized, or common 
Laudanum (Tincture of Opium), to allay irritation, or a Siedlitz powder 
answers a gooi purpose A tabiespoonful of Castor Oil, or five or ten 
grains of powdered Rhubarb will also meet the indications. If the 
evacuations have been copious, and of a feculent character, a cathartic 
is not required. After the bowels have been thoroughly emptied, if diar- 
rhoea and pain, or uneasiness, still continue, it should be relieved by an 
anodyne, one or two teaspoonsful of Paregoric, or five or ten drops of 
Laudanum, in a tablespooful of Chalk Mixture, or Cinnamon water, with 
the addition of a little Prepared Chalk or Soda, or five grains of Dover's 
powder. Whatever the remedy chosen, it should be repeated every six 
or eight hours, if needed. The diet, for a few days, should be simple and 
restricted. A diet composed largely of milk is suitable. Care should be 
used that the bowels do not become over confined. If they do not move, 
spontaneously, they should be started again by one or two Compound or 
Improved Cathartic pills, twice a day, until an action is produced. It 
should also be stated that a free injection of warm water, followed by a 



278 OUR FAMILY PHYSICIAN. 

small injection of warm water, or thin Starch, with half or two-thirds of a 
teaspoonful of Laudanum, will frequently cure a diarrhoea. 

Should the diarrhoea tend to continue, or frequently return, the prin- 
cipal treatment will refer to diet and measures to render digestion com- 
plete. Tender meats, cooked rare; eggs, chicken, and milk, are most 
generally found to meet the end required; but in some cases starchy arti- 
cles, such as Rice, Corn Starch, Tapioca, Sago, Arrowroot, "Wheat or Oat- 
meal, with milk, are found best suited. 

If the patient has been deprived of fresh vegetables and ripe fruits, 
they should be supplied in moderate quantities. A moderate quantity 
of food, frequently taken, is generally better than a full meal once or 
twice a day. 

In some instances a change of climate is demanded. A removal from 
the city to the country is frequently curative in the hot weather, partly 
from the tonic effect of the country air, and partly from the use of fresh 
milk, and ripe fruits, which the system required. In these cases the use of 
Opium is only of limited and temporary value. It may be used as directed 
before, to relieve pain and irritation, but its continued use impairs di- 
gestion. 

It should be remembered that diarrhoeas are sometimes prolonged by 
the presence of hardened feces; in these cases Epsom Salts or Castor 
Oil should be given in tablespoonfui doses every six hours, until a free 
motion is obtained; or injections of a quart of warm water frequently 
repeated until hardened feces cease to be discharged. Large doses of 
Bismuth, from twenty to thirty grains repeated two or three times a day is 
a most valuable remedy in continued diarrhoea, and is not accompanied by 
any disagreeable effects. It can best be given in some milk. Chronic 
diarrhoea is frequently of malarial origin. In these cases Quinine in five 
grain doses, two to four times a day, is curative without any other reme- 
dy. Quinine is frequently required as a tonic, in doses of two or three 
grains, three times a day. For the same purpose the bitter infusion of 
Quassia, Gentian, or Columbo, alone or combined, two ounces to the pint 
of boiling water, dose a tablespoonfui three times a day, are useful. One 
or two grains of Pyro Phosphate of Iron may be combined with each, 
dose of the bitters, or Quinine if the patient is much reduced. The addi- 
tion of Pepsin in doses of five or ten grains is frequently a great help to 
digestion. 

In chronic diarrhoea Bismuth, given as before mentioned, occupies 
the first rank ; anodynes before described may be given with it, but only 
as required to relieve pain or irritation. Sugar of Lead may, in rebelliou 
cases, be combined with the Bismuth, with or without the anodyne, in 
doses of one to three grains. The vegetable astringents blackberry-root, 
Logwood, Catechu, Kino, have been in their turn found useful. As 
their efficacy depends on the presence of tannin, I prefer to use it. 
It can be given in doses of ten to twenty grains in syrup, and repeated 
every few hours, and may be combined with Bismuth, or an anodyne, 
or both. 

One of the most effective prescriptions in chronic diarrhoea is the fol- 
wing: Take of Sulphate of Copper one grain, Sulphate of Morphine 



DIARRHOEA. 279 

one grain, Sulphate of Quinine twenty-four grains. Make a mass and 
divide into twelve pills. Take one pill three times a day. 

In some rebellious cases, the following is a highly useful combina? 
tion : Take of Ergotine (Watery Extract) twenty grains, Extract of 
Nux-vomica live grains, Extract of Opium ten grains. Mix well, and 
divide into twenty pills. Take one pill every four or six hours. 

If the druggist is not known to be skillful and careful, probably the 
following better be used instead. Take of fluid Extract of Ergot two 
ounces, Tincture of Nux-vomica three drams, Deodorized Tincture of 
Opium three drams. Take a teaspoonful four or six hours apart. 

In the treatment of chronic diarrhoea, it becomes necessary to change 
the remedy occasionally, as in some instances the system becomes habit- 
uated, in a measure, to its use. It is not, however, best to change a rem- 
edy as long as it is proving efficacious. 

The diarrhoeas of children demand separate consideration. 
Those cases having the appearance of blood in the stools will be treated 
under the head of dysentery. If the roundness of the figure and firm- 
ness of the flesh is maintained, it shows that nutrition is sufficient and 
the diarrhoea is not harmful. On the other hand, if the child is begin- 
ning to waste, or the flesh become flabby, immediate treatment is required. 
Many of these cases are caused from poor food. If the child is at the breast, 
it may be the mother works too hard and so impairs the quality of the 
milk, or it is insufficient, and creamy cow's milk should be given in 
addition. A little penetration, guided by common sense, will discover 
the cause and correct it by better hygiene. A green or irritating stool 
shows the need of an alkali, lime water by preference, or a little prepared 
Chalk or Soda. 

When lumps or mucus pass in the stools a laxative is needed. For 
this purpose half a teaspoon ful of Castor Oil, or syrup of Rhubarb a tea- 
spoonful. Previous constipation also demands these laxatives or the 
following may be given : Take of Epsom Salts one dram, Tincture of 
Rhubarb one dram, Syrup of Ginger one dram, Cinnamon Water or 
water nine drams. Mix. Dose a teaspoonful three times a day for a child 
a year old. 

If there is no improvement from this treatment we must rely on as- 
tringents and alkalies. If the evacuations are frequent and the child 
weak, no laxative should be given, but astringents should be used from 
the first. Often much precious time is lost by not following this rule. 
The physician finds generally when he is called that opiates and astring- 
ents are needed exclusively, attention being also given to hygiene. The 
Compound Powder of Chalk and Opium answers the indications and may 
be given in doses of three grains every other hour to a child a year old. I 
often use the following : Take of Compound Powder of Chalk half a 
dram, Bismuth one dram. Mix and divide into ten papers. Give one 
powder three hours apart until the diarrhoea is checked. Or the following 
may be used. Take of Paregoric two drams, Tincture of Catechu two 
drams, Chalk Mixture one ounce. Mix, and give a teaspoonful every 
three or four hours to a child a year old. 

Often the diarrhoea is due to, or aggravated, by imperfect digestion ; 
it is well to give Pepsin and Subnitrate of Bismuth. Take of Pepsin 



280 OUR FAMILY PHYSICIAN. 

one drain, Sub-Nitrate of Bismuth one dram. Mix, and divide into 
twelve powders. Give one immediately after the child has taken milk 
or food. They can be given in milk or syrup. 

In children over two or three years of age the treatment is similar to 
that for adults, making allowance for age. 

HOMOEOPATHIC TREATMENT. 

Dulcamara should be given in diarrhoea, occurring in summer, from 
cold. Particular indications for its use are the relaxation of the bowels, 
being attended with colic or cutting pain, chiefly in the region of the 
navel; the evacuations being liquid, slimy., and yellowish or greenish, 
generally coming on at night, and sometimes being attended with nausea 
or vomiting ; want of appetite, and great thirst ; paleness of the counte- 
nance, and lassitude. This medicine may, also, be judiciously adminis- 
tered in many cases in which the relaxation of the bowels affords no 
ostensible specific or characteristic indications for any particular remedy. 

Dose : For adults, eight globules to each two tablespoonsful of water, give 
a teaspoonful after each evacuation, until distinct relief or change. 
Children, one-half dose for an adult, given in the same way. But if 
only partial relief should ensue, in acute (casual) cases, in six hours 
after the second dose, or in chronic cases in twelve hours after the 
sixth dose, proceed with the next or study other medicines. 

Bryonia should be given in cases of diarrhoea arising from the be- 
fore-mentioned causes, and attended with many of the symptoms noted 
under Dulcamara, when that medicine has failed to afford the required 
relief, particularly if the looseness is liable to be aggravated after a meal, 
or after drinking, and the stools are passed almost involuntarily, and 
portions of undigested food are perceptible in the motions ; also when 
looseness is experienced after partaking of milk. In looseness of the bowels 
occur nng during hot toeather, when we cannot trace the cause in any 
errors of diet, requiring other remedies, this medicine is further indicated, 
and especially so in the following instances; diarrhoea, from checked 
perspiration or being overheated — cold drinks — a chill from remaining in 
any cold, exposed situation, or in draughts — or from exposure to an east- 
erly wind. When this affection has been produced by passion, particu- 
larly in individuals of what is called a bilious temperament, Bryonia is, 
again, a most useful remedy. It may also be remarked that the relaxa- 
tion of the bowels, arising from drinking impure water, or water strongly 
impregnated with vegetable substances, when heated, has frequently found 
relief in this medicine. 

Dose: In casual or chronic cases, and in all other respects, as more 
particularly directed for Dulcamara. 

China.— Looseness in consequence of indigestion, particularly if 
occasioned by partaking of fruit or flatulent food, such as vegetables ; 
evacuations very profuse and sometimes attended with but little pain ; and 
when the discharge comes on immediately after partaking of food, or espe- 
cially during the night; evacuations liquid and brownish and sometimes 
containing portions of u ndigested food; it is, in some instances, further 
indicated when considerable spasmodic or colic-like pain is present with 
flatulence, want of appetite, thirst and great weakness; and is also valu- 



DIARRHOEA. 281 

able after improper treatment of this affection, when considerable debil- 
ity remains. 

Dose: If singly, in casual cases (for adults), of a solution of eight 
globules to two tablespoonsful of water, give a teaspoonful after ev- 
ery motion, until amelioration or change. In the like cases for 
children, a solution of three globules to two tablespoonsful of water 
similarly administered by teaspoonsful. If in alternation with Fer- 
rum, a similar solution (separately) of each medicine (as distinctly 
stated for adults and for children), of each of which the like dose 
should be given, the one twelve hours after the other, in rotation, 
until amelioration or change. In chronic cases, if singly, three glob- 
ules in a teaspoonful of water (for adults), or two globules in a tea- 
spoonful of water (for children), morning and evening, every other 
day. until amelioration or change. 

Ferrtjm-m. may be advantageously given, in alternation with China, 
when the evacuations are partly composed of undigested food, and pass 
without pain. This remedy may, however, be administered alone, when 
the discharge from the bowels is unattended with pain, or there are pains 
in the back and posterior passage, paleness of the face, watery evacuations 
— or looseness particularly observable at night, or after eating or drinking 
— loss of flesh, alternate absence of appetite and voracious hunger, disten_ 
tion of the belly without flatulency, spasm of the stomach, continued 
thirst, and weakness of the eyes, with great weakness of digestion. 

Dose: In all respects, whether for casual or chronic cases, and 
whether singly or in alternation with China, as directed for the 
latter medicines. 

Chammomilla is a remedy, as already stated elsewhere, particularly 
useful in children, either at the time of teething, or at a more advanced 
period, when the affection has been excited by checked perspiration ; and 
it is further particularly indicated when the evacuations are zoatery, bil- 
ious, green, yellow or slimy, or of a fetor resembling rotten eggs ; when 
there are fullness at the pit of the stomach, severe colic or spasm, pain, dis- 
tention, and hardness of the belly, bitter taste in the mouth, foul tongue, 
thirst, want of appetite, bilious vomiting and flatulency (in infants), at- 
tended with restlessness and screaming, and drawing up of the limbs 
towards the stomach. 

Dose : Of a solution of eight globules to four tablespoonsful of water, 
give a teaspoonful after every motion, until positive amelioration or 
change ; or in patients of a weakly habit of body, if this appears 
inadequate to effect a cure (although the symptoms be analogous) 
and if, after repeated administration and temporary effect the symp- 
toms recur in all their former violence, consider Sulphur. 

Ipecacuanha is indicated by looseness arising from indigestion, par- 
ticularly if caused by imperfect mastication, and attended with nausea 
and vomiting, paleness of the face, weakness, and desire to retain the re- 
cumbent posture (in the case of children). 

Dose : Four globules, in a teaspoonful of water, after every motion ; 
but if, after three doses have been given, this medicine appears to 
afford only partial relief, consider the two following remedies, and 
proceed with the one or the other, according to the distinctive 
symptoms present. 

Pulsatilla should be administered six hours after the third dose of 
Ipecacuanha, if the latter affords only partial relief. It is also one of the 



282 OUE FAMILY PHYSICIAN 

best remedies in simple looseness of the bowels, arising from errors of diet, 
such as indulgence in acids, fruits, or rich, indigestible food, attended 
with foul tongue, and other symptoms of deranged digestion, as stated in 
the article on Indigestion. Another remarkable indication for this 
remedy is, one evacuation differing from another in color. 

Dose : Six globules in a teaspoonful of water, after every motion, un- 
til amelioration or change. 

Rheum is to be preferred to Pulsatilla, and should be employed after 
Ipecacuanha, or even before that medicine, when the sour smell of the 
evacuations is a predominant symptom. In general, however, it may be 
advantageously employed, especially amongst children, when the symp- 
toms, in a great measure, resemble those of Chammomilla, but the pain is 
not so violent, and the evacuations have a sour smell ; paleness of the 
face is also an indication for this medicine. 

Dose: Six globules in a teaspoonful of water; or, for children, three 
globules in a teaspoonful of water, after every motion. 

Mercurius. When the diarrhoea arises from, a chill, and the motions 
are copious, watery, slimy, frothy, bilious, or greenish, or streaked with 
blood, and cause a smarting or burning sensation on being evacuated ; 
also, when there is painful straining before, during, and after evacuation, 
frequently followed by protrusion of the lower intestine ; severe, cutting 
pains ; moreover, nausea and eructation, cold perspiration, trembling or 
shivering, great lassitude, and disposition to fainting ; evacuations con- 
taining undigested substances. 

Dose: Of a solution of six globules to three tablespoon sful of water ; 
give a teaspoonful after every motion, until distinct amelioration or 
change. 

Xux-vomica. Scanty evacuations or motions, consisting of slime 
and blood, attended with straining and great weakness ; flatulency, and 
violent, cutting pains in the region of the navel ; diarrhoea, alternating 
with constipation. For some of the accompanying symptoms, the reader 
is referred to the indications mentioned respecting this remedy, in the 
article on Indigestion. 

Dose : Six globules in a teaspoonful of water, every two hours, until 
amelioration or change. 

Arsenicum. Autumnal diarrhoea, or looseness arising from errors in 
diet, acids, fruits, cold drinks, ices, or from a chill, etc., the characteristic 
symptoms for its employment are: watery, slimy, greenish, or brownish, 
corrosive, bur fling evacuations, with violent colic., excessive thirst, emaciation 
and great weakness, and when the affection is more liable to come on at 
night, or after eating or drinking. This is, also, a most important medi- 
cine for the treatment of the Bowel Complaint of children, as hereafter, 
separately, considered. 

Dose: Of a solution of six globules to two tablespoonsful of water 
give a teaspoonful every half hour (in very acute cases) ; or every 
hour (when the symptoms are modified by intervals of respite), un- 
til amelioration or change. If in alternation with Veratrum, of a 
similar solution separately), of each medicine, give, first, two doses 
fas just Btated), of the one, then pause an hour, and continue with 
two doses of the other, similarly. If singly, however, and only 
partial relief ensue within half an hour, or an hour (respectively), 
after the third dose, proceed with the next medicine. 



DIARRHOEA. 283 

Veratrum should be employed half an hour or an hour (according 
to the length of the intervals) after the third dose of Arsenicum, when 
similar symptoms occur which have not yielded to the previous use of 
the latter. Veratrum is, moreover, especially appropriate in cases in which 
the complaint is attributable to atmospheric causes. Veratrum and Ar- 
senicum are important when excessive exhaustion accompanies the com- 
plaint. 

Dose : In all respects as directed for Arsenicum. 

Bjius-toxicodendron. Lumpy or pap-like diarrhoea, coming on 
only at night, and preceded by colic, which disappears after each evacua- 
tion ; looseness of the bowels occurring after a thorough wetting, or alter- 
nately with constipation. 

Dose: Three globules in a teaspoonful of water, after every motion, 
until distinct amelioration or change. 

DIARRHOEA ASSOCIATED WITH CONSTITUTIONAL DEBILITY. 

Sulphur is a most valuable remedy in diarrhoea, particularly during 
the night, occurring in persons of a scrofulous habit, or in very obstinate 
cases. In adults predisposed to piles, or in children, when the loosness of 
the bowels is attended with excoriation and with papular eruptions, it is 
particularly efficacious ; also in cases where the slightest cold brings on a 
relapse or an attack ; or when milk disagrees and causes a looseness. 

Dose : Against the prevailing acute symptoms, of a solution of six 
globules to two tablespoonsful of water ; give a teaspoonful every 
six hours, until the frequency of the motions are diminished. Sub- 
sequently, give six globules, in a wineglassful of water, every morn- 
ing (fasting) the first thing, for ten days, unless collateral symp- 
toms, meanwhile, occur, requiring other treatment ; after which, 
pause four days, resuming the course, if necessary, as before. 

Sepia is to be preferred in obstinate cases of diarrhoea, occurring 
amongst females ; especially when'associated with predisposition to hys- 
terical attacks, megrims, whites, sudden sweats, or flushes of heat and 
frequent attacks of shivering or shuddering, chiefly during stools. 

Dose : In every respect as directed for Sulphur, continuing the course 
in like manner, until permanent amelioration or change. 

Diet and regimen. Acids, or acidulous wines, beer, coffee, strong 
tea and fruits, whether raw or cooked, should be carefully avoided. Solid 
food is likewise proscribed, during the prevalence of an acute attack, as 
tending to keep up the intestinal irritation ; and gruel, fresh milk, (un- 
less it should be known to disagree with the patient), broths, and light 
mucilaginous food should be substituted. 

The majority of vegetables are objectionable, but potatoes in par- 
ticular. 

In every severe case, indeed, (during the prevalence of the attack) 
little more than thin arrow root or gruel should be taken. In milder 
forms of the complaint, well-boiled rice, moistened with good gravy, may 
be rather serviceable than otherwise. 

Beef tea (with or without the addition of a teaspoonful of isinglass to 
the half-pint) may, in some cases, serve materially to assist the operation 
of the medicines. Whe the attack is subsiding, and for some time after- 



284 OUR FAMILY PHYSICIAN. 

wards, young meat (such as veal or lamb) should be avoided ; and sound, 
tender motion, plainly roasted, will be found, generally speaking, most 
easy of digestion. Fish should be avoided. 

Above all, the patient should guard against indulging a craving ap- 
petite, and eating too freely, or overloading the stomach. 

In protracted cases, attended with debility, but no symptoms of in- 
flammation or ulceration, generous, easily digestible food, and sometimes 
a little wine, or wine and water, must not be withheld. In such cases, a 
basin (half a pint) of beef-tea, with the addition of a teaspoonful of isin- 
glass, and a few slips of toast taken daily, about three hours after break- 
fast, will usually prove a useful accessory. The vise of a flannel bandage 
round the stomach, is often of service, especially for delicate children. In 
every case, the clothing should be warm ; exposure to moisture, and es- 
pecially to having the feet wet, should be avoided ; fine woolen stockings 
or socks, and stout shoes, should be warn. 

Change of air will generally be of service to the convalescent. When 
diarrhoea prevails as an epidemic, as is not unfrequently the case towards 
the fall, all these precautions, which may or may not be essential under 
other circumstances, become indispensable. 

The Home Remedies.— Take of Mayapple Root, pounded, one tea- 
spoonful ; White Oak Bark, pounded, or, if dry, powdered coarsely one 
teaspoonful ; boiling Avater a pint ; steep near fire for an hour or two, and 
sweeten with white sugar. Dose: A spoonful after each motion of the 
bowels. A little burned brandy, added, helps this. This is very val- 
uable. 

Take five or six clean corncobs, burn them, on a clean fire, to a coal ; 
drop the cob-coals in two pints of boiling water ; as soon as cool, take a 
tablespoonful every three or four hours. This is specially valuable where 
there is much bloating ■, or the evacuations are very offensive, the eructa- 
tions tasting like what has been eaten. 



CHOLERA MORBUS. 

Cholera Morbus is a disease common in warm seasons and espe- 
cially in warm climates. The principal features of the disease are vomit- 
ing, purging, and severe griping pains in the abdomen. 

Symptoms.— The attack is occasianally preceded by chills, headache, 
giddiness, and a numb sensation in the limbs, but more generally the 
attack is sudden, commencing with nausea and distress at the stomach, 
succeeded by violent gripings in the bowels ; these are followed by 
frequent vomitings of a thin, dirty-yellowish, whitish, greenish, or even 
colorless fluid, with discharges from the bowels of a similar character to 
that vomited up, and which occur as frequently as the vomiting. During 
the intervals between the vomiting and purging there is much nausea 
and uneasiness at the stomach ; but in some cases a sensation of relief is 
afforded by the discharges and the patient lies in bed, much fatigued, but 
apparently free from pain and distress. 

These attacks of vomiting and purging usually take place every ten 



CHOLERA MORBUS. 285 

or twenty minutes, being either simultaneous, or the vomiting immedi- 
ately followed by the discharge from the bowels or else the reverse. 

Sometimes the pain is so severe as to cause the legs to be drawn up or 
even to cry out. 

Generally there is great thirst, but as soon as any liquid is swallowed 
it is ejected ; the tongue is dry, the urine high-colored, deficient or sup- 
pressed, the pulse rapid, soon becoming small and feeble. If the disease 
is allowed to progress unchecked the pulse sinks, the extremities become 
cold, the countenance pale and indicative of much suffering, the breathing 
hurried, cramps in the limbs, hiccup, a cold clammy sweat breaks out, 
great prostration and death. The disease frequently proves fatal in twen- 
ty-four hours, and, when malignant, even in a few hours ; sometimes it 
subsides spontaneously. 

Sometimes patients with cholera morbus complain of a great burn- 
ing sensation internally, and in the more malignant forms of the disease, 
it is not uncommon for the last discharges to resemble the " rice water " 
evacuations of Asiatic Cholera. 

Cholera Morbus may be known from Diarrhoea and Dysentery by the 
character of the discharges from the bowels, which in this are of a 
purely bilious nature, not mixed with blood or mucus, and with scarcely 
any fecal matter. 

Causes. — Cholera Morbus is owing to an irritation of the stomach 
and bowels, and a greater or less derangement of the liver, and is ordinar- 
ily caused by improper substances taken into the stomach, as unripe fruit, 
acids, much fat food, certain kinds of fish, lobsters, unfermented cider, 
improper use of alcoholic drinks, or any article that will irritate the 
mucous membrane of the stomach and bowels by undergoing an acid 
fermentation. It is also produced by exposure to sudden changes by sit- 
ting in a draught of cool air while in a state of perspiration ; by excessive 
heat rendering the bile more acid, or secreted in unnatural quantities, or 
by malarial influences. Persons of gross habits, or intemperate in eating 
and drinking and those of sedentary habits are the most subject to it. 

Prognosis.— When the symptoms gradually improve, vomiting ceas- 
ing or becoming less frequent and distressing, with a gentle moisture 
upon the surface, succeeded by sleep, they are favorable. But frequent 
and severe vomiting with great prostration of strength, swelling of the 
bowels, intermittent pulse, cold, clammy sweats, short, hurried breathing, 
constant hiccough, spasms of the extremities or convulsions are unfavor- 
able symptoms. 

ALLOPATHIC TREATMENT. 

Sporadic Cholera occurs independently of epidemic influences and is 
commonly called Cholera Morbus. If the vomited matters have not con- 
tained undigested food (the presence of which is probably causing the 
trouble) a mild emetic should be given, if there is reason to suppose such 
irritating material still remains in the stomach. For this purpose a tea- 
spoonful of ground mustard in a glass of water is as appropriate as any 
other remedy, and has the advantage of being almost always on hand. 
Other mild emetics may be given. Almost always the contents of the 



286 OUR FAMILY PHYSICIAN. 

stomach are expelled during the first acts of vomiting, and an emetic is 
almost always uncalled for, and in that case will always do harm. 

The next indication is to overcome the vomiting and purging. This 
is best effected by the hypodermic injection of one-eighth to one-fourth of 
a grain of Morphine at the hands of your physician. This quickly effects 
the object. Other forms of opium may be used by the mouth, if the phy- 
sician can not be procured. A third of a grain of Morphine placed dry 
on the tongue will generally prove efficient. Thirty drops of Laudanum 
is also an appropriate dose for the relief of the immediate symptoms. 
The dose ought to be repeated in an hour, if the vomiting and purging 
have not ceased. If the remedy is vomited as soon as taken it should be 
immediately repeated. In the absence of a physician, if the administra- 
tion of this by the mouth is not tolerated, a teaspoonful of Laudanum 
in a tablespoonful of thin starch or milk should be given by injection into 
the bowels. 

It should be remembered that this is a powerful remedy to handle and 
if carried too far there is danger of opium poisoning. 

Another important point in the treatment of Cholera Morbus is to 
withhold liquids as far as possible. The excessive thirst leads to an intense 
craving for drink. The presence of liquids in the stomach prolong the 
vomiting. The thirst may be relieved by letting small lumps of ice melt 
in the mouth, or ice water may be swallowed, but only a tablespoonful at 
a time. The immediate success of treatment depends largely on the strict 
compliance with this rule. 

The common practice is to meet the prostration which follows the 
attack with small quantities of brandy or other spirits and water. They 
do not appear to be usually necessary. 

The appetite should be both carefully and moderately indulged after 
an attack. 

Many other methods of treatment are in vogue, but are not given 
here, because this one is habitually successful, and the best suited of any 
for employment by those deprived of the attendance of a physician. 

In epidemic cholera (Asiatic), the use of Opium is well suited for use 
during the preliminary diarrhoea, but is decidedly inappropriate when 
collapse has occurred. After this stage has passed, the best results have 
been produced by the use of Chloroform and Camphor, internally. 

During the cold stage, the hypodermic injection of Hydrate of Chlo- 
ral is the best treatment discovered so far. 

HOMOEOPATHIC TREATMENT. 

Ipecacuanha corresponds to the less violent attacks as long as the 
discharges have a bilious tinge, and the vomiting and retching are very 
severe. 

Dose: Six pill* of the 2d or :><l decimal dilution every riifteen to 
thirty minutes. 

Veratbum album is particularly adapted to a case where the evacu- 
ations are colorless ; these cases are always the mosl difficult to manage. 
This characteristic <>r the evacuations may be expected with tolerable 
certainty, if the disease sete in at once with violent, copious and frequent 
vomiting and the accompanying diarrhoea is equally violent. 

Dose: As for [pecacuanha. 



FEVERS. 287 

FEVEKS. 

GENERAL, REMARKS. 

In all forms of acute disease, fever is present ;m fever, properly so 
called," there is generally functional disturbance, accelerated action of the 
blood circulation with the participation of the nervous system, and a 
marked tendency to an increased development of heat. The symptoms 
common to most fevers are, at first, a feeling of coldness or shivering, then 
heat, accelerated pulse, thirst, restlessness, and languor. Fever, also, pos- 
sesses the property of passing from one (variety) species into another. 
Thus inflammatory fever may pass into a low typhus, or on the other 
hand, a simple fever, by injudicious treatment, may be changed into an in- 
flammatory one ; and that again assume the intermittent form ; also, one 
attack may, if miserably mistreated, present all these different phases. 

Fevers terminating fortunately, and running a regular course, may be 
divided into five stages: the accession, (or first appearance), increase, crisis, 
decrease and convalescence. 

When the result is fatal, it may arise from a metastasis, (changing from 
one part to another more vital part), the exhaustion of the vital energy of 
the patient, or the disorganization of some important part of the body. 

The belief in critical days, is of very ancient origin, though there is 
some difference in the calculation of physicians upon this point. Some 
counting from the day the shiverings declare the onset, others from the 
first hot fit ; except in cases where a marked periodicity exists, as in ague, 
such distinctions are of little value, because the treatment is directed to 
forwarding the crisis, and thereby materially shortens the duration of the 
disease, and changing its virulence, so the value of the counting for the 
critical day, is very materially lessened. The best course is to watch the 
case closely, take careful note of the symptoms, and select with great care 
the remedy pointed as the best to meet successf uly that condition. By so- 
doing, you will be most certain to have the pleasure of seeing your patient 
come safely through the attack, and arive speedily at a state of perfect 
health. 

A Crisis may make itself known by diarrhoea, profuse perspiration 
hemorrhage, or increase or alteration of other secretions, or by the appear- 
ance of an eruption, after which, if the turn is favorable the skin be 
comes moist and resumes its functions and the pulse returns to its usual 
standard. 

Fevers have been differently classified by different medical writers. 
The arangement we shall adopt is as follows: Simple irritative fever, in- 
flammatory fever, typhus, putrid, gasteric or bilious, intermittant and 
eruptive fevers, such as scarlet fever, measels, etc. Although I have, for 
convenience in describing fevers and their remedies, so named them, I do 
hope no one will commit the error of treating the disease only by its 
name. Study carefully every case, and treat it according to its own indi- 
vidual peculiarities, as shoum by its symptoms. 

Causes of FEVER.—It cannot be denied that there exists, in certain 
individuals, a peculiar predisposition to acute diseases. The sanguine, 
nervous and bilious temperaments (see temperaments, page 30), possess 



288 OUR FAMILY PHYSICIAN. 

this susceptibility in a more marked degree than the phlegmatic. The ex- 
citing causes are numerous ; miasms, epidemic influences, contagion, pow- 
erful mental emotion, derangement of some important organ, external 
esions, excess or errors in diet, heat or cold, eruptions which have gone in— in 
fact, anything that causes derangement of the equilibrium of the system 
may produce fever. 



FEVER, 

GENERAL. TREATMENT AND DIET. 

The great essentials, in the treatment of fever, are : 

Perfect rest— mental and bodily. 

Pure air and a cool apartment ; the temperature of the sick room 
should be kept as near 60° as possible. 

Featherbeds should be avoided, and inattrasses substituted when 
practicable ; let the bedclothes be light but sufficient, 

Nature herself generally prescribes the diet, taking away appetite, 
while the thirst present is undoubtedly her loud and well considered call 
for water or fluid of some kind. Water is the best diluent ; no solid food, 
broth or even gruel is permissible where the inflammation runs very 
high, and very great caution is to be observed in allowing gruel and weak 
broths during the decrease of the fever. An error here, often causes mis- 
chief which cannot be repaired ; it is always better to err a little on the 
side of abstinence, than on that of indulgence. 

Toast-water, or barley-water, or rice-water, sweetened with a little 
sugar, and flavored with raspberry, strawberry, orange, or, above all, 
Umon, may be allowed frequently, and only a little at a time. 

Avoid, until recovery is complete, any article of diet which might 
in the least degree over-tax the weakened digestive organs. Fruits fully 
ripe in almost any form are not at all likely to do any injury. 

GASTRIC OK BllilOUS FEVER. 

This is a form of fever in which, as its name implies, the digestive or- 
gans are chiefly affe ted. It somewhat resembles typhus, but it is distin- 
guished from the latter by the absence of nervous symptoms — although, 
when it assumes a torpid character, these are occasionally developed — by 
the absence of the pressive aching pains in the back of the head ; and by 
the absence of disturbance or derangement in the senses of sight and 
hearing ; further, that the pain in the right side of the belly, which is so 
constant a s mptom in typhus, is not a feature of this disease. 

Fevers of this description have no definite course or duration. They 
not (infrequently fall short of the particular course to which the defini- 
tion is especially aproppriate, as in such cases as result merely from 
indigestible substances, without actual increase in the discharge of (acrid) 
bile. In such cases the successful effort of nature to expel the obnoxious 
substance (as by vomiting or purging, or both) is often sufficient to consti- 
tute a perfect resolution, and convalescence succeeds. Tn other, cases 
nature is thus but partly relieved, the whole ciroulative system having 



BILIOUS FEVER. 289 

become essentially involved, and the fever continues until some other 
crisis (as of sweat or urine) succeeds. Thus, Gastric Fever, if associated 
with mere foulness of the stomach, may run its course to perfect resolu- 
tion in a few days ; or, if the lining membranes of the stomach or bowels 
be seriously affected, or the action of the liver be much deranged, and 
there be bilious fever, properly so-called, the fever may continue 
for weeks (if not properly or successfully treated), or may assume a highly 
inflammatory character, or degenerate into nervous or even Putrid or 
into Chronic or Hectic Fever. On the other hand, again, it may result in 
transitions of various character— the superficial membranes, either of the 
throat or external surface (the skin) may become affected, and Eruptions 
of various kinds, Abscesses, etc., may ensue. 

Complications and tTieir treatment. In the case of any such complica- 
tions occurring, the treatment must be conducted according to the special 
directions afforded in the separate article respectively devoted to the dis- 
ease in question. 

Predisposing Causes. The predisposing causes may be identified in 
continued exposure to great heat — whereby the rapid sympathy existing 
between the skin and the liver and stomach, has conveyed to those 
organs an undue degree of irritability ; exposure to excessive moisture of 
the atmosphere, particularly extreme accumulation of condensed vapors 
(heavy dews) over a reeking, heated soil, which continues to emit exhala- 
tions ; exposure to great (especially sudden) transitions of temperature, 
particularly from great heat to comparative coldness, or to the alternation 
of heat and cold; whence it follows, that, under such circumstances, this 
disease may assume an endemic or epidemic character. The more par- 
ticular and predisposing causes are: weakness of the stomach, that is, a mor- 
bid sensibility of the lining membrane, and overdue irritability of the 
liver; habitual debauchery or excesses, sedentary habits, or anything, in 
fact, which may occasion derangement of the stomach, as considered in 
the article on " Indigestion." 

Exciting Causes. The presence of obnoxious, indigestible, or irritating 
matters in the stomach or bowels — which cannot be dislodged by the 
ordinary action of those organs — either in the shape of excessive reception 
of food, whether or not in itself of an indigestible character, or simply the 
reception of indigestible substances in however small a quantity, or in 
the shape of altered or excessive internal secretions, such as bile. Other 
exciting causes are, taking cold, emotions, such as anger, grief, care, 
anxiety , etc. , acute diseases ; or, in fact, any cause of general irritation 
when acting upon persons already predisposed to this complaint by such 
conditions as have been mentioned above. 

Symptoms — of which the following are the principal : sensation of 
fullness and weight in the region of the stomach, or flatulent distention, 
with inclination to vomit; offensive, flatulent eructations, and sometimes 
vomiting of food and tenacious phlegm mixed with bile ; thickly furred, 
dirty-yellow tongue ; belly soft ; bowels costive ; but in the advanced 
stage of the disease the evacuations are often very offensive, and contain 
portions of undigested food ; frontal headache ; languor; sickly and dis- 
tressed expression of countenance, with yellow discoloration of the 
white of the eyes ; more or less chilliness, succeeded by heat and dryness 

19 



290 OUR FAMILY PHYSICIAN. 

of skin : pulse quick but soft, sometimes intermitting or irregular, par- 
ticularly the latter ; urine thick, cloudy, and dark colored. 

When bilious symptoms are markedly predominant, all the symp- 
toms commonly appear in an aggravated form ; the heat of the skin is 
very considerable, and the restlessness and thirst are excessive (the 
patient expressing a constant desire for acid drinks.) The region of the 
stomach is much distended with flatulency, but in addition to this symp- 
tom, the following are more or less marked ; the tongue is covered at first 
with a pale yellow fur, which gradually assumes a deeper or brownish 
color; the taste and eructations are bitter, and the substance vomited 
consists of a greenish, bilious matter ; the bowels are either confined or 
relaxed, the motions presenting in the latter case a yellow, green, or 
brown color ; the face exhibits an earthy, somewhat jaundiced aspect ; 
sometimes there is also a greater or less degree of sensibility, hardness, 
tension and burning in the region of the liver ; the urine is dark-brown, 
bilious ; the pulse full, accelerated, intermitting or double. 

ALLOPATHIC TREATMENT. 

Re-mittent fever (commonly called "bilious fever"). It is to be 
borne in mind that the exacerbations of fever, in this disease, are much 
longer than in intermittent fever or ague, and that the period of remission 
(diminishing) of the fever is of much shorter duration. It is not as con- 
venient to get the physiological effect of anti-periodic remedies during 
the remission (while the fever is down) as is the case in intermittent 
fevers. 

The one remedy which, par excellens, is a specific in this fever, is the 
Sulphate of Quinine, though the other preparations of Peruvian Bark 
hold a valuable place. 

As soon as it is discovered that the disease is remittent fever, by the 
occurrence of a distinct diminution of the heat (the degree of fever) as 
shown by the fever thermometer in the axilla (under the arm), the pa- 
tient should at once be given Quinine until its specific effect is produced, 
viz.: a slight deafness, a slight ringing in the ears or roaring in the head. 
This is best produced by giving large doses, not very frequently repeated. 
Ten grains of the Sulphate of Quinine, in solution, repeated every six 
hours, until the characteristic effects of the Quinine are produced, is a 
good practice in this disease or in ague. If this dose is not sufficient to 
produce the effect or prevent the paroxysms of fever, the dose may be in- 
creased to fifteen or even twenty grains. An eminent authority advises 
the administration of twenty or thirty grains, at a single dose, once or 
twice a day, until the effects are produced. Other physicians give the 
remedy in doses of from three to six grains every two or three hours. It 
requires about live hours alter its administration for the maximum effect 
of quinine to be readied, so that it seems to me unnecessary to repeat the 
doses any oftenerthan that; and, on t\w other hand, it seems unneces- 
sary t<» wait twelve or twenty-four hours before repeating the dose, if the 
desired end has not been attained. 

For the solution of Quinine, the following is a suitable formula: Take 
of Sulphate of Quinine four scruples (eighty grains), water five ounces, 
Aromatic Sulphuric Acid a dram and a half. Mix. A lair-sized table- 



BILIOUS FEVER. 291 

spoonful will contain ten grains. The excessive bitter taste of the solu- 
tion is very much obscured by chewing some chocolate or extract of lic- 
orice, and taking the medicine while the mouth is still coated with the 
chocolate or licorice. 

The remedy may be taken in powder, easily, by enveloping it in a 
moistened medicine wafer, or enclosing it in jujuba-paste capsules. 

Quinine can be made into pills, for immediate use, by moistening the 
powder with Glycerole of Starch, or Aromatic Acid, rolling out the mass 
and dividing into pills. If the acid is used, the operator must be expedi- 
tious, as the mass soon hardens. 

Sugar or gelatine-coated pills of Quinine may be used, and are an ele- 
gant form for the administration of Quinine, but slower in its action. 
They are liable to become hard with age, and so, unfit for use. Before 
buying these ready-made pills, one of them should be cut open; if the pill 
under the coating is hard, they are unfit for use ; if soft, they are good. 
I have found Win. Warner & Co.'s and McKassen & Bobbin's make uni- 
formly reliable. 

This treatment is both curative and abortive. There is no complica- 
tion can occur in this disease which will prevent the giving of Quinine. 
If the stomach can not be made to retain the remedy, it should be given 
by injection by the bowel. Once in twenty-four hours, is often enough 
to repeat the injection. The dose for this purpose is generally thirty to 
sixty grains. It may be mixed with Glycerine, Milk, or thin Starch. 
Thirty drops of Laudanum should be added to the mixture for the injec- 
tion. If there is a disposition to expel the injection, firm pressure should 
be made on the anus (opening of the bowel) with a towel or napkin un- 
der the hand. A four or eight-ounce hard-rubber syringe is preferable 
for the purpose. 

Time need not be lost before the administration of Quinine for the 
action of cathartics, or any other preparatory treatment. Constipation 
should be relieved by the laxative effect of an Aloetic pill or two or three 
Compound Cathartic pills, or by an injection of tepid water. 

This plan of treatment will, in a large proportion of cases, succeed 
in arresting the disease, but if the disease should continue the treatment 
thereafter is essentially the same as in other continued fevers, which is 
more especially given in connection with typhoid fever. The antiperiodic 
remedies should be continued, but in more moderate doses. Five grains 
of Quinine two or three times a day, will probably suffice, but if the fever 
should run high the dose should be increased sufficiently to moderate the 
fever. 

When the fever continues high after the full effects of Quinine are 
produced, Fowler's Solution (Solution of the Arsenite of Soda) may be 
given in doses of one drop three or four times a day. It may be given in 
water and is useful if the delirium lessens, the skin becomes moist, and 
the tongue clean. When this disease is associated with typhoid fever 
(known as Typho-Malarial Fever) Fowler's Solution seems particularly 
serviceable. 

Headache and delirium are due to the intensity of the fever and much 
good may be done by applying cold to the head by frequent bathing with 



292 OUR FAMILY PHYSICIAN. 

cold water, or if the heat of the head is very intense with a sack or blad- 
der of pounded ice. 

Immediate relief from the intensity of the fever may be derived by 
sponging the surface of the whole body with tepid or cold water according 
as the fever is moderate or high. The degree of cold should be governed 
by its agreeableness to the patient. The spongings may be repeated as 
often as the patient desires. If the fever rises as high as 104° F. or higher 
as shown by a fever thermometer in the armpit, the application of the 
cold wet sheet {cold wet pack) will prove serviceable. For its application 
a sheet or linen is wrung out of cold water and laid smoothly on a hard 
matress ; the patient then lies or is placed upon it with his head upon a 
pillow. The sheet is then drawn over the body, one side at a time and 
tucked under the opposite side. Some blankets or comforters are then 
closely applied over the body. The patient may be placed in the wet 
pack several times a day and allowed to remain in it from five or ten 
minutes to an hour, according to the state of the temperature. The effect 
of cold water is only temporary and the treatment with quinine or other 
preparations of bark, must not be delayed or neglected. Water should 
not be applied to the body if the patient is sweating. 

Nausea (sickness at the stomach) and vomiting may sometimes be 
relieved by laying a cloth previously dipped in ice water and folded over the 
stomach or by a mustard plaster. Doses of one drop of Creosote or Car- 
bolic Acid in water frequently give relief. Bismuth and Oxalate of 
Cerium are generally successful. Take of Subnitrate of Bismuth a dram, 
Oxalate of Cerium half a dram. Mix, and divide into six papers. Give 
one every hour or two. The powder can be taken dry on the tongue and 
swallowed with a little water. Milk with one-third part of lime water 
can generally be taken by the stomach with benefit. Should the patient 
need nourishment and the stomach not tolerate food, nutritious injections 
should be given. Strong beef tea made with one pound of finely chopped 
lean beef, to a pint of cold water, by heat (the temperature should be 
raised to 160°.) The temperature should be maintained at that for four 
hours, water being added from time to time to keep the quantity at one 
pint. One-fourth of this can be given by injection or one-eighth by the 
mouth. Milk may also be given by injection. To the beef tea fifteen 
drops of dilute Hydrochloric Acid and two teaspoonsful of Glycerole of 
Pepsin, or two-thirds of a teaspoonful of powder of Pepsin should be 
added. If milk is used the acid should be omitted. Twenty drops of 
Laudanum should be added to the injection, if the rectum is irritable, and 
the injection retained by firm pressure with the hand over a towel. Vigi- 
lance and restlessness will call for anodynes. For this purpose Tinc- 
ture of Hyoscyamus in doses of one or two teaspoonfuls may suffice. If 
not, ten to twenty drops of Laudanum may be added. A pill of one grain 
of Extract of Hyoscyamus and half a grain of Opium may be used. 

Protracted cases require the same treatment with more attention 
2iven to feeding the patient. Fifteen drops of Dilute Hydrochloric Acid 
in sweetened water, three or four times a day. It assists the digestion and 
relieves the dryness of the mouth and throat. During covalesence, tonic 
doses of quinine or bark and iron should be taken. A dessertspoonful of 
the elixir of bark and iron is useful. Probably the Citrate of Iron and 



BILIOUS FEVER. 293 

Quinine, or the Citrate of Iron and Cinchonidia in doses of three to five 
grains dissolved in Orange Flower water, taken three times a day, answers 
the purpose the best. A tea (infusion) of Dogwood, Columbo Gentian 
Quassa Boneset, and Wild Cherry and Poplar, is useful, taken before 
meals. The Tincture of Iron in doses of fifteen drops in sweetened water, 
may then be taken after meals. Should intermittent fever (ague) follow 
bilious fever, it should be treated as is directed for that disease. 

In Typho-Malarial fever the disease should be treated in the first place, 
as is directed in this article for remittent fever, aside from this the treat- 
ment will be as is directed for Typhoid fever. 

HOMOEOPATHIC TKEATMENT. 
In simple cases associated with uncomplicated derangement of the 
stomach, or simple foulness, especially if the affection be casual, and can 
be traced directly to excess in eating or drinking, or to some particular 
indigestible substance, if all strikingly bilious symptoms be absent, such, 
as those above enumerated, and if there be no bitterness of taste, or bitter 
eructations, the treatment should be regulated by the directions hereafter 
afforded in the section on "derangement of the stomach," under the 
general head of " Indigestion." 

In the severer cases, characterized by predominant bilious symptoms, 
or if the disease assumes an inflammatory character, the ensuing indica- 
tions may advantageously be consulted. 

Aconitum. Belladonna. One or both of these medicines, either 
singly, in succession, or in alternation, will generally be required 
at the onset of the attack, and if administered appropriately, and in 
time, may often suffice to arrest the disease; the more particular in- 
dications for each are subjoined, which, if only aggregately covered by 
the combination of both, will serve to point out the necessity for alternate 
administration. 

Aconitum is indicated, more especially, when everything recieved in 
the mouth, in the shape of food or drink, except water, has a bitter taste, 
or when there is continually a bitter taste in the mouth, the pulse being 
quick and frequent ; when the tongue is covered with a yellow coating ; 
when bitter eructations or violent urging to vomit, and retching occur, 
without discharge, or when there is vomiting of greenish, bitter, or slimy 
matters ; also by excessive nausea ; suspended evacuations, or frequent, 
scanty, small motions, attended with much urging; swelling and tight- 
ness across the stomach, sensation of heaviness and fullness in the fore- 
head and temples ; and if fresh air appears to afford some relief. 

Dose: If singly, of a solution of ten globules to tw r o tablespoonsful of 
water, give a teaspoonful every two hours, until amelioration or 
change. If in alternation with Belladonna, dissolve eight globules 
of each medicine, separately, in a wineglassful of water, and give a 
teaspoonful, first of one solution, then of the other, so that a lapse 
of three hours intervenes between the doses, and so on, until ame- 
lioration or change. 

Belladonna is indicated when there is violent throbbing of the ar- 
teries of the temples, reeling giddiness, and intense and unbearable head- 
ache, chiefly seated in the forehead, as if the contents of the head would 
fall out at the forehead ; dryness of the mouth, and thirst ; sometimes in- 



294 OUR FAMILY PHYSICIAN. 

cessant nausea ; tongue covered with a thick, whitish or yellowish coating; 
sour taste ; repugnance to all kinds of food, and even to drink; vomiting 
of food, or vomiting of sour, slimy, or bitter matters ; suspension of evac- 
uations, or looseness of the bow T els, with slimy evacuations ; quick and 
full pulse ; especially if the head-symptoms be aggravated by moving the 
eyes, or by movement generally, or by shaking, or even by touch, and by 
the access of fresh air, or a draught, and if they be somewhat relieved 
when the head is supported or held backwards. 

Done : In every respect as directed for Aeonitum. 

Nux- vomica is indicated in bilious fever by the following symptoms, 
amongst others : absence of thirst, or ardent thirst ; attended with heart- 
burn ; constant nausea ; bitter eructations; foul or bitter taste in the mouth, 
the tongue dry and white, or covered with yellow coating towards the 
root ; painful sensation of weight and tightness across the stomach, con- 
stipation, with repeated urging to evacuate, without discharge, or loose- 
ness of the bowels, with scanty, insufficient, watery, or slimy evacuation ; 
spasm of the stomach ; great inclination to vomit, sometimes even with 
empty retching, or vomiting of food ; full and frequent, or quick and in- 
termittent pulse; great prostration of strength in the first stage, and 
characterized by shivering, occurring with partial heat, or by he&t follow- 
ing, preceding, or mingling with shivering, with or without coldness; 
coldness principally in the evening or morning, or provoked by the 
slightest movement with shivering and shuddering ; headache with heat 
of the head ; dullness, or confusion of the head, with reeling giddiness ; 
buzzing, singing, or tinkling in the ears ; rheumatic pains in the limbs 
and in the teeth ; sallow apjDearance of the complexion, sensation of ex- 
haustion and weariness ; excitable, violent, restless or quarrelsome dispo- 
sition ; sometimes yellowish hue of the white of the eye, particularly of 
the lower part of the eyeball ; great sensibility of light, especially in the 
morning. 

Dose : Four globules, dry, on the tongue, or in a teaspoonful of water, 
every two hours, until four doses have been given, and afterwards, 
if necessary, every six hours. 

Chammomilla is of eminent service, often after Nux-vomica, in very 
severe cases in which the last named remedy has failed to arrest the 
symptoms, when the tongue is red and fissured, or when the tongue ex- 
hibits yellow coating ; or when further indicated by : — intense heat and 
redness of the face (particularly at night), restless and interrupted sleep, 
bruised pain in the head, with pressure, fullness, and heaviness ; inflam- 
matory redness, and burning sensation in the eyes, bitter taste in the 
mouth ; every kind of food conveys a bitter taste ; loss of appetite, nausea 
or eructations; vomiting of greenish, sour, or bitter matters; intense 
anxiety, and oppression of the chest ; looseness of the bowels, with sour- 
smelling evacuations,*having the appearance of stirred eggs ; or greenish 
evacuations, or, on the other hand, constipation, with suspended evac- 
uations. 

Dose: As directed for Nux- vomica. 

BRYONIA is particularly appropriate to the treatment of this disease 
in the hot season. The indications which identify it are as follows :— in- 



BILIOUS FEVER. 29-5 

sipid, foul, or bitter taste, particularly on waking; continual thirst, tongue 
exhibiting a number of blisters, and covered with a white or yellow coat- 
ing; desire for acids and stimulants, such as coffee, wine, etc., but repug- 
nance to solid or wholesome food ; vomiting of bilious matters, particu- 
larly after drinking, or sometimes frequent, but ineffectual retching ; op- 
pressive headache, with sensation of extreme heat, dullness, confusion, 
and giddiness of the head ; constipation of hard difficult stools as if burnt. 

Dose : As for JSfux-vom. 

Pulsatilla is also a most important remedy in this, as in every other 
disease in which the digestive organs are particularly implicated,— the 
tongue being covered with whitish coating; particularly after swallowing 
food or drink, there is bitter, foul, taste in the mouth ; all food conveys a 
bitter taste, especially bread; regurgitation of food; extreme nausea, or in- 
clination to vomit, in the evening : excessive accumulation of phlegm in the 
stomach and gullet; vomiting of food or of phlegm, or of bitter or sour 
matters, more severe at night; acidity of the stomach; flatulent distention 
of the belly, with rumbling of wind in the bowels; looseness of the bow- 
els, with discharge of bilious or slimy matters in the evacuations, — or slug- 
gish evacuations, and insufficient activity of the bowels ; splitting headache, 
with tightness and compression of the forehead; sensation of weariness 
and exhaustion, occasioned by the least mental exertion; slowness and 
fullness of the pulse (in general); fits of shuddering and coldness in the 
evening, or towards evening. 

Dose : in every respect as stated for Nux-vomica. 

Mercurius may frequently be employed with great advantage after 
Belladonna, and is more particularly required when indicated by the fol- 
lowing symptoms and conditions : Dryness, and burning heat of the lips ; 
drowsiness in the daytime, but sleeplessness at night; severe andpainful 
sensitiveness of the belly and of the region of the stomach, to touch or to 
pressure, these symptoms being aggravated, or developed at night, the 
tongue covered with white or yellowish coating, — or moist ; — foul, or even 
offensive and loathsome, or bitter taste in the mouth ; nausea or inclination 
to vomit, or, at other times, actual vomiting of mingled phlegm and bilious 
matters ; the fever-symptoms are characterized by general coldness, shiver- 
ing and shuddering all over the body, irregular, or quick and intermittent 
pulse ; heat of the head and face, with flushing, when all other parts of the 
body are affected with coldness, shivering, etc. ; giddiness when the head 
is raised; intense headache, with desire to press the head between the 
hands ; intense dejection, and. listlessness. 

Dose : Of a solution of six globules, to two tablespoonsful of water, 
give a teaspoonf ul every four hours, until amelioration or change. 

Ipecacuanha is indicated by inclination to vomit, with utter repug- 
nance to food ; dryness of the mouth ; the tongue either clean, or covered 
with a thick, yellowish coating; violent retching, without discharge, and 
attended with great straining, or easy, copious vomiting of slimy matters 
or of food, with a violent gush ; looseness of the bowels, with discharge of 
yellowish and very offensive or even putrid evacuations ; and accompa- 
nied with severe colicky pains ; weight and sensation of fullness, with 
very severe pains in the region of the stomach ; pale, yellowish hue of the 
skin ; severe headache. 



296 OUR FAMILY PHYSICIAN. 

Dose : Of a solution of ten pills to two tablespoonsful of water, give 
(if violent vomiting occur), one teaspoonful every hour, until the 
symptoms yield. 

China is applicable to such cases as evince the following symptoms : 
— frequent eructions; vomiting or regurgitation of food ; loss of appetite, 
and a sensation of thorough repugnance to all food, or as if one had eaten 
enough, or more than enough; frequent emission of very offensive wind 
from the bowels ; evacuations containing indigested food ; painful sensa- 
tion of tightness in the belly, and of weight in the region of the navel ; 
sensations of chilliness and shuddering after drinking; looseness of the 
bowels, with watery, slimy or yellowish evacuation; heat with full and 
quick pulse; headache (someties delirium), burning sensation in the lips, 
red face, and dry mouth. 

Dose : Of a solution of ten pills to two tablespoonsful of water, give a 
teaspoonful every two hours, until amelioration or change. 

Arsenicum, an invaluable remedy in the majority of very severe 
and urgent cases, either when one or more of the preceding have failed to 
arrest the symptoms, or when the disease has run on to an advanced 
stage before treatment has been resorted to. The chief indications for it 
are : dryness of the tongue, accompanied with severe thirst, and with 
continual inclination to drink, with, however, inability to drink more 
than a small quantity at a time ; bitter, or very acrid, pungent eructa- 
tions ; saltish or bitter taste in the mouth ; nausea, vomiting of food or of 
greenish, brownish, or bilious matters ; extreme tenderness of the region 
of the stomach to contact ; burning and cutting, cramp-like, or spasmodic 
pains in the stomach and bowels, accompanied with chilliness and an- 
guish,— or very painful sensation of weight and burning at one spot in 
the stomach ; suspension of evacuations, excessive and continued relaxa- 
tion of the bowels, attended with severe urging, and with broionish, yellow- 
ish or greenish evacuations ; scalding sensation in passing water ; the 
evacuations (or vomiting) are provoked by, or occur after, every move- 
ment, or after drinking, general heat of the body usually occurring at 
night, and accompanied with restlessness, anxiety, etc.; irregular, fre- 
quent, and quick pulse ; extreme prostration of strength, and desire to 
assume or to retain a recumbent posture. 

Dose: As for Nux. 



ENTERITIS. 
INFLAMMATION of the bowels. 

We apply this name to an inflammation of the intestines. 

The CAUSES of enteritis are mostly the same as those of indigestion, 
dietetic transgressions; the use of irritating, readily decomposed, sour 
substances ; overloading the stomach; abuse of spirits ; a cold. In addi- 
tion, we have poisonous substances ; mechanical irritation by fecal matter, 
the progression of which in the bowels is arrested, in consequence of 
which the vessels become compressed, or finally, though rarely, the 
inflammation may be caused by worms. Besides these causes, enteritis 



INFLAMMATION OF THE BOWELS. 297 

occurs as a continuation of other inflammatory processes, gastritis, peri- 
tonitis, and as a form of reaction against ulcerations of the intestinal 
mucous membrane. 

Symptoms. — If at first the inflammation is not spread over a large sur- 
face, and confined to the lining membrane, the symptoms are not very grave # 
There are few local pains, little fever, loss of appetite, constipation, feeling 
of fullness in the umbilical region ; nausea occurs very seldom ; there is 
never any vomiting. In this manner the affection may exist for a short 
time and disappear again almost imperceptibly, or it may increase and 
continue to spread ; very rarely the disorder breaks out at once in all its 
violence. The pains now become intense, burning or tearing, or cutting 
like colic, until they sometimes grow intolerable ; they spread over the 
whole abdomen ; are generally most violent in the umbilical region, 
where the least pressure causes an intense aggravation of the pain, 
which is increased even by the act of breathing ; coughing causes extreme 
pain, which is likewise intensely aggravated every time the patient 
attempts to turn the upper part of his body, on which account he remains 
lying motionless on his back. At all times the pain has more or less pro- 
longed aggravations like colic, evidently caused by the progressive 
descension of the contents of the bowels. At the same time the abdomen 
is distended, but not to excess. Where the small intestine is alone af- 
fected, there is obstinate constipation ; where the large intestine is 
involved in the inflammation, we have sometimes, not always, diarrhoea, 
colored, frequently bloody stools, or alternate constipation and diarrhoea^ 
or, finally, obstinate constipation. In such cases, the colicky pains are 
more frequent and extensive, the distention of the abdomen more consid- 
erable. In violent attacks of this disease the constitutional symptoms 
are always very marked. A general chill only precedes a very sudden 
invasion of the disease. The patient feels the heat more perceptibly than 
others ; he is constantly complaining of an intolerable thirst ; the pulse is 
accelerated, even to one hundred and twenty beats, small and contracted, 
not seldom unequal and intermittent ; the skin of the body is hot and 
dry ; the extremities are frequently cool ; the forehead is covered with a 
perspiration as if from anguish ; the appetite is entirely gone ; the tongue 
has at times a light coating, at times it is clean and very soon be- 
comes dry. If the affection increases in violence, the first symptom 
generally is nausea, which soon becomes associated with retching 
and vomiting. At first, bile and mucus are vomited up with the 
food; but if the inflammation is extensive, even fecal matter may 
be thrown up ; the vomited matter very soon acquires a smell like 
that of faeces. The signs of collapse now become more apparent; 
the face has a cadaverous appearance, expressive of deep suffering, with 
elongated features and sunken eyes. Under such circumstances, the pa- 
tient often wanders, the skin becomes cool, and is covered with a cool 
perspiration. Convulsions and fainting fits occasionally complicate these 
symptoms, and death may ensue under such circumstances. A rapid and 
complete recovery only takes place exceptionally. 

The Pbognosis is always uncertain, because the disease is apt to pass 
into insidious chronic complaints, even after recovery seemed to be fairly 



29S OUR FAMILY PHYSICIAN 

under way : at all events, enteritis always constitutes one of the more im- 
portant diseases. 

The diagnosis of enteritis, although somewhat difficult, yet, with 
proper care, can be made in the majority of cases with positive certainty. 
The disorder is most easily confounded with incarcerations, simple choler- 
ine, colic. The last two can become dangerous, if the trouble is esteemed 
too highly. Since it is not always possible to make a sure diagnosis until 
the disease has run along for a time, the employment of irritating remedies 
cannot be sufficiently guarded against in cases of colic and cholerine. 

ALLOPATHIC TREATMENT. 

Enteritis. The discrimination of acute enteritis (inflammation of 
the small intestines), will be very unsatisfactory, if made by unprofes- 
sional hands. If the diagnosis is made out, the treatment will be, essen- 
tially, as follows : 

The patient should remain in bed. Hot fomentations should be per- 
sistently applied to the abdomen, and some form of Opium given to the 
extent of relieving the pain and checking the diarrhoea. Opium in doses 
of a grain, two to four hours, or longer, apart ; but sufficiently often to 
procure relief from pain. Hyoscyamus or Belladonna may be advanta- 
geously given with the Opium, rendering the action of the Opium more 
pleasant. The dose of Extract of Hyoscyamus is one grain, of the Tinct- 
ure one or two teaspoonsful. The dose of extract of Belladonna is a quar- 
ter of a grain, and a dose of the Tincture is ten drops. 

Laudanum in doses of twenty drops,.or Morphine in doses of a quarter 
of a grain, may be used instead of Opium. 

It is as well to administer the Opium by injection into the rectum. 
For this purpose a teaspoonful of Laudanum should be used, mixed wuth 
one or two tablespoonsful of thin starch or milk. An eight-ounce hard- 
rubber syringe is a suitable instrument for this purpose. After drawing 
the mixture into the syringe, the nozzle should be elevated and the air 
can be expelled by slowly pressing the piston. After the injection, firm 
pressure on the anus (opening of the bowel) with a towel under the hand, 
for a time, will enable the patient to retain the injection. Both these 
methods of giving the medicine may be alternated. 

It is not best to give cathartics, unless there is good reason to believe 
irritating substances are contained within the intestinal canal, and then 
it is better to resort to injections of warm water, if the bowels require 
moving. 

The diet should be of a character which will not require intestinal 
digestion, nor cause irritation by their presence in the intestine. Beef- 
tea, beef-juice, raw eggs, and milk, answer this purpose as well as any- 
thing of which we have command. Rice and barley-water, or arrow-root 
boiled in water, may be drank. 

It is common to recommend Cod Liver Oil and Iron. They are well- 
suited to these cases. I believe tablespoonful doses of pure Glycerine, 
having dissolved in it three to five grains of the Citrate of Iron, or the 
Citrate of Iron and Quinine, answer the purpose better. 

The patient will require systematic feeding, if the disease be pro- 



INFLAMMATION OF THE BOWELS. 299 

longed, to support the powers of life, as in fevers, full directions for this 
will be given on the subject of typhoid fever. 

During convalescence, the usual diet should be returned to very cau- 
tiously. 

When the disease affects children, it is necessary to be very cautious 
in the use of Opium. The Camphorated Tincture of Opium should be 
used, with an equal quantity of Tincture of Hyoscyamus. The usual dose 
of each being fifteen or twenty drops for a child one year old. For a child 
of five years, three grains of Dover's Powder, equal to one-third of a grain 
of Opium, may be used. 

If the stools become charged with mucus, a teaspoonful or two of 
Castor Oil, with an equal quantity of Glycerine, flavored with one or two 
drops of Oil of Cinnamon, may be given. Rochelle Salts is, also, an ap- 
propriate laxative, in doses of half a teaspoonful (in lemon syrup). Lax- 
atives should, however, be given with caution. 

The diarrhoea which follows often, upon the subsidence of the inflam- 
mation, may be checked by appropriate doses of Paregoric, Dover's Pow- 
der or Opium, with ten-grain doses of Sub-Nitrate of Bismuth, or Tinct- 
ure of Catechu, or Kino, in equal quantity with the Paregoric, in Chalk 
Mixture. 

Local, and other general treatment, will be the same as for adults. 

HOMOEOPATHIC TREATMENT. 

Aconite in the early stages, when the inflammation is just begin- 
ning, will cut the disease short. Dry, hot skin ; full, frequent pulse ; 
mouth and tongue dry, with intense thirst. Abdomen swollen and tender 
to the touch ; cutting, burning and tearing pains in the region of the na- 
vel. Great fear and anxiety of mind, with nervous excitability ; bright- 
red and hot urine, are the leading symptoms calling for this remedy. 

Dose : Eight pills every one to three hours, dissolved in a little wa- 
ter, or dry on the tongue. 

Mercurius. Abdomen swollen hard, and painful to contact. Cut- 
ting, stabbing pains in the bowels, accompanied with chilliness and shud- 
dering ; green or bloody mucus stools, with violent griping ; profuse 
perspiration affording no relief ; pale, wretched complexion; foul smell 
from the mouth ; vomiting of bitter mucus; restless sleep. 

Dose : A powder or six pills every two to four hours. 

Belladonna. Great heat and tenderness of the abdomen. Violent 
contraction or clutching pains in the bowels. Pains which appear sud- 
denly and disappear just as suddenly after continuing for a longer or 
shorter period. Congestion of blood to the head, with throbbing of the 
arteries of the neck (carotids). Face flushed, eyes red and sparkling. 
Great intolerance to noise and light. Starting and jumping during sleep. 
Sleepiness, but cannot sleep. Partial or general spasms. Almost con- 
stant groaning or moaning. 

Dose : As for Aconite. 

Arsenicum. Even if the previous treatment fails, there is still hope 
that this remedy will succeed, if the following symptoms are present :— 
Very rapid and weak pulse. Sudden failure or sinking of strength. Cold 



300 OUR FAMILY PHYSICIAN. 

clammy sweat, and great restlessness. Intense thirst, drinking often but 
little at a time. Burning in the abdomen, worse after eating or drinking, 
usually followed by vomiting. Symptoms all worse after midnight. 

Dose : As for Mercurius. Arsenicum always gives the best satisfac- 
tion in potencies as high as 30 or upward. 

Bryonia and Cantharis are also good sometimes. See "Repertory." 
Make hot applications to the abdomen. Bathe with tepid or cold water. 
Drink Elm Bark water, etc. 



CATARRHAL DYSEXTERIA. 

FLUX. 

Symptoms. The disease sets in without any definite precursory symp- 
toms, or suddenly with violent pinching, cutting pains, radiating from the 
umbilical region downwards, and which are speedily succeeded by a vio- 
lent urging to stool, with discharge of fecal, soft or watery masses. After 
the evacuation, the pains abate for a shorter or longer period, after which 
they return with renewed violence, and more particularly with increased 
urging, attended with tenesmus, (pain and difficulty with frequent desire) 
and severe pressing pain, during which a small quantity of white, and sub- 
sequently blood-stained, mucus is discharged, without any admixture of 
fecal matter in most cases. At the same time the patients experience an 
acute burning pain in the anus, and with every new discharge the tenes- 
mus increases. In slighter cases the disease sometimes runs its course 
without any fever ; the more acute cases may be attended with violent 
fever ; the stomach is at times involved in the affection, at times not at 
all ; there is loss of appetite, retching, nausea, vomiting ; the tongue is 
usually quite clean. The duration of the disease usually depends upon its 
extent, which is pretty accurately measured by the extent of the pain. 
The slighter cases sometimes do not last more than a day, the severe cases 
last weeks, and then are disposed to pass into the chronic form. In the 
case of children the non-admixture of fecal matter in the stools is an ex- 
ception to the rule ; blood, pus, and scrapings of intestinal membrane, 
shreds of mucus membrane, and false membrane, are met with the more 
frequently, of a mixed green color. The dysentery of children assumes 
more easily a chronic form than in the case of adults, and almost always 
leaves a peculiar disposition to relapses. The so-called teething dysentery 
is just such a catarrhal affection, and arises less frequently in consequence 
of the process oPdentition than of other influences acting upon the little 
patient, especially an erroneous system of preparing and administering 
nourishment. In the case of children, even if there is no sign of fever, 
convulsive symptoms are apt to follow, imparting a higher degree of im- 
portance to the otherwise not very important disease. 

A fatal termination of catarrhal dysentery, in a person of an other- 
wise good constitution, is a rare occurrence. Even where the disease sets 
in as a complication of other diseases, the danger incident to its course is 
ocily of moderate importance. 



DYSENTERY— FLUX. 301 

The treatment will be shown when we come to speak of dysentery 
proper. 

DYSENTERIA EPIDEMICA, DYSENTERY PROPER— FLUX. 

However trifling catarrhal dysentery may seem, dysentery proper is 
an important and dangerous disease. 

History.— Dysentery usually breaks out in an epidemic form; the 
few cases of sporadic dysentery that come to us for treatment, are either 
not dysentery, properly speaking, or else they are very rare occurrences. 
Dysentery is more particularly a disease of young persons and those of 
middle age, and very seldom attacks either the very young or very old. 
Epidemic dysentery almost always breaks out late in the summer, or in 
the beginning of fall, in very hot and dry seasons ; it seldom lasts until 
winter is somewhat advanced ; it seems to occur more frequently among 
the lower than the higher classes ; its spread is promoted by the living in 
crowded rooms ; nothing shows this clearer than the devastations which 
dysentery causes in the ranks of armies. Neither city nor country people 
are spared ; it even seems as though the latter were more fearfully visited 
by this plague. If a disposition to dysentery prevails, errors in diet and 
catarrhal exposures excite the attack ; the statement, however, that the 
use of fruit favors the breaking out of dysentery, is not yet proven. This 
assertion, at most, only applies to unripe fruit, or to such kinds as are apt 
to cause cholera morbus, diarrhoea, etc., such as the early cherries, plums, 
etc. There are, undoubtedly, individuals whose bowels are irritated by 
the use of any kind of fruit, and in whom it may cause an attack of 
dysentery. 

These detached and well established historical data, cannot well be 
harmonized in one series, except by the supposition that there exists a pe- 
culiar virus, which has a special relation to the colon and rectum; for it is 
only in these parts that the phenomena of dysentery become localized. In 
this respect, dysentery is very near to Asiatic cholera, and likewise to 
other infectious epidemics. What the quality of the dysenteric virus, is 
has not yet been decided with any degree of certainty. That the virus is 
of a vegetable nature might be accepted as true, where dysentery spreads 
over extensive districts : but this theory does not apply where dysentery 
attacks whole armies. A discussion of this point is not as useless as it 
might seem, since its proper solution is intimately connected with the pre- 
ventive treatment of dysentery. This question may perhaps be better 
elucidated by subsequent epidemics. It is certain that the virus is engen- 
dered in the patient, and is transmitted by him like the poison of cholera. 
Contagion does not take place by contact, but the infection is propagated 
by water-closets, close-stools, etc. This theory, which is now received as 
explanatory of the spread of cholera, explains the fact, why the disease de- 
creases and disappears with the appearance of frost; the cold destroys the 
poison. This may be the reason also why dysentery sometimes continues 
as long as mid-winter, provided the warm weather lasts, and there is no 
frost. The circumstance that during an epidemic all the inhabitants of 
one house, but not all the houses in the neighborhood, are attacked, and 
that epidemics spread more extensively, and more frequently in the coun- 
try where the exhalations from excrem en titious matter are more freely 



302 OUR FAMILY PHYSICIAN. 

diffused through the air, speaks likewise in favor of the theory, that infec- 
tion is communicated in the manner above described. Among armies in 
the field, the epidemic is propagated in a like manner, whereas the soldiers 
lying in the banacks are protected much more efficaciously, and the cases 
of dysentery occurring among them are less numerous. Even if the views 
which we have here expressed, are not absolutely accepted as true, yet 
no reasonable physician will neglect to arrest the spread of the disease, 
by effecting the removal of the various circumstances, which we 
have pointed out as exciting causes of the epidemic. Another impor- 
tant question regarding the history of dysentery is, whether an al- 
teration in the functions of the liver does not constitute the chief 
exciting cause of the disease. The origin of the epidemic, at a time 
when the action of the liver is known to be altered, and the affections 
of the liver which so often prevail, during and after epidemic dys 
entery, seem to confirm this opinion. Hence, individuals in whom 
unhealthy changes in the functions of the liver, have developed a 
disposition to be attacked with dysentery, are most likely to be assailed 
by this plague ; this circumstance again shows why middle-aged persons 
should be most liable. 

Where the ulcers are not too extensive, they heal without much cica- 
trization. If the loss of mucous lining is considerable, contracting 
cicatrizes are the result, so that the bowel looks as if twisted around by 
cords, or presenting valve-shaped contractions. It is upon the duration 
of this process that the length of the period of convalescence depends. 

Symptoms. — The breaking out of the disease is almost always preced- 
ed by precursory symptoms. The patient feels languid, prostrate, and 
out of humor ; the appetite is, more or less, wanting ; there is oppression 
of the stomach, deranged digestion, and an increased accumulation of 
flatulence. These symptoms soon increase to nausea and desire to vomit, 
with coated tongue and foul taste; sleep is disturbed ; there is drawing in 
the extremities, sensitiveness to external cold, shiverings, and an accel- 
erated pulse. These symptoms show that the disease has invaded the 
organism. Above all, it is the diarrhcKa which denotes the local sphere 
t>f the disease. Even if all the other precursory symptoms are wanting, 
diarrhoea generally precedes the attack, in company with slight colicky 
pains, and without any further characteristic peculiarities. As these 
pains increase, the diarrhceic discharges occur more frequently, but are, 
at the same time more scanty, in the same proportion the tenes- 
mus, which precedes every discharge, begins to distress the patient. 
At times, after a few fecal evacuations, and at others after a some- 
what longer duration of the simple diarrhoea, fecal matter ceases 
to be discharged ; this is the commencement of the real disease. The 
colicky pains, which are seldom wanting, increase in intensity, be- 
come more continuous, and are attended with a painful urging to stool; 
a Bensation as if the bowels would press out of the abdomen, or as though 
a heavy weight were suspended from the anus, or as if the sphincter ani 
(muscle that closes the anus, " puckering string ; ' i would tear. When 
these pains reach their bight, there occurs a scanty discharge, attended 
with an intense burning at the anus. At first a remission of the distress 
takes place alter this discharge, but the more frequently it occurs, the 



BYSENTERY— FLUX. 303 

more the tensmus increases in violence, and the less it intermits after the 
evacuation has taken place. The evacuated substance, which, for some 
time, continues to show a little tinge, soon becomes a mere mucus, with a 
grayish admixture, or a more or less copious admixture of blood (red and 
white dysentery), and of a peculiar insipid odor. In more violent cases, 
pure blood is evacuated. According as the disease is more or less intense 
the discharges occur every hour, sometimes every few minutes, so that 
the patient scarcely dares leave the chamber, however difficult it may be 
for him, owing to the continued violent and colicky pains, to sit up. The 
pains now become more tearing, cutting, radiating from the umbilicus 
(navel) downwards. The constitutional equilibrium is not much dis- 
turbed at the outset. In mild cases, the fever is scarcely perceptible, but 
there are frequent chilly creepings. The pulse is but a little accelerated, 
the temperature of the skin is not much increased. In proportion as the 
discharges increase in frequency, the pulse becomes correspondingly ac- 
celerated, hard and small, the skin hot and dry, the thirst distressing ; 
the desire to vomit increases to real vomiting, although not regularly ; 
the appetite is entirely gone. The patient soon loses his strength, and 
feels unable to sit up. The affection may continue, at this stage, for a 
week, after which it may gradually terminate in recovery. If the local 
changes are more considerable, the disease increases in intensity. The 
pulse grows frequent, small, and feeble, the thirst becomes agonizing, the 
temperature unequal, the extremities feel cool to the touch, the tongue 
can hardly be kept moist, the face has a cadaverous expression, and the 
prostration is complete. Usually the abdomen is much distended and 
sensitive. The discharges follow each other more rapidly, and the tenes- 
mus continues uninterruptedly. The discharges, together with the blood, 
contain shreds of mucous membrane, and a number of membranous frag- 
ments. When the disease reaches this night, delirium is not an unu- 
sual occurrence. If the disease approaches a fatal termination, the 
discharges either become fetid, or else they cease entirely, or take place 
involuntarily, as a sign that the bowel is paralyzed. It is always a bad 
symptom, if the discharges diminish in frequency without any corres- 
ponding improvement. Death supervenes amid symptoms of general 
prostration, meteorism (distention with gas) delirium, coma. The termi- 
nation in recovery may be considered certain, if a general improvement 
is accompanied by a decreasing frequency of the stools, and the colic 
abates, although the tenesmus still continues. 

As soon as the discharges contain faeces, and the fecal odor is restored, 
recovery may be considered under full headway. The pulse generally 
continues somewhat more rapid, yet becomes fuller and stronger, and the 
symptoms of fever disappear. After a severe attack of dysentery, recov- 
ery scarcely ever takes place very rapidly ; which, as we said before, is 
owing to the slowness with which the ulcerated surfaces heal ; it may, 
also, be owing to the fact, that the condition of the digestive organs does 
not admit of a rapid reparation of the waste, by a copious supply of food 

In armies, especially, the transition of acute into chronic dysentery 
is not a rare occurrence. The symptoms of chronic dysentery correspond 
with those of ulceration of the bowels, which indeed constitutes the basis 
of the chronic form. In such a case the fever disappears entirely, but 



304 OUR FAMILY PHYSICIAN. 

the diarrhoea continues, consisting at one time of fecal masses, lined with 
pus and blood, and at other times of a sanguineo-purulent mucus, or 
changing about with obstinate constipation. At the same time the appe- 
tite does not return, and the patients continue to lose flesh. Death is apt 
to terminate such sufferings, though, frequently, not until they have last- 
ed a long time. 

The severest forms of dysentery, the septic, putrid or typhoid form, 
are of very rare occurrence in our latitude ; they are more frequently met 
with in hot climates. Such forms arise either because the milder form 
assumes a malignant type, with all the signs of gangrenous destruction of 
the bowel, or else they break out at once with an extraordinary degree of 
intensity, characterized by the signs of a most acute typhus, and rapidly 
terminating in death. 

Strictly speaking, there is no transition into other affections ; the 
abscesses of the liver, which do not occur unfrequently, even among us, 
after a violent attack of dysentery, are most probably due to the absorp- 
tion of pus into the vessels ; or possibly to a disease of the liver, running- 
its course simultaneously with dysentery. 

The prognosis, in the dysenteries of our climate, is emphatically fa- 
vorable. 

ALLOPATHIC TREATMENT. 

Treatment of Acute Sporadic Dysentery or Flux (occurring independ- 
ently of epidemic influences.) In this disease nature points unerringly 
toward a thorough emptying of the intestinal canal of its contents. This 
shows by the copious diarrhoea which precedes the dysentery. 

The first object of treatment, therefore, is to effect this object as 
quickly and thoroughly as possible, assisting nature's efforts by an effi- 
cient cathartic. By far the most effective cathartic for this purpose is 
Sulphate of Magnesia (Epsom Salts.) Take a sufficient quantity of Sul- 
phate of Magnesia to saturate seven ounces of water ; add one ounce of 
Aromatic Sulphuric Acid. The dose of this mixture is a tablespoonful 
every hour or two until it operates freely ; or the Epsom Salts may be 
given in doses of a heaping tablespoonful steeped with one-third of its 
bulk of roasted coffee and repeated in four hours, if a free watery stool has 
not been before produced. Rochelle Salts in doses of a tablespoonful in 
solution with water and lemon juice or Citrate of Magnesia, may be em- 
ployed, but the acid solution of Epsom Salts is to be preferred. Castor 
Oil is only of less value as a purge in this disease than the cathartics 
before mentioned. If used it should be given in doses of a tablespoonful 
or more, mixed with an equal quantity of Glycerine and flavored with a 
couple of drops of Oil of Cinnamon. This should also be repeated in four 
hours, if it has not operated. After thorough purgation has been }^roduced 
the cathartic is to be discontinued. 

This effect is followed by a period of rest and sometimes recovery im- 
mediately takes place. This rest of nature should be aided and prolonged 
by a full dose of Opium. The Opium benefits also by its direct effect on 
the Inflammation (called antiphlogestic) as well as aiding recovery by 
prolonging the qniet of the intestine. It is preferable to give the Opium 
by injection into the rectum. For this purpose a teaspoonful to a tea- 



DYSENTERY— FLUX. 305 

spoonful and a half of Laudanum should be mixed with one or two 
tablespoonsful of thin starch or milk, and injected into the rectum with 
a hard rubber syringe. If it is thrown offit should be immediately repeated 
and caused to be retained by firm pressure upon the anus (opening of the 
bowel) with a towel under the hand until the efforts to expel it cease. 
Generally speaking, once in twelve hours is often enough to repeat the 
injection of Laudanum, but it should be often enough to afford complete 
relief, and the dose increased until this effect is produced. Suppositories 
of Opium or Morphine can be purchased which will answer the purpose. 
In some instances neither the injections nor suppositories can be retained 
in the rectum. In such cases it must be given by the mouth. Then the 
powder or pills of Laudanum or Morphine may be used. The usual dose is 
one grain of the powder or one pill, or twenty-five drops of Laudanum, 
or a quarter of a grain of Morphine, but the dose must be increased until 
relief follows its administration, and repeated often enough to continue 
the relief. 

The patient should be quiet in bed, a large flax-seed poultice contain- 
ing two or three tablespoonsful of mustard placed over the stomach. 
About half an hour after the Opium or the Laudanum injection is given, 
thirty grins of Ipecacuanha scraped in a medicine wafer, should be given, 
or it may be given in milk. The Ipecacuanha causes the stools to become 
natural, the griping and straining cease, the hot, dry, skin becomes moist 
and the patient becomes refreshingly calm. In a simple acute case this 
may complete the cure. The Ipecacuanha may be repeated in from six 
to eight hours, if required, and will be taken if a disgusting sickness at 
the stomach is not caused. With every dose the hot poultice or a mus- 
tard plaster should be placed over the stomach. If a dose is vomited it 
should be immediately repeated. 

Some patients find it impossible to continue the use of the remedy. 
In such instances, its use must be dispensed with. The treatment, then, 
will rest upon free cathartics and Opium. 

Whenever stools, with mucus or slime and blood, begin to pass the 
cathartic should be at once resorted to, as in the first place, to be followed 
as before, with the Opium and the Ipecacuanha, if it is tolerated. It is 
well to state here, that the treatment of dysentery with Ipecacuanha has 
reduced the fatality in acute dysentery to one-third of the mortality pre- 
vious to its introduction, as shown by reports from the East Indies. 

Persons who cannot take Opium and Morphine, can usually take the 
Watery Solution, or the Alkaloid of Opium, called^Codia, in\doses of a 
grain. The benefit from Opium is so great that it is £best for patients to 
suffer some inconvenience from the Opium. Its unpleasant effects may 
sometimes be obviated by giving with it a full dose of Hyoscyamus or 
Belladonna— one or two grains of the Extract of Hyoscyamus, or one- 
iburth of a grain of Extract of Belladonna. 

Remedies which may sometimes be associated with the internal use 
of Opium, in this disease, are : Bismuth in doses of twenty to thirty 
grains (half a teaspoon fulj. Acetate of Lead (Sugar of Lead) in doses of 
three to five grains. Sulphate of Copper in doses of a twelfth to a fourth 
of a grain. Tannin in doses of ten to twenty grains, and the various veg- 
etable astringents, among which are: Rhatany, Kino, Catechu Lo«-- 
20 



306 OUR FAMILY PHYSICIAN. 

wood, White Oak Bark, Witch Hazel, White Pond Lilly Root, etc. Very 
seldom will it be necessary to resort to any of them, if the foregoing di- 
rections, regarding the use of Cathartics, Opium and Ipecacuanha, are 
strictly followed. 

When the disease is prolonged, and the stools become of a bloody, 
watery character, these astringents occupy quite an important place in 
the treatment. Ipecacuanha should be given, if tolerated, together with 
Opium, in some of its forms, to the extent of relieving pain, some of the 
foregoing astringents, which may be tried in succession, and tonics. Then 
cathartics, as a rule, should not be given. 

Particular attention should be given to the diet, and nothing of a 
coarse character, which will make stools, should be allowed, but the food 
should be rich in nourishment. Milk, meat-essences and broths, raw 
eggs beaten up with a little sugar and milk, or water, answer this purpose 
the best. 

Moderate quantities of arrow-root, sago, tapioca, and rice, may be 
given. The patient may drink, at will, of thin mucilage of slippery elm, 
or Gum Arabic, or flaxseed tea, barley or rice-water. 

One of the best forms of tonic for prostrated cases, and when recovery 
is slow, is: Elixir or Syrup of Quinine, or Cinchonidia, Strychnine and 
Iron. The dose is, usually, a teaspoonful three times a day, though a des- 
sertspoonful may be given. Whatever the form of tonic given, the dose 
of Quinine is one or two grains, Iron one grain, and of Strychnine not to 
exceed a thirtieth of a grain. 

In severe epidemics of dysentery, the treatment does not materially 
differ from the above, except, perhaps, in the quantities of medicines re- 
quired to control the disease. The principles of treatment are the same. 
Cathartics are to be given more cautiously, and are to be omitted alto- 
gether, if the discharges become watery instead of mucus, or if the patient 
be notably prostrated. 

The rules for giving Opium and Ipecacuanha are to be observed. 
Much larger doses of Opium may be required to procure relief from the 
pain and griping, and to arrest the frequency of the discharges from the 
bowels. It should be given frequently enough, and in increasing quanti- 
ties, until that result i s reached. After a dose of Ipecacuanha has been 
retained, as a rule, less Opium will be required. While the Ipecacuanha 
should be repeated as before directed, no intermission must be permitted 
in giving the Opium, and should always be carried to the extent of check- 
ing the watery-bloody discharges in increased doses till this effect is pro- 
duced. 

In increasing the doses wi this way, the patient must be carefully 
watched that Opium poisoning (narcotism) is not produced. Contraction 
of the pupils (" sight of the eye" decreasing), frequency of breathing and 
profound sleep, indicate this condition. If, however, the patient breathes 
twelve times in a minute, the danger from narcotism is not great. 

In cases of great danger from exhaustion and prostration, stimulants 
are to be given with the nourishment. For this purpose, I believe Bran- 
ds to be the best, it should be given to a point short of excitement of the 
circulation, or nervous system. Its beneficial effect will be shown by a 
general calm, and the pulse will become sol'ter, fuller, more regular, and 



DYSENTERY— FLUX. 307 

Slower, and the tongue moistens. The dose should be begun at a table- 
spoonful for an adult, repeated at intervals of four hours, preferably with 
food, and may if necessary be increased in frequency and quantity to meet 
the requirements of the case. It does harm, if the frequency of the pulse 
is increased and the tongue becomes dry. 

Symptoms of malarial trouble will call for Quinine, the same as is di- 
rected in (bilious) remittent fever. 

In all cases of dysentery, patients should refrain as much as possible 
from efforts to stool, for the sensation is delusory, depending on the in- 
flamed state of the bowel. Cold to the anus, as ice wrapped in a cloth, is 
useful. The Opium injections relieve this painful sensation the best of 
anything. Five grains of Sugar of Lead may be added to the injection 
with benefit, though for this combination a half a grain of the Acetate of 
Morphine, dissolved in a teaspoonful of Glycerine, is better than the Lau- 
danum. 

Tannin, in quantities of a scruple, may be used in this way, instead 
of Sugar of Lead. 

In cases which, after thorough trial, cannot take Opium in any form, 
I would recommend an injection of one of the astringents named, dis- 
solved in a tablespoonful of Glycerine, with fifteen drops of the Fluid Ex- 
tract of Belladonna or a teaspoonful of the Tincture. A teaspoonful or 
two of Fluid Extract of Hyoscyamus, or two or three grains of the Solid 
Extract, may be rubbed up with Glycerine, and used instead of the Bel- 
ladonna. 

In case none of these are procurable, a strong tea made with Jim- 
son Weed, Stramonium, may be used with benefit. 

During convalescence, the amount of doses and frequency of giving 
them, should be gradually diminished. Tonics, as recommended in sim- 
ple acute dysentery, are applicable here. 

So dangerous a disease as epidemic dysentery, requiring such positive 
treatment, ought to be under the direction of a competent physician. 

HOMOEOPATHIC TREATMENT. 

According to our remarks on the causes of dysentery, it is evident 
that there must be a preventive treatment of dysentery, and that it must 
result in great good. From what we have said on the subject, the single 
points of this prophylactic treatment can easily be inferred. In this 
place we desire to call attention to the absolute necessity of keeping the 
evacuations of dysenteric patients separate. It is, moreover, of the ut- 
most importance to treat every diarrhoea that may occur during epidemic 
dysentery, with great care, and to arrest it as soon as possible, since it is 
an established fact, that a diarrhoea produces an increased sensitiveness to 
the dysenteric virus. 

Mercuritts occupies the first rank among the remedies for dysentery, 
and among the mercurial preparations it is the Corrosive Sublimate 
{Merc. Corr.) This remedy corresponds to the symptoms of ordinary dys- 
entery so perfectly, that it may safely be regarded as a specific remedy for 
the whole process. The leading symptoms of dysentery, the bloody mu- 
cus evacuations without any fecal matter, attended with the most 
violent tenesmus and cutting colic, is a characteristic and constant 



SOS OUR FAMILY PHYSICIAN. 

symptom of Merc. ( orr. All physicians agree that the lower attenuations 
of this remedy are preferable, and that it should not be given higher than 
the sixth ; they likewise agree, that the dose should be frequently repeat- 
ed. The best plan is to give a dose of the remedy after every discharge; 
as the discharges diminish in frequency, the medicine will likewise have to 
be repeated less frequently. The effect of the remedy is perceived very 
soon, in most cases within thirty-six hours. Of course we cannot expect 
to perceive a striking improvement in tw T enty-four hours ; nor would it 
be advisable to select another medicine, if no improvement takes place in 
that space of time. 

The Merc. Corr. almost always deserves a preference in epidemic dys- 
entery ; Mercurius sol. is preferable in the so-called white dysentery. In 
epidemic dysentery, the so-called white dysentery is of rare occurrence, 
and then only a very transitory condition. On the contrary, catarrhal 
dysentery, is, in every respect, adapted to Mercurius sol., and it is 
only in exceptional cases that this remedy will prove unavailing- 
As long as the evacuations contain feces, although in small quantity, it is 
well to give the solubilis the preference, no matter whether blood is dis- 
charged with the stools or not. On this account, this remedy is especially 
appropriate in the dysentery of children, especially during the period of 
dentition. The triturations of solubilis are preferable, whereas the Sub- 
limate acts better in solution. The Mercurius vivus is preferred in this 
disease by many physicians. 

Next to Mercurius Belladonna is, without doubt, the most important 
remedy in dysentery, both the catarrhal and epidemic. As far as local 
symptoms are concerned, Belladonna is indicated by the violent urging to 
stool, with or without scanty discharge ; violent pains in the distended 
abdomen ; they are aggravated by pressure or else evidently of an inflam- 
matory character ; liability of the rectum to protrude. Other prominent 
indications for Belladonna are : considerable urinary difficulties, even 
retention of urine ; violent fever, also with delirium, severe gastric de- 
rangement, nausea, vomiting. Belladonna is most frequently suitable 
for children ; less so for adults. 

The catarrhal form of dysentery being exceedingly varied, a number 
of other remedies might be recommended for this disease. Ciiamomilla, 
for instance, is a main remedy in the dysentery of teething children, if 
the local symptoms are accompanied by acute fever, restlessness, sleepless- 
ness, constant cries, vomiting of bile, nightly aggravation of the symp- 
toms, or the symptoms only show themselves during night-time. Ano- 
ther remedy is Ipecacuanlia^ when the tenesmus only sets in after the 
discharge, and there is frequent and distressing vomiting of bile, while the 
fever is no( very considerable; Dulcamara and Pulsatilla, when the 
discharges consist of mere mucus; they mostly take place at night. Baii/- 
ta, for the dysentery of children, when il threatens to become chronic, 
provided there are no striking symptoms of ulceration of the intestines. 
Calcarea caj'bonica, is adapted to the same form of dysentery as Baryta, 

likewise applicable to ulceration of the bowel, here it is even a chief 
remedy for children. A Dose of any of the preceding remedies should be 
ii after each evacuation, provided they do not occur more frequently 
i han every horn'. 



COLIC— ENTERAGIA. 300 

We have already stated, that the abovemen tinned remedies are suffi- 
cient in epidemic dysentery, unless it should pursue an entirely excep- 
tional, abnormal course, or be complicated with various accessory symp- 
toms. This statement likewise, only applies to cases that have been 
treated homoeopathieally, from the commencement. But we are also 
called upon to treat dysentery in its more advanced stages, or after the 
system has been saturated with powerful medicines. For such abnormal 
forms of dysentery, the above-mentioned remedies are not sufficient, and 
one or more of the following list will have to be selected. 

Arsenicum album is never indicated at the commencement of dys- 
entery, only when evident signs of putrid decomposition become appar- 
ent, together with paralysis of the bowels and anus, in a slight degree. 
The evacuations have no longer a peculiarly insipid smell, but are fetid, 
of a blackish-brown color, mixed with numerous shreds of mucous 
membrane. The pains are uniformly severe, the fever is intense, attend- 
ed with sings of rapid prostration and great thirst. 

Rhus toxicodendron, Hartmann says : " It is particularly applica- 
ble in protracted cases, where the violence of the symptoms has been 
diminished by the previous treatment, but where all the symptoms that 
characterized the attack from the commencement, are still present; it is 
prominently indicated by excessive prostration, the blood is greatly 
deficient in plasticity, the organic activity threatens to become extinct ; 
typhoid symptoms supervene." In other words, Rhus is suitable in 
typhoid dysentery. A noteworthy symptom is the circumstance that the 
evacuations appear at night; there are also involuntary discharges. 



COLIC— ENTERALGIA. 

A disease which appears under a great variety of aspects, and which is 
associated with various derangements, either casual, or permanent and or- 
ganic. It should therefore especially be considered with due regard to the 
general review of disorders affecting the stomach and intestines, as afford- 
ed in the article on "Indigestion." 

Colic may be spasmodic, particularly as associated with hysterical com- 
plaints; or may be associated with local determination (congestion) of 
blood as occurring in conjunction with menstruation or piles; or again it 
may be developed as a transition of disease from other organs: as, for in- 
stance, when some previous disease has been suddenly suppressed; or 
again it may be associated with worms, or may appear as a manifestation 
of flatulency ; or again, purely from foulness or surfeit of the stomach, or 
result from indigestible food; in other instances again, colic is associated 
with gravel, or other organic derangements of the kidneys, etc. ; or it may be 
come developed in consequence of the suppression of chronic eruption on 
the skin, or again from excessive or acrid discharge of bile from the liver 
into the stomach and intestines. 

Symptoms. Griping, tearing, gnawing, or shooting pain in the bowels, 
chiefly confined to the region of the navel, generally attended with a pain- 
ful distention of the belly, with spasmodic contraction, and sometimes 



310 OUK FAMILY PHYSICIAN. 

accompanied with vomiting and costiveness, or looseness of the bowels. 
One of the characteristic distinctions between this disorder and inflam- 
mation of the bowels consists in the degree of alleviation to which the pain 
is subject upon pressure. The long continuance and intense severity of 
colic may however result in inflammation, for which reason it is ever ad- 
visable to arrest its progress in any severe cases. 

Causes. The general exciting causes of this complaint are acid fruits 
and indigestible substances, cold from wet feet, drinking cold beverages 
when heated, constipation, worms, etc. It is frequently also a concomitant 
symptom of some other derangement, but occurs equally often as a pri- 
mary disease. 

This disease is so well understood, that we are justified in proceeding 
at once to the treatment, giving in its course various symptoms as devel- 
oped by different causes. 

ALLOPATHIC TREATMENT. 

Colic. In the treatment of colic, the first indication is to relieve 
pain, whatever may be the cause. This is done best by an injection of a 
teaspoonful of Laudanum with fifteen drops of Tincture of Belladonna. 
If there is flatulence, a couple of ounces of mixture of Assafoetida may be 
used with the Laudanum, as a vehicle. The injection should be made 
with a hard-rubber syringe. 

If no flatulence exists, the injection of Laudanum, with or without 
the Tincture of Belladonna, may be given with a couple of tablespoons- 
ful of Starch Water. The Assafoetida mixture (or Milk) is made by rub- 
bing two drams of the gum in a pint of water. 

A couple of teaspoonsful, or a tablespoonful, of the mixture (Milk) 
of Assafoetida given by injection, is an efficient remedy for the flatu- 
lent colic of infants. Three to five drops of Laudanum may be added 
if the first injection does not relieve. 

A cathartic ought not to be given in colic until after the pain is 
relieved, and then, if no inconvenience is experienced, twenty-four 
hours or a couple of days may pass before one is given. In the mean 
time, the bowels will generally move spontaneously. If they do not 
move, a large injection of warm water may be given. If this prove 
ineffectual, three Compound Cathartic Pills should be taken. 

If cathartics are given before relief from pain, the spasm of the in- 
testine interferes with its action, and it aggravates the malady. 

Much relief is obtained by hot applications over the abdomen. In 
mild cases, some hot aromatic tea, as Ginger, Anise, Cloves, or Mint, 
may give relief. In severe cases, recourse should be had at once to the 
injection of Laudanum, or to a dose of twenty -five drops, and a tea- 
spoonful of Spirits of Camphor, by the mouth. 

Morphine, in doses of a quarter of a grain, or an Opium and Cam- 
phor, may be given. If complete relief does not obtain in an hour, the 
dose should be repeated, either by injection or by the mouth. 

Hysterical colic, is almost always relieved by an injection of a pint 
of the Mixture of Assafu'tida, but if this does not succeed, the same 
remedy may be given by the mouth, in doses of a tablespoonful— Opi- 
iimor Laudanum may be added, in extreme eases, as directed above. 



COLIC — ENTEKAGJA. 311 

The carminative teas, before mentioned, and hot applications, are 
useful. The treatment is given in considering the disease, Hysteria, to 
which the reader is referred, if anything additional is needed. 

In rheumatic colic, immediate relief from pain is to be procured as 
before directed for "colic." The rheumatic trouble may generally be 
overcome by the continued use of Salycilic Acid in doses of ten to 
twenty grains, four times a day, given in capsules or medicine wafers. 
For further consideration of the rheumatic condition, the reader is re- 
ferred to the article on Rheumatism. 

The treatment of neuralgic colic is identical with that of neuralgia, 
to which, and to the treatment of neuralgia, the reader is referred. 

In Printers 1 and Painters' 1 Colic ( Saturnine or Lead Colic) the treat- 
ment consists in the first place, in the relief of the extreme pain. This 
is accomplished precisely as is directed for simple colic. The use of 
opiates must be persisted in until relief is obtained. The obstinacy of the 
colic will require their continued administration at varying intervals of 
from one to six hours, for a much longer period than is required in simple 
colic. 

Together with the use of Opium a liniment of one part each of Chloro- 
form, Tincture of Aconite, Laudanum, and three parts Soap Liniment 
may be freely applied over the abdomen. Hot bathing is also useful. 

As a means of relieving the pain of lead colic, used continuously with 
the use of Opium and hot bathing, Alum may be given by the mouth, in 
doses of fifteen grains every two hours. A good formula is this : Take of 
Alum two drams, Aromatic Sulphuric Acid one dram, Syrup of Lemon 
one ounce, Water three ounces. Mix. 

Dose : A tablespoonful every two hours. 

A teaspoonful and a half of Alum may be added to a pint of boiling 
milk, separate the acrid acid of the whey (Alum whey.) The patient 
may take a wineglassful every hour or two. 

After the pain is relieved the elimination of the lead from the system 
may be greatly hastened by free purgation with the saline cathartics. 
The best one for this purpose is the Sulphate of Magnesia (Epsom Salts.) 
Take an ounce of Epsom Salts, Aromatic Sulphuric Acid a dram, Water 
four ounces. Mix. 

Dose : One-fourth part every three hours until free purgation takes 
place. 

After first giving relief with Opium the bowels should be briskly 
moved every day during the treatment, by the use of Epsom Salts. 

The Iodide of Potassium is one of the best remedies to facilitate the 
elimination of lead from the system. Take of a saturated solution of Io- 
dide of Potassium fifteen drops, three times a day and gradually increase 
the dose until the characteristic effects of Iodide are produced. Vary the 
symptoms of an acute catarrh, with the presence of Iodine in the secretion 
from the nose. 

A drink of one dram (teaspoonful) of Aromatic Acid to the pint of 
water sweetened as desired is protective against Lead poisoning. Thor- 
ough cleanliness, washing out the mouth and nose (with a douche), warm 
bathing each evening, and the occasional use of Epsom Salts as a purga- 
tive, should be practiced. 



312 OUR FAMILY PHYSICIAN 

Tu Colic from Copper, the relief of pain as directed for lead eolic, with 
the use of Sulphate of Magnesia for a purgation, are the principal points 
in treatment. Iodide of Potassium given as directed for lead colic, assists 
in throwing the poison off from the system. The same precautions as to 
cleanliness are required as against lead. Milk is said to he a preventive. 

HOMCEOPATHIC TREATMENT. 

Xux- vomica is a valuable remedy in colic, either associated with fla- 
tulency or piles, or in colic arising from a chill, and is particularly indica- 
ted when there is a sensation of fullness and tightness at the upper part of 
the waist; deep-seated or cutting pains in the belly, with acute and hard, 
pressive, and forcing-down sensations, compelling the sufferer to bend 
double; confused headache, with occasional loss of conciousness; flatul- 
ence, aggravation of the pains on the slightest motion, generally disappear- 
ing when at rest ; constipation, coldness and numbness in the hands and 
feet during the paroxysm; at the monthly period in females, when we find 
weight, or violent, deep-seated, aching pain in the belly, dragging pains ex- 
tending to the thigh ; aching and creeping sensation in the same part when 
sitting ; painful pressure towards the terminal bowel. 

Dose : Of a solution of six globules to six teaspoonsf ul of water, give 
a teaspoonful every half hour (in very acute cases), or every hour 
when the pain is not continuous or Insupportable, until distinct 
amelioration or change. 

Pulsatilla is more useful in the affection occurring in females, 
either during the menstrual discharge or at other times, when coming on 
periodically in the evening during cold, damp weather; also when there are 
present a disagreeable tightness and distention of the belly and the upper 
part of the waist, pulsation in the pit of the stomach, aggravation of the suf- 
fering when at rest or in the evening, attended with shivering, which increases 
with the pains, and is mitigated by motion, when it has arisen from over- 
loading the stomach, or from rich, greasy food, with inclination to vomit, 
■flatulence, looseness of the bowels, paleness of the face, livid circle round 
the eyes, and headache ; also hemorrhoidal colic, with fullness of the veins 
of the hands and forehead, restlessness, anxiety, and sleeplessness. 

Dose : A soluti n of six globules, or otherwise, in all respects as direc- 
ted for Nux-vomica. 

Chamomilla is chiefly useful for bilious colic (with looseness of the 
bowels and bilious vomiting) ; or for colic in females during the menstrual 
discharge. The following are the principal indications ; sensation as if 
the intestines were gathered into a ball, and as if the belly were empty, 
with tearing and drawing pains, attended with excessive anxiety and 
restlessness ; distention under tlie lower ribs, and in the pit of tlie stomach; 
incarcerated flatulency, sometimes nausea, bitter vomiting, followed by 
desire to relieve the bowels, and bilious diarrhoea; livid circles round the 
eyes, alternate paleness and redness of the face ; the pains come on parti- 
cularly at night, at times early in the morning, or after a meal. This 
remedy, particularly adapted for children of irritable temperaments, and 
is extremely serviceable in all cases in which a fit of passion has been the 
exciting cause of the sufferings. It is also useful when colic has arisen 
from cold in the feet, or checked perspiration. 

Dose: As for Nux. 



COLIC— ENTEBALGIA. 31o 

GoiiOCYNTH.— In the majority of violent and obstinate eases, we find 
this a most valuable remedy ; it is indicated when the pains are excessive- 
ly violent, and of a constrictive or spasmodic character, or resemble stabbing 
and cutting, as if from knives; sometimes there is a, sensation of clawing 
and pinching, and tenderness of the belly, with a pain as from a blow, or 
distention ; at other times a sense of emptiness is experienced, with 
cramps and shivering, or tearing pains in the legs ; during the continu- 
ance of the attack, we find excessive restlessness, agitation, and tossing 
about, from the violence of the pain ; when the pains come on, they con- 
tinue without any apparent intermission ; after their disappearance, a 
sensation of bruising remains, and the sufferer feels as if the intestines 
were held together by thin threads, likely to break from the slightest mo- 
tion. This remedy, like Chamomilla, is particularly efficacious in the 
so-called bilious colic, being indicated by the loose discharge from the 
bowels, and bilious vomiting attending it ; and also in cases where passion 
has been the exciting cause. OolocyntJi is more particularly useful in the 
case of adults. 

Dose : As for ISTux. 

Belladonna is useful against flatulent colic, when there is protruswn 
of the transverse section of the great intestine, which becomes distended like 
txpad above the navel, attended with colic-like pain, doubling up of the 
body, which is relieved by pressure on the part ; also severe bearing-down 
of the whole intestines ; also in menstrual colic, with spasmodic constric- 
tion in the belly, and a burning pain lower down, or in the small of the 
back; pain in the lower part of the bowels, as if a number of nails toere 
holding the intestines. The symptoms are also attended with a liquid or 
matter-like discharge from the bowels, and swelling of the veins of the 
head ; and the pains are sometimes so violent as almost to deprive the pa- 
tient of reason. 

Dose : Of a solution of six globules to two tablespoon sful of water, 
give a teaspoonful every half hour (in very acute cases), or every 
hour (when the sufferings are not continuous or intolerable), until 
distinct amelioration or change. 

Cocculus is indicated {especially in menstrual or flatulent colic) when 
there are severe constrictive or spasmodic pains and distention of the en- 
tire stomach, with nausea and fullness of the lower part of the belly, great 
flatulence, and difficulty of breathing ; also when there is a sensation of 
emptiness, and tearing and burning pains in the intestines, sometimes 
with squeezing, tearing and pulling pains, excessive anguish and nervous 
excitement ; constipation. 

Dose : As for Bell. 

Arsenicum is often appropriate in cases of colic (bilious), arising from 
disordered stomach, with nausea, vomiting, great relaxation of the bow- 
els, with green or yellow evacuations, violent gripings, headache, pale- 
ness of the face, and blue marks round the eyes. Again, in cases of 
bilious colic, which is prone to be preceded, followed or alternated with 
sick headache, Arsenicum is of great service. 

Dose: As for Nux-vomica. 



314 OUR FAMILY PHYSICIAN. 

Coffea is valuable when we have to prescribe for eulic with excessive 
pains, attended with great agitation, anxiety, and tossing about, grinding 
of the teeth, convulsions, suffocative attacks, oppressive despair, acidity, 
and coldness of the body and extremities. It is also useful in some kinds 
of menstrual colic, denoted by a sensation as if the belly were being rent 
asunder ; or by fullness and pressure in the stomach, and violent spasms, 
which extend to the chest. It is also indicated by cutting pains in the in- 
testines as if divided by a knife, and also by the pains present being so vio- 
lent as almost to drive the patient to distraction, causing him to bend 
double, and draw up his limbs. 

Dose : As for Bell. 

Ignatia is a most valuable remedy for colic, particularly as affecting 
female patients of delicate constitution, and is indicated by the following 
symptoms amongst others: Fullness, tightness and pressive sensation 
across the region which extends along the lower ribs ; accumulation of 
wind in the bowels which is expelled with much difficulty, a relief, how- 
ever, being obtained upon the expulsion of wind; stitching pains in the 
region of the spleen, etc., — more especially however, if the colic occurs, or 
is worse at night. 

Dose : Of a solution of eight globules to three tablespoonsf ul of water, 
give a teaspoonful every hour, (or in very mild cases, every three 
hours), until distinct amelioration or change. 

Iris-versicolor (Blue Flag). Involuntary escape of fluid of an offen- 
sive, putrid and copperyodor. In cholera morbus it arrests the violent 
pain. 

Mercuritjs is a medicine of great value in cases of colic, character- 
ized by the following assemblage of symptoms :— nausea with profuse flow 
of saliva ; voracious appetite with repugnance to sweet things ; frequent 
and troublesome hiccough ; constant and painful urging to evacuate; se- 
vere pinching, drawing, nipping pains, with tightness and hardness of the 
belly particularly about the navel: or tensive, stinging, cutting, or burning 
pains; aggravation of these sufferings at night, and more particularly in 
the latter part of the night; extreme tenderness of the belly upon contact- 
or pressure (the clothes or bed-clothes appear to cause pain) ; sometimes 
looseness of the bowels with slimy evacuations ; considerable prostration 
of strength and chill (or even shuddering), accompanied with flashing of 
the cheeks. Mercurius is also a most important medicine in cases of colic 
associated with wor^is. 

Dose: Of a solution of six globules to three tablespoonsf ul of water, 
give a teaspoonful every half hour until three doses have been given, 
and then every hour until distinct amelioration or change. 

Secale-cornutum is indicated for male patients affected with colic 
attended with pain in the small of the back, eructations and vomiting, or 
dragging, tearing pain in the thighs: — or amongst female patients for colic 
occurring at the menstrual periods, when tearing pains in the bowels, pale- 
ness of the lace, small, weak pulse, coldness of the extremities, and cold 
sweats are predominant symptoms; or when constipation with cramp-like 
pains in the bowels, and burning pains on the right side of the belly 
prevail. 



COLIC— ENTERALGIA. 



315 



Dose : Of a solution of eight globules to three tablespoousf ul of water, 
give a teaspoonf ul every hour until the suffering abates, and then 
every three hours until distinct amelioration or change. 

Carbo-veg. occurs, in many cases of somewhat serious aspect, as a 
medicine of great importance, and is particularly indicated by the follow- 
ing symptoms :— violent pains in the bowels, provoked even by the light- 
est and most wholesome meal : sensation of heat in the head and in the 
bowels; determination of blood to the head, attended with heavy, aching 
pains ; fullness and tightness of the belly so severe, as to convey the sen- 
sation that it would burst, and accompanied with flatulent risings, or ac- 
cumulation of wind with difficulty and oppression of breathing, nipping 
pains and rumbling, and sluggish action of the bowels. Carbo-veg. may 
often be administered with striking success in cases of colic associated 
with piles or with flatulency. 

Dose : As for Bell. 

PREDISPOSITION TO COLIC. 

Sulphur is amongst the most valuable remedies in the generality of 
cases in which a constitutional predisposition to affections of this nature is 
evinced by the failure of other medicines to afford permanent relief. 
Wherefore, in particular, if Nux-vomica, or Carbo-veg., or if both have been 
employed as above directed, in cases of colic associated with piles, but 
have failed in obviating the repeated recurrence of the attacks, the perse- 
vering administration of Sulphur becomes necessary. The same may also 
be said of bilious colic, in which Chamomilla or Colocynth, or both have 
been employed with similar results. The same remark is equally applica- 
ble to cases of flatulent colic, in which Nuoc-vomica, Carbo-veg., Chamomilla 
or Cocculus, or two or more of these medicines, have been previously em- 
ployed in like manner. 

Dose : During the continuance of an acute attack, of a solution of six 
globules to two tablespoonsful of water, give a teaspoonful every 
hour until relief is obtained. Subsequently, however, give six glo- 
bules in a wineglassf ul of water every morning the first thing {fast- 
ing), for ten days, (unless collateral symptoms should appear in the 
meanwhile) — after which, pause four days, and resume the course 
as before (if necessary), and so on until the symptoms are perman- 
ently subdued or undergo a distinct change. 

WORM COLIC. 

As this is in point of fact, a mere symptom dependent upon the pres- 
ence of Worms in the intestinal canal, or upon the cases which promote 
the generation of these parasites, the subject will be more accurately con- 
sidered in the article devoted especially to that subject, — to which there- 
fore the reader is referred. 

HOME MEASURES IN CASUAL ATTACKS. 

In cases of colic, arising suddenly from indigestible food, a cup of black 
coffee, without milk or sugar, will frequently afford relief, by causing the 
stomach to free itself from the caus of annoyance: — that is, in patients 
who have not used that article as an ordinary beverage. 

Diet and Regimen. In this, as in all other complaints arising out of 
derangements affecting the functions or organs of digestion, the diet and 



316 OTJR FAMILY PHYSICIAN. 

general habits, or the particular precautions in individual eases, should be 
regulated in conformity with the directions afforded under the head of 
"Indigestion." If particular food or drink, such as raw fruit, milk or cold 

things, be apt to provoke an attack of colic, the particular food or drink in 
question, in every particular case, should he carefully avoided. 



CONSTIPATION WITH DETERMINATION OF BLOOD TO THE 

HEAD. 

ALLOPATHIC TREATMENT. 

Constipation is to be treated, always, with reference to the producing 
cause. In temporary constipation, as that of pregnancy, and in recovery 
from acute disease, is to be met, chiefly, by attention to the diet; but, if 
this fail, recourse should be had to laxatives or, possibly, in the first 
place, to an active purge. If there is complete obstruction, the disease is 
too serious to be tampered with by any but the most skillful man. 

In habitual constipation, there should be a regular effort at stool, at 
a regular time, whether the desire exists or not. The preferable time for 
this is soon after breakfast. As a preventive of constipation never should 
the natural desire to go to stool be voluntarily restrained. 

The constipation should be remedied as far as possible without medi- 
cines, but by laxitive food. Vegetable diet tends toward a looseness of 
the bowels, and animal food, by being almost wholly absorbed, to consti- 
pation. The articles of diet to be preferred for this end are, cracked 
wheat, Graham flour, Indian meal or hominy, and oat meal prepared ac- 
cording to the art of the kitchen, eaten with cream and sugar, or with 
butter and molasses. 

Almost all kinds of fruit, taken quite freely, are advantageous in 
overcoming constipation. Molasses and brown sugar aid to make the 
bowels more lax. Milk is constipating, but only, I believe, because it is 
almost wholly absorbed. 

Xone of these articles of diet are to be used if they disorder digestion 
or occasion other disturbance. Sometimes more harm is done by burden- 
ing the stomach and bowels with articles difficult of digestion, or loading 
the intestines with unbolted flour, than could be done by the consti- 
pation. 

In the use of medicines, the patient should not, as a rule, be phys- 
iced, but the least active medicines which will accomplish the result, are 
to be used. If, however, constipation has for a long time been present, 
and the bowels tilled with fecal accumulations, a cathartic which will 
thoroughly empty them is a necessity. For this purpose, a tablespoonful 
of Epsom Salts is a most efficient remedy. If boiled with a teaspoonful 
and a half of roasted coffee, for a couple of minutes in an earthen vessel, 
and after it is allowed to draw for a few minutes and strained, the taste 
will be covered. 

A tablespoonful of Castor Oil, mixed with an equal quantity of (Gly- 
cerine, flavored with a couple of drops of Oil of Cinnamon is appropri- 



CONSTIPATION. 317 

ate under the same conditions. From three to rive Compound Cathartic 
Pills, are also suitable for an immediate cathartic. 

Cathartics must not be frequently repeated, as this secon dary effect is 
to render the bowels torpid ; therefore, the smallest dose and the mildest 
means which will accomplish the result, should be resorted to, and pref- 
erably those which have the peculiarity of not causing constipation after 
their action. One of the best of this class is Aloes. As a cathartic, the 
dose is from two to ten grains, but a fraction of a grain with tonics suf- 
fices, generally. The remedy is well suited to all causes of debility in 
this disease, and to cases of hypochondria as with constipation. 

With sedentary persons who cannot change their occupation to an 
active life, and women who suffer from a torpor of the intestines, and 
consequent constipation, the following pill will be found, in most cases, 
to overcome the trouble: Take of Extract of Nnx-vomica, Extract of Bel- 
ladonna, each ten grains, Powdered Aloes fifteen grains, Extract of Dan- 
delion thirty grains. Mix well, and divide into thirty pills. Take one 
pill at night. If the bowels do not move the next morning, another pill 
should be taken, but usually one day will be sufficient. If this proves too 
active, the Aloes should be omitted from the formula. The directions for 
taking will be the same. 

After the bowels have been moving regularly for a long time, the pill 
should be omitted, and only taken again if the regular opening of the 
bowel does not continue. 

For those who cannot take a pill, the same remedy may be given in 
fluid. Take of Tincture of Nux-vomica and Tincture of Belladonna each 
two and a half drams, and of Tincture of Aloes and Fluid Extract of 
Dandelion each five and a half drams. Mix. Dose : A teaspoonful, un- 
der the same conditions. The Dandelion is not necessary to the efficiency 
of the prescription. 

The Belladonna and Nux Vomica restore the tone and healthy action 
of the intestine and seem, in my judgment, essential, particularly the lat- 
ter, for the cure of many cases of constipation. There are many pills in 
the market for the relief of constipation, which have merit, as the Eceo- 
protic pill of Win. Warner & Co., and the Aperient pills of other leading 
pharmaceutists. Before purchasing any of them, it should be ascertained 
that they contain Extracts of Nux Vomica and Belladonna or Hyos- 
cyamus. 

From ten to twenty drops of the Tincture of Colchicum after each 
meal will often overcome constipation. Podophyllum is an appropriate 
laxative for constipation, a quarter of a grain is an appropriate dose. It 
is often used with benefit with Belladonna, and Nux Vomica, as may also 
be the Compound Extract of Coloeynth, the dose of which for this pur- 
pose being two grains. One or two Compound Cathartic pills at night 
relieve constipation, but do not produce a cure as a rule without the use of 
Nux Vomica or Strychnine. 

Senna is not inappropriate as a laxative. The Confection of Senna 
may be eaten, one or two teaspoonsful at a time, or a tea of ten ounces of 
Senna leaves to a pint of water may be made, and one to four ounces taken 
at a time. 

Co-existing dyspepsia will require treatment as directed in that dig- 



318 OUR FAMILY PHYSICIAN. 

ease. A general debility will require tonics of Quinine and Iron. The 
Citrate of Iron and Quinine two drams and a half, dissolved in four 
ounces of Syrup of Orange Flowers, is one of the best tonics. 

Dose: A teaspoonful three times a day. 

The Syrup or Elixir of Iron, Quinine, and Strychnine, in doses of a 
teaspoonful three times a day are appropriate. Many other tonics might 
be given, and particularly suitable to cases afflicted with constipation. 

If a person is of a full habit, a teaspoonful of Epsom Salts daily, is an 
effectual remedy for his habitual constipation. 

The regular use of an injection of cold water is a simple and often 
effectual temporary measure for relieving constipation. A piece of hard 
soap, about the size and shape of a pigeon's egg, will sometimes excite a 
movement of the bowels. These are only temporarily useful. An effect- 
ual cure almost always depends upon the will, establishing the habit of 
a regular motion, with the tone restored to the intestine by the use of 
]^ux Vomica and Belladonna. If these are given for a time with Aloes 
or Podophyllum the cathartic should then be omitted and the Bella- 
donna and Xux Vomica given alone. 

If the plan before suggested of having a regular time for stool and 
allowing nothing to interfere with it were rigidly carried out, and taught 
by parents to their children, constipation would be a disease as seldom 
met with as it is frequent now. 

HOMOEOPATHIC TREATMENT. 

Aconitum, Belladonna. One or both of these medicines may be 
advantageously administered, singly, in alternation, or in succession, and 
in addition to such as have been mentioned with detailed indications 
(such as Opium, Xux-v. etc. ), when the constipation is associated with 
predominant fullness of the vessels of the head. 

Dose: Of either medicine, as selected, give three globules in a tea- 
spoonful of water, every six hours, until the predominant head- 
symptoms are modified, and then every twelve hours, until positive 
amelioration or change. 

HOME MEASURES. 

In all cases of an inveterate or chronic nature, recourse may, occa- 
sionally, be had to an enema, or lavement of tepid or of cold water, as a 
temporary mode of relief, until the medicine has effected the desired re- 
sult. The drinking of a tumblerful, or more, of cold water, thrice a day, 
when fasting,— dashing cold water against the belly, and then applying 
brisk friction, by means of a coarse towel,— combined with early rising, 
find daily exercise, (not violent or beyond the strength of the patient, so 
as to cause Buffering,) will be found useful auxiliaries in promoting a reg- 
ular action of the bowels. 

Electro-magnetlSTTl is another, ami most useful, auxiliary, either in 

cases arising from culpable neglect, or indolence, or from inability, or im- 
practicability, to relieve nature whilst traveling. In chronic cases aris- 
ing from Inertness of the bowels, or a sorl of intestinal paralytic debility, 
the application of electro-magnetism is often superior to any other aux- 
iliary' 



HJEMOKKHOIDS— PILES. 319 

Diet. The diet ought to be regulated according to the state of the 
primary digestive organs, and highly seasoned food, or that which eon- 
tains much fibrous or ligneous matter, such as radishes, cabbages, turnips, 
green fruits, etc., should be avoided. 



HEMORRHOIDS. 

PILES. 

Symptoms. Enlargement of the veins, or effusion of blood in the cel- 
lular tissue of the terminal bowel, either within or without the funda- 
ment (internal or external piles); or protrusion and distention of one or 
more of the inner foldings of the same intestine, with or without bleeding 
(open or blind piles), preceded or accompanied by pains in the back, the 
base of the spinal colum, and belly ; sensation of itching, prickling, tick- 
ling, burning, or pressing at the terminal bowel, sometimes extending to 
the adjacent parts, with, in general, constipation, and not unfrequently 
derangements of the urinary organs. 

Predisposing causes. The predisposing causes of the disease are : 
1. A constitutional taint. 2. Local debilitation of the vessels by contin- 
ued excesses, by abuse of warm drinks, purgings, or injections, etc. 

Exciting causes. Among the exciting causes are, habitual costive- 
ness, severe exertion on horse-back, use of drastic medicines, of warm, 
stimulating diet, or of vinous, alcoholic, and fermented drinks, tea or cof- 
fee, the excessive use of seasoned food and spices, the suppression of long- 
continued discharges, sedentary habits, sitting on a cold seat or on damp 
ground, the pressure of the gravid womb, tight-lacing, or any other cause 
of local pressure, morbid accumulation of blood in the liver, mental emo- 
tions, etc. 

The painful practice among surgeons of removing the hemorrhoidal 
excrescences by means of the knife or ligature, is much to be deprecated ; 
for, independently of the danger not unfrequently attending the opera- 
tion, it may occasion serious consequences by a sudden transfer of the 
congestion to some of the noble organs ; in a great number of cases, more- 
over, it wholly fails, and the disease returns, sometimes even in an aggra- 
vated form. 

ALLOPATHIC TRREATMENT. 

Treatment of Haemorrhoids (Piles) will consist in the first place in 
the avoidance of those causes which predispose to congestion of the veins 
of the rectum (lower bowels.) Active out door life must take the place of 
sedentary occupation. Constipation must be completely remedied by the 
means directed for that disease. Attention to diet and the regular habit 
of emptying the bowels being all-important. Cathartics nor injections 
will not answer this purpose, though, as directed for constipation, a free 
cathartic will be necessary, when the bowels have been for a long time 
inactive and the bowels filled with fecal accumulations. When this con- 
dition of the bowels is attended with recurring attacks of bleeding the 
cathartic is especially useful. 



320 OUR FAMILY PHYSICIAN. 

Straining at stool must be avoided, neither must the patient remain 
long setting at stool. The inflammation which causes futile efforts at 
straining, must be restrained by anodyne remedies. These efforts increase 
the congestion and contribute towards the formation of tumors. Diar- 
rhoea must be treated as directed in that disease. The lax condition of 
the tissues in diarrhoea aids in the development of piles. 

Immediately after the evacuation of the bowels has occurred the anus 
(opening of the bowel) and the protruding piles should be bathed with cold 
water. The parts should be carefully dried and annointed with an 
ointment made by the following formula : Take of Tannin a dram (sixty 
grains), Pulverized Opium a scruple (twenty grains), and Stramonium 
Ointment an ounce. Mix. Five grains of Morphine may be used instead 
of the Opium. In the absence of this ointment before the piles are re- 
turned they should be washed and dried as before, and lubricated with 
Cold Cream, Sweet (Olive) Oil, or Glycerine, before they are returned. 

When the piles are protruding, they can be more readily pressed back 
when the patient is in a stooping position with the hips raised, or sup- 
ported on his knees, while the chest and head rest on the bed. If the 
piles become swollen and inflamed and cannot be returned, the patient 
should remain in bed and cold applications, as cold water, or a cloth wet 
in a solution of Sugar of Lead thirty grains, Acetate of Morphine ten 
grains, in a pint of soft water, or poultices, may be used. 

The above ointment may be made more curative by thoroughly mix- 
ing with it half a dram of Iodine. At night the ointment should be ap- 
plied again, and if the piles have not protruded, it should be introduced 
into the rectum with a suppository tube. 

Much suffering may be avoided by establishing the habit of having 
the regular movement of the bowels occur just before bedtime, after which 
if the piles are returned, as before directed, the sphincter muscle recovers 
its tone duriug the night, and the tumor of piles does not escape during 
the next day. By removing this much irritation, so much has been 
done toward a cure. 

The stools may be rendered soft and unirritating by taking one or 
two teaspoonsful a day of the following mixture in water: Take of each 
Magnesia, Sulphate of Magnesia, Precipitated Sulphur, and Sugar of 
Milk, au ounce, and Pulverized Anise Seed half an ounce. Mix well. 

The use of Ergot and Nux-vomica will often overcome the laxity of 
i he tissues about the rectum, which predispose to piles, as : Take of Er- 
gotine (Squibb's Extract) a drain, Extract of Nux-vomica fifteen grains; 
make into thirty pills and give one night and morning; or take of Fluid 
Ext racl of Ergot one and a half ounces, Tincture of Nux-vomica half an 
ounce. Mix. Take a teaspoonful morning and evening. 

II is claimed a cure can be effected by the faithful application of a 
lotion of iodine, Tannin and Stramonium, every night, to the part. Take 
of Iodine thirty mains, Iodide of Potassium six grains, Water eight 
drops [8 sufficient, < Jlycerine an ounce. Mix, and add to the mixture 1 \s o 
drams of Tannin, and afterward mix with it, in a mortar, a dram of 
Extract of Stramonium moistened with sufficient water. Label Pile 
Lotion. Thii solution, to be beneficial, should be applied every night. 



HAEMORRHOIDS— PILES. 321 

A suppository of tallow may be formed, with, the fingers dipped in this 
mixture, and inserted into the rectum at night, and allowed to remain 
until morning. If a greater anodyne effect is desired, five grains of 
morphine may be added to the solution. 

The farther treatment, if required, belongs to the practical surgeon. 
The most approved and most efficient treatment for the cure of pile is the 
old and well-tested operation of tieing them off. The cure, by this 
means, is the most invariably complete of any method known. The 
plan is to thoroughly empty the bowel with Epsom Salts or Castor Oil 
the evening before the operation. In the morning the patient should, 
a couple of hours before the operation, take a large injection of a quart 
or more of warm water, and then take a half a grain of Opium. Then 
the anaesthetic can be given the tumors exposed with a Thebault's 
anal Speculum, and the tumors brought within reach with a Vulsellum. 
A large needle with a stout silk thread is passed through the base of the 
tumor, the needle removed and the thread tied tight on each side of 
the tumor, but not tight enough to sever the tumor. Two tumors oper- 
ated on in this way on each side of the gut, is sufficient to cause the 
cure of the others, if any exist. The patient will remain in bed, the 
pain relieved by Opium in doses of a grain. The bowels should not be 
moved until the fourth day, when Castor Oil may be given, followed by 
an injection of warm water . After the operation, the urine (water) will gen- 
erally require removing with a catheter. If the operation is to be done 
without an anaesthetic the cathartic should be given only about five hours 
before the expected operation, and, after they move, the warm water in- 
jection is given and the patient brings down the tumors by straining over 
a vessel of warm water. When the tumors are down they are tied as be- 
fore directed. 

Small folds of membrane may protrude from the anus; when inflamed 
they are troublesome and frequently bleed. They should be removed 
with the scissors, if not inflamed, and if bleeding follow, Sub-Sulphate of 
Iron ought to be immediately applied to stop it. 

Other plans of treatment are by excision, the hot iron, Nitric Acid, 
the galvanic cautery or the ecraseur ; but the plan of tieing them off is 
to be preferred. The object is to obliterate the tumors. 

The plan of causing the obliteration of the tumors by injecting Car- 
bolic Acid into each tumor, with a hypodermic syringe has come quite 
generally into vogue. A mixture of one part Carbolic Acid to three parts 
of Glycerine. Four to six drops may be injected into each tumor. A 
coagulation is immediately formed in the tumor, which results in its ob- 
literation. Carbolic Acid, applied to the tissues, is an anaesthetic, so this 
operation is not painful, but the inflammation which sometimes results, 
causes so much suffering as to call for anodynes. For this purpose, Opi- 
um and Belladonna may be given by injection into the rectum — a tea- 
spoonful of Laudanum and ten to fifteen drops of the Fluid Extract of 
Belladonna, in a little Glycerine, will be quite effectual in controlling the 
inflammation and pain. The injection may be repeated in twelve hours, 
if necessary. Further means for relieving pain should be by Opium giv- 
en by the mouth. For this plan of treatment, the same preparation is 
21 



322 OUR FAMILY PHYSICIAN. 

required as for the operation by the ligature (tieing off), and the after- 
treatment will be the same. 

To prevent the return of piles, after a cure, attention to the general 
habit is necessary. The regular evacuation of the bowels, and keeping 
the fecal discharges in a soft state by diet and laxatives, as is directed for 
constipation. 

HOMOEOPATHIC TREATMENT. 
Nux-vomica is a most valuable remedy in this affection, and is very 
efficacious against both descriptions of piles, but especially against bleed- 
ing piles, particularly for individuals who lead a sedentary life, or who 
indulge in the use of coffee or stimulating liquids, and also for females 
during pregnancy— when the haemorrhoids are attended with shooting, 
burning, or itching pains, colic, shooting and jerking pain, or pain as if 
from a bruise in the loins, rendering it difficult to rise or walk in an erect 
position ; and when they are accompanied by constipation and sometimes 
painful and difficult passing of water, and the other symptoms described, 
as indicating this medicine, under the head of "Indigestion." 

Dose : Eight pills in a teaspoonful of water, night and morning, until 
amelioration or change. 

Sulphur may follow the administration of JSTux-vomica; and an 
alternation of these remedies, at intervals of a week or ten days, frequent- 
ly effects a cure in cases of long standing. 

Dose : If to follow Nux-vomica, to complete the cure, give six globules 
in a wineglassful of water, every morning the first thing (fasting) 
for ten days. 

Pulsatilla. — Discharge of blood and mucus during stool, and at 
other times, with painful smarting and sensation of excoriation in the 
piles, pains in the back, pallid countenance and disposition to fainting ; 
difficulty in passing water. 

Do.se: Of a solution of eight globules to six teaspoonsful of water (to 
which add ten drops of alcohol), give a teaspoonful morning and 
evening, until the whole is consumed. If further treatment then 
be requisite, pause four days, and recontinue the course in like 
manner. 

Ignatia is indicated by itching and creeping, and also sensation of 
constriction and excoriation in the posterior passage, and prickings ex- 
tending deep into the lower intestine ; discharge of blood or of bloody 
mucus, rumbling noise in the belly, and protrusion of the lower intestine, 
accompanied with acute pain. 

Dose: Three globules in a teaspoonful of water, every twelve hours, 
until amelioration or change. 

Antimonium-crudum.— Discharge of mucus and of blood at every 

stool, followed by severe colic and pains in the piles, with throbbing, itching 

and burning at the fundament, and discharge of glutinous, acrid moisture, 

particularly at night ; frequent determination of blood to the head, with 

bleeding at the nose; stillness in the back, shooting pains in the loins, 

burning and rheumatic pains in the limbs, flatulency and constipation 

Dose: Of a solution of six globules to two tablespoonsful of water, 

give ;i teaspoonful every six hours, until four doses have been]given, 

:tnd then every twelve hours, until positive change. 



WORMS. 323 

HOME REMEDIES. 

Take four or five ripe buckeyes just after they come from the tree, re- 
move the outer brownish shell from them ; slice them up fine. Put them 
in a tin cup with enough melted lard to cover them ; let them simmer or 
steep near a fire for an hour or two. Then strain and press out the lard, 
and when cool, it (the lard) is fit for use. A little of this ointment must be 
applied to the tumors and within the bowel twice a day. 

Take the leaves of Mullen, a large handful. Put in a quart of cold 
soft water and place over the fire ; let it simmer until reduced to a pint ; 
then take out all the leaves, pressing them as dry as possible. Now put 
all the remaining liquor back over the fire and let it remain until reduced 
to one-fourth pint or less ; put in three tablespoonsful of good, clean lard, and 
a lump of beeswax as large as a hulled black walnut ; let it simmer until 
all the water has passed off in steam, then take off the fire and stir until 
almost cold, when you will have a nice smooth salve. 

To use. — Apply a little of the salve to all the affected parts two or 
three times a day, rubbing it in well with the finger, reaching well up the 
bowel. This is reliable and gives permanent relief. 

The surgical operation for the radical cure of Piles, which has been 
of very late years introduced among physicians, and also used to a great ex- 
tent by specialists who have uniformly charged from fifty to five hundred 
dollars and even more for the operation, is only this simple thing : Take of 
Carbolic Acid fifteen grains, of pure Glycerine seventy-five grains. Mix. 
Of this inject with a hypodermic syringe one to three drops (owing to the 
size of the tumor) into each tumor. This causes the formation of pus or 
matter and the absolute destruction of the piles, but the pain after the 
operation is very great and also needless. One hour before the operation 
an injection of one dram of Tincture of ISTux Vomica, one dram Tincture 
of Stramonium and one dram Laudanum to a quart of water should be 
used. After the operation, a salve made by adding one dram Arnica 
Flower, one dram Stramonium (Jimstown Weed) leaves dry, one dram 
Tincture of Aconite, to a quart of water ; let it simmer slowly until it is 
reduced to one half pint, then add half a pound of good lard and an ounce 
of beeswax. Let this evaporate on the back of the stove, or near the fire 
until all the water is gone, which will be when there is no more steam 
from it. It will burn very easy. Then pour off and press out all you can 
from the leaves, etc., and use to rub well on all the affected parts two or 
three times a day, being careful to reach as far up the bowel as you can. 
With these precautions you will make a sure, safe, and almost painless 
cure. 

It will be best to go to some good, careful doctor who knows his busi- 
ness, to get the hypodermic injections made. The rest you can do just as 
well. 



WORMS. 

HELMINTHIASIS. IN V ERMINATION. 

The number of worms that are found more or less frequently in the 
human bowels is very large. Here we will name and speak of three 



324 OUR FAMILY PHYSICIAN. 

varieties as being the ones likely to produce any of the symptoms of dis- 
ease. 

First : Pin worms or thread worms. 

Second : Long round worm or Lumbricoid. 

Third : Tape worm or Tamia. 

First : The pin worm is the smallest of the three ; it is one-third to 
one-half an inch long and as thick as common size thread. It has a very 
small swelling which it uses for, and out of courtesy we call it, its head. 
Usually it is found only in the very last part of the intestine and some- 
times in the vagina, into which it crawls from the anus. At times, only 
a few are seen together; sometimes, however, they occur crowded together 
in large masses, most generally among children. 

The symptoms occasioned by this worm, vary a great deal. One of 
the most common, is a violent, distressing itching of the anus, especially 
in the evening and at night, and disturbing sleep a great deal. Some 
children are driven almost frantic by this itching, and are tormented by 
an almost unaccountable nervousness in consequence of it. Among 
adults, this itching is scarcely ever so painful and severe. The irritation 
caused by the worms, sometimes occasions a catarrhal affection of the 
mucous membrane of the rectum, or a spasmodic contraction of the 
sphincter, with a constant urging to stool, which is not less distressing 
than the itching. If a large number of them penetrate into the vagina 
they cause severe itching, whites, and the constant rubbing is apt to give 
rise to self-abuse. Beside these less important results, we sometimes meet 
without any otherwise assignable cause, with more important disturban- 
ces, principally of the central nervous system, sometimes resulting in 
indefinite spasmodic movements, and at other times in eclampsia, epilep- 
sy, chorea, etc. We cannot prove that these affections are caused by 
worms, but this seems the more probable, as a removal of the worms is 
sometimes succeeded by an entire disappearance of the nervous dis- 
ease. 

ALLOPATHIC TREATMENT. 

Worms. For practical purposes, it is sufficient to divide the treat- 
ment for worms into that for seat worms (ascarides), also called " pin- 
worms " and thread-worms. Round worms (lumbrici), and tape worms 
(taeniae). 

Seat worms inhabit the lower bowel (rectum) and large intestine. In 
females, they sometimes invade the vagina. They deposit their eggs in 
the folds of the anus and vagina. Remedies, to be effective, must be ap- 
plied to these parts. One of the best and simplest is a large injection of 
a solution of common Salt, repeated every third or fourth day until three 
or four injections arc given. Some of the same solution should be applied 
to the folds of the anus, and, with female children, to the folds of the ex- 
ternal genitals. 

Incases of females, an injection maybe required into the vagina. 
One injection will kill all the worms that it touches, but the eggs hatch 
in three or four days, so that the injection needs repeating. 

Tea i infusion) of Quassia is, also, effective as an injection. The 
strength of this tea is two ounces of Qassia chips to a quart of water. 



WORMS. 325 

A weak decoction (tea) of Aloes may, also, be used for the same pur- 
pose. 

In case the last two remedies are used, a solution of Carbolic Acid 
should be applied with a sponge to the folds of the anus and external 
genitals of female children. 

Should the worms continue to appear, it indicates that they lodge 
high up in the intestine, and a few doses of Santonine of two to five grains 
to an adult, and half a grain to a grain to a child, should be given two or 
three times a day, for two or three days, followed by a purge of twenty 
grains of Calomel for an adult, or five to ten grains for a child, or of Cas- 
tor Oil. 

The Santonine may be given powdered with a little sugar. After the 
purge, the injections will complete the cure. 

HOMCEOPATHIC TREATMENT. 

Of all three kinds of worms the expulsion of the pin worm is by all 
odds the most difficult. Internal remedies can do very little good, as these 
little pests have their home in the very lowest part of the bowels, where 
medicine taken by the mouth cannot reach them to do any good. But a 
solution of salt in water about two teaspoonsful to the pint ivill reach 
them, if used as an injection, and repeated a few times. Or a decoction 
(tea) of common garlic {Allium Sativum) used in full injections fcr a 
month; at intervals of three or four days, will make them seek a more 
pleasant place. 

A few doses of Cina. or Sulph. will remove any unpleasant constitu- 
tional symptoms remaining after the removal of the worms. 

Dose: Of either, six pills dissolved in a teaspoonful of water every 
morning before eating. 

Long worm (lumbricoides). The intestinal long worm is the most 
common of all. It is from six to twelve inches long, has a cylindrical 
body of the size of a goose-quill, tapering at both ends. Its common abode 
is the small intestine ; exceptionally the worm wanders into the stomach. 
Very seldom only one worm is present in the intestine, generally there 
are several together, sometimes as many as twenty or thirty, and even 
many more. 

The symptoms caused by the presence of these worms, vary greatly. 
In the majority of cases there are no very prominent symptoms present; 
it is only by accident that the presence of worms is generally discovered; 
the only S3 T mptom is perhaps an increased longing for bread, and pota- 
toes ; and perhaps a less fresh and healthy complexion. More deep-seated 
and more general derangements, may be caused by a number of worms 
together, or by the agglomeration of the worms into large balls, or by 
their entrance into some other organ ; or else the bowels may be exceed- 
ingly irritable, in consequence of which a small number of worms may 
cause intestinal catarrh or enteritis, together with their consequences. 
Among these latter, we number the nervous phenomena caused by 
worms, which have already been mentioned in the paragraph onpin- 
worms. 

The ailments caused by lumbrici, often resemble greatly other more 
or less important processes, such as gastric fevers, typhus, dysentery, and 



326 OUR FAMILY PHYSICIAN. 

likewise the above-mentioned nervous derangements ; it is of no small 
importance to ascertain their origin at an early period. These nervous 
derangements manifest themselves by various phenomena, of more or 
less constant occurrence. The appetite becomes fitful, or the patient has 
a more or less exclusive, or, at any rate, decided hankering for farinaceous 
food ; the nose and anus itch violently ; the pupils are considerably di- 
lated ; the eyes are surrounded with dark margins; the patients are of a 
changeable and irritable mood ; bowels act irregularly, at times consti- 
pated, at other times alternately constipated and loose, with frequent 
changes of this character. It sometimes happens, that their irritation 
occasions a. real gastric fever, which does not always disappear immedi- 
ately after the removal of the worms; large balls of these worms, may even 
cause the same functional or structural changes as hard masses of fecal mat- 
ter. Properly speaking, it is only in children, that lumbrici cause nervous 
derangements, and it is well, when these derangements manifest them- 
selves, that you should direct your attention to the presence of worms. 

In giving medicines for worms, the bowels should be as empty as 
they conveniently can, so that the remedy may act on the worms as en- 
ergetically as possible. For this reason, it is best to give remedies for 
worms in the morning before breakfast, and if cases are rebellious, the 
patient should abstain from eating till noon, or through the day. 

Medicines ought not to be given to children, for worms, merely on 
suspicion, but only when there is positive evidence of their presence. 

For round worms, one of the most efficient remedies is the Fluid Ex- 
tract of Pink Root and Senna. The dose for an adult is a tablespoonful, 
and half a teaspoonful to a teaspoonful for children, every four hours un- 
til it purges. This will probably end the round worm. 

Wormseed Oil, in doses of five to fifteen drops on sugar, three times a 
day for two or three days, followed by a purge of Castor Oil, is successful 
treatment. It may also be given with the Fluid Extract of Pink Root 
and Senna. 

Santonine is an efficient remedy against the round worm. It is 
tasteless, and may be given with sugar, or sprinkled on bread and but- 
ter. The dose is from half a grain to five grains, according to the age of 
the patient. It should be given three times a day for a couple of days, 
followed by a purge of Calomel or Castor Oil. After the purge, it should 
be given for a couple of days, to destroy any worm which may recently 
hatch. 

Another effectual plan is to take a purge in the morning, fast during 
the day, and take at night five grains of Santonine with twenty grains of 
Calomel, for an adult, or one or two grains of Santonine and five grains of 
Calomel for a child. The next morning a purge of Senna should be ta- 
ken. An infusion (tea) of Senna for this purpose may be made by steep- 
ing an ounce of Senna leaves in a pint of water. One. fourth of this is a 
dose for an adult, and one or two tablespoonsful for a child. It can be 
flavored and sweetened to suit the taste. 

The common remedy, Turpentine, ought not to be given, unless ne- 
cessity compels it. It is not reliable against worms unless given in doses 
of a tablespoonful, and then unpleasant effects may follow. If used, it 
should be given with twice the amount of Castor Oil. 

\ 



WORMS. 327 

HOMOEOPATHIC TREATMENT. 

The long worm is most surely removed by Cina. (worm seed) and the 
form in which it is best is the Santonine (an alkaloid of worm seed as 
Quinine is of Peruvian Bark.) This can be given in doses of one or two 
grains, twice each evening for two days; then omit for one week and 
repeat until twelve doses are taken. This remedy can usually be obtain- 
ed in the shape of candy called Santonine Lozenges containing one grain 
each, and are to be given as directed above. 

After the child has taken this remedy, the clothing or bedding which 
comes in contact with the urine is almost always stained yellow or straw- 
color, which is no cause for any alarm. It is best to keep the child from 
eating farinaceous food the day previous to taking the medicine. 

For conditions or symptoms remaining after the worms are removed, 
see Cina, flux Vomica, Spigelia, Mercurius, Pulsatilla, at the close of this 
chapter. 

The Tjsnia or tape- worm is from three feet to twenty or more yards 
long, is smooth the best part of its length, and about a quarter to a half 
of an inch wide; towards the extremity representing the head, its 
shape is more rounded and thin, and the head itself is thin as a 
thread. The color is of a faintish white, with a yellowish tint. 
The worm consists of the very small head, which is sucked fast in 
the intestinal mucous membrane, and to which a neck of the thinness of 
a thread, and half an inch in length, is attached, from which neck, the 
single links of the worm afterwards proceed. At first these links are nar- 
row, but rather short than broad, so that the worm exhibits a series of 
closely-crowded transverse lines ; the further removed from the head the 
more the length of these links increases in proportion to their breadth, 
until the last links acquire a length of half an inch to one inch and more. 

The worm grows in length from the head outward, until the last full- 
grown links become, sooner or later, detached, and are expelled with the 
stool. The taenia has its principal abode in the small intestines, and is 
only exceptionally met with in the large. Generally, there is only one 
taenia found in the same individual, although we are acquainted with 
one case where twenty-one worms were discharged by the same person. 
Such cases are, of course, very rare. 

As in the case of other worms, so are the disturbances caused by the 
taenia exceedingly various, both in kind and degree of intensity. It may 
be safely asserted that, in the majority of cases, the taenia causes very lit- 
tle trouble, and that the patients do not become aware of its existence 
until a few links have been expelled with the stools, when a variety of 
ailments and distresses are forthwith traced to the taenia, which, in real- 
ity, are the work of the imagination, rather than of the taenia. The 
mildest disturbances which the taenia occasions, are winding, twisting, 
colicky pains around the navel, not very intense, setting in paroxysm- 
ally, more particularly after eating certain kinds of food, and in the 
morning when the stomach is yet empty. Generally, these pains are as- 
sociated with a little nausea, or even with a sensation of canine hunger, 
but these symptoms are so trifling that they are only complained of when 
the patient has become perfectly certain that a taenia is growing in his 
bowels. Under circumstances which it is difficult to analyze, more in- 



32S OUK FAMILY PHYSICIAN. 

tense disturbances may show themselves, a disconnected enumeration of 
which we here subjoin : violent colicky pains in the bowels, or a creep- 
ing or crawling sensation as from a worm, around the umbilicus, with 
increased secretion of saliva, nausea, even vomiting, especially after eat- 
ing fermented food, herring, sharp condiments, sour fruit. Increased 
appetite, canine hunger, in spite of which the patient emaciates ; itching 
of the nose and anus ; sickly complexion ; low spirits and irritable mood; 
irregular stool, alternately normal and diarrhoea ; headache, disturbed 
sleep, vivid dreams ; palpitation of the heart ; changes in the sound of 
the voice. Finally, the above-mentioned more striking affections of the 
general nervous system, which can be traced with more certainty to the 
presence of taenia. 

The presence of taenia can only be diagnosed, with perfect certainty, 
if the patient has actually passed links of the worm. Many lay-persons 
are too anxious to attribute their ailments, gastric derangements, such as 
heart-burn, water-brash, etc., to the presence of taenia; especially if they 
experience a sensation as if a worm were crawling about in the stomach, 
or up the oesophagus ; if, in such a case, no links are passed within a few 
weeks, it is pretty certain that there is no taenia. Most links are passed 
spontaneously at the time of the new moon. 

In the treatment of tape-worm the patient should fast for a day, tak- 
ing a little milk or beef tea only. In the evening a purge should be 
taken of a tablespoonful of Castor Oil, a tablespoonful of Epsom Salts or 
three drops of Croton Oil. After this purge operates, the worm is 
exposed to the full effect of the medicine, which should then be taken. 

One of the most efficient remedies we have against tape-worm is 
Pumpkin Seed. Two ounces of fresh seeds are to be pounded in a mortar 
with half a pint of water until the husks are separated and the meats 
thoroughly incorporated with the water. The mixture is strained and 
taken, the fasting in the meantime continuing. The dose may be repeat- 
ed in three hours, and in three hours more a purge of Castor Oil should be 
taken. If the worm is not removed, head and all, the treatment is to be 
repeated the next day. 

The pressed Oil of Pumpkin Seed may be given instead of the above 
emulsion in doses of a tablespoonful two or three times and followed by 
the Castor Oil purge. 

After the preparatory treatment by fasting and a purge, a dram tea- 
spoonful of the Oleo-Resin of Male Fern (Felix Mas), give a fourth part 
thirty minutes apart, on two successive days, followed by a purge of Cas- 
tor Oil (a tablespoonful), or three drops of Croton Oil is an effectual 
remedy against tape or round worms in persons of any age. It can be 
given in syrup or mucilage. 

Should necessity compel the use of turpentine, one or two tablespoons- 
ful, with an equal quantity of Castor Oil, should be given after the prepar- 
atory treatment. 

As a preventive of intestinal worms of all kinds only filtered water 
should be drunk. Meat should be thoroughly cooked, but it is not neces- 
sary to cook it until dry. Fruit and vegetables should be made clean 
before eating. Tonics following the treatment are useful. 



PROLAPSUS ANI. 329 

HOMOEOPATHIC TREATMENT. 

Tape-worm is easily expelled by the use of either of the following : 

Take Kousso three to four drams, place in a common goblet or tum- 
bler, and pour cold water upon it until the glass is well filled, being care- 
ful that none of the powder is left floating on the surface ; let it stand 
over night, and in the morning after taking nothing more than a small 
cup of black coffee, drink the medicine in two portions, half an hour 
apart . 

If there is a disposition to vomit, a little lemon juice may be swal- 
lowed. In from two to five hours after taking the medicine, the worm 
is expelled. No need of a cathartic. 

Pumpkin seeds two ounces, peel off the Outer covering, bruise well, 
mix in a little water, and use as directed above for Kousso, except if the 
worm does not come away in six hours, use a cathartic or an injection of 
Oil. 



PROLAPSUS ANI. 

FALLING DOWN OF THE LOWER PART OF THE INTESTINES. 

A protrusion of a portion of the rectum or of its internal coat from 
the anus, is denominated a prolapsus or procidentia ani. In some cases a 
considerable portion of the rectum comes out to the extent of three or four 
inches, in others only a little, it presents a circular dark red, pad-like lump, 
from the size of a small hulled black walnut to that of a goose-egg. 

Causes. Any thing which tends to weaken the muscles which sup- 
port the intestine. Among these are the frequent use of cathartics 
(physic), especially those containing Aloes, Epsom Salts, etc. The presence 
of pin worms, (ascarides) in the lower portion of the intestinal canal, 
habitual costiveness, piles, straining at stool during diarrhoea, or dysen- 
tery (flux), or when straining to pass water. This is much more frequent 
among children than grown people. In some cases the intestine remains 
out a considerable time without any ill consequences, but more commonly 
it swells and inflames very speedily. 

TREATMENT. 

Treatment. When this accident occurs, some person of strong and 
steady nerve, should at once attempt to replace the protruding parts, by 
first oiling the parts well with fresh lard, Sweet Oil, Tallow, fresh butter 
not salted, or sweet cream ; then second, make steady not very hard pressure 
in the center of the protruding parts, with the well oiled thumb or thumb 
and fore finger ; occasionally, if necessary, making light pressure on the 
outside of the tumor with the thumb and finger of the other hand, near the 
anus ; when it will slowly, or in some cases, quickly return to its proper 
place. If, after carefully and perseveringly trying for a reasonable time, 
ten or fifteen minutes, (which will appear to be a long time) the parts do 
not return, send at once for a good and careful physician. 



330 OUR FAMILY PHYSICIAN. 

This trouble having once occurred, is liable to occur again. The best 
means of preventing this, is a quiet position and careful attention to the 
diet, which should consist of the plainest aliment; rye mush and sugar is 
very good food in such cases. The Homoeopathic remedies, which will usually 
permanently relieve the tendency to return and, also help in the moment 
of the accident, are in the order of their names, Nax-vomica, Tgnatia, Mer" 
curius, Sulphur, Podo. 

Hydropathic in connection with careful diet, take a cold sitz bath 
every evening. This bath is also generally used by the homoeopathic. 

Gently push the protruding part back into the body and inject into the 
bowels the following: Take of Crowfoot or Alum Root, White Oak bark, 
each in coarse powder, a tablespoonf ul ; make half a pi nt of strong decoc- 
tion (tea) to which add half a tablespoonf ul of powdered Alum. This 
should be injected cold two or three times a day ; when very severe a ban- 
dage will have to be worn to keep the bowel from falling. Internally let 
the child drink freely of a tea of equal parts of Golden Seal and Solomon's 
Seal. 

The child should be taught not to strain during stool, and its diet must 
be similar to that recommended for costiveness. If while the bowel be 
firmly held in place by a tight bandage, the child be made to lift several 
times every day, a weight proportioned to its strength it will aid materi- 
ally in overcoming the difficulty. 



INFLAMMATION OF THE LIVER. 331 



Part Sixth 



CHAPTER XIV 



DISEASES OF THE LITER AND SPLEEN. 



INFLAMMATION OF THE LIVER. 

This disease is divided into the Acute and Chronic : the latter generally 
goes by the name of Liver Complaint, although a careful consideration of 
symptoms will frequently discover that the real disease is in the stomach 
and intestines ; however, in many cases, the liver itself becomes much 
affected from this cause, and in itself deserves considerable attention. 

When the disease has been for a long time unchecked, and the inflam- 
mation becomes deeply seated in the substance of the liver, an abscess 
frequently forms, bursting either externally or internally; in the latter 
case often proving critical, inducing hectic fever. 

ACUTE INFLAMMATION OF THE LIVER. 

This disease is much more common in tropical climates than with us. 
There, a high mode of living, exposure to heavy dews or damps in the 
evening, and the powerful rays of the sun by day, are amongst its principal 
exciting causes ; but it may also arise from violent mental emotions, the use 
of stimulating or alcoholic drinks, suddenly suppressed evacuations, strong 
emetics or purgatives, the abuse of mercury, gall-stones, external injuries, 
or injury of the brain. 

Symptoms. These differ according to the seat of the inflammation. 
When it occurs on the outer surface or convex side, the symptoms closely 
resemble those of pleurisy; there is generally a violent pain under the false 
ribs on the right side, sometimes resembling stitches, at others burning- 
shooting to the breast-bone, the right shoulder-blade, and point of the 
shoulder, and even affecting the right foot, — sensation of numbness or 
tingling in the arm of the same side, the pain increased by inspiration ; a 
short, dry cough, and the symptoms of inflammatory fever ; bowels irregu- 
lar, generally constipated, and stools, in the majority of cases, of an un- 
natural color. 

In this form the patient can only lie on the left side. 

When the seat of inflammation is on the inner or concave side of the 
liver, the pain is much less, and the patient complains rather of a sensa- 
tion of pressure than actual pain, but the whole biliary system is much 
affected. The eyes and countenance become yellow, and sometimes com- 
plete jaundice declares itself; the urine is orange-colored the evacuations 
mostly hard, and generally of a whitish or gray color. We also find bitter 
taste in the mouth, vomiting, and considerable distress. The patient can 
only lie on the right side. Inflammatory fever is present in this form like- 



332 OUR FAMILY PHYSICIAN 

wise. In both forms, on examination, the region of the lower ribs, on the 
right side, will usually be found hot, tumertied and painful on pressure. 

Inflammation of the liver, unless properly treated, is apt to assume the 
chronic form; it may also end in suppuration externally, or internally by 
a communication either with the lungs or intestinal canal, or by an abs 
cess in die substance of the organ itself, or may terminate in indurations 
or other alterations of structure, in gangrene, or in the formation of 
adhesions. 

The disease may terminate by resolution, critical transitions to other 
organs, piles, diarrhoea, bleeding at the nose, or eruptions on the skin gen- 
erally, erysipelas. 

ALLOPATHIC TREATMENT. 

The treatment of congestion of the liver, will consist as far as possible 
in the removal of the causes of the disease. In some instances there are 
sedentary life, and too generous living. Great benefit will be derived in 
some of these cases from horseback riding, hunting, walking, etc., while 
saline laxatives, as Seidlitz Powders, directly diminish the congestion. 
The use of beer, and spirits should be discontinued, and the diet made 
more simple and plain. If the congestion is of 1 mg continuance, benefit 
will result from the use of Dilute Nitro-Muriatic Acid. It may be given 
in doses of ten or fifteen drops. It should be given before meals, largely 
diluted in sweetened water, or preferably in a couple of ounces some bitter 
infusion, or infusion of Columbo (one ounce of simmred in a pint of 
water). Bathing the right side with a solution of Nitro-Muratic Acid- 
three ounce to a gallon of water, is of advantage. Drinking the water 
from some of the sulphur springs, is sometimes useful. If the patient is 
debilitated, the use of the Xitro-Muriatic Acid should be associated with 
the use of Citrate of Iron and Quinine, a dram and a half dissolved in four 
ounces of Lemon Syrup, or of Syrup of Orange Flowers of which a tea- 
spoonful may be taken after each meal. 

If the congestion of the liver depend on disease of the lungs or heart, 
treatment, will of course, have reference to those affections, and reme- 
dies addressed directly to the congestion of the liver, will be only pallia- 
tive. 

In innammation of the liver, there is great danger to life. The in- 
tense pain should be relieved by the use of Opium, in doses of a grain, at 
such intervals as may be necessary to relieve the pain — one or two hours, 
or longer, apart. The pain must be relieved. Laudanum may be given 
by injection in doses of a teaspoonful in a tablespoon ful of thin Starch, 
and repeated once a day. The anodyne effects of this may be increased, 
if necessary, by giving Opium in doses of a grain, or Morphine in doses of 
a quarter of a grain, by the mouth. 

A liniment of equal parts of Laudanum, Tincture of Aconite, Chloro- 
form and Soap Liniment, may be continuously applied to the right side 
over the liver, by means of a flannel saturated in the linament, and cov- 
ered with oiled silk. 

The bowels may need acting on mildly, preferably by an injection of 
warm water. 

In this disease there is especial danger from suppuration. 



ACUTE INFLAMMATION OF THE LIVER. 333 

Tonics and nutritious food are early called for. The best tonic reme- 
dy is Quinine and Nitro-Muriatic Acid. Two or three grains of Quinine 
every four hours, will be appropriate. The Nitro-Muriatic Acid should 
be given in doses of ten to twenty drops, largely diluted in sweetened 
water, at about such intervals as food is given, as an aid to digestion. 

Such food as milk, eggs beaten up with sugar and water or milk, giv- 
en raw, strong beef- tea, and animal essences, are appropriate. 

Should the inflammation, whether embracing the whole organ or 
limited to a portion, result in abscess which can be distinguished through 
the abdominal wall by feeling with the hand (palpation), t is proper to 
open it. If the surface of the liver is adherent to the iuner surface of the 
wall of the abdomen, the opening may be made directly into the abscess. 
But if the adhesion has not plainly taken place, an incision should be 
made down to the peritonium (lining membrane of the cavity of the ab- 
domen) and the wound filled with Lint or Oakum. In three days the 
membrane will be adhered so the opening can be made with safety, 
which may be done either with the knife or trocar. 

Generous diet, with the Quinine will probably enable the patient to 
survive. 

Should the abscess open into the intestine or bronchial tubes, it may 
be necessary to give anodynes (as Opium) in small doses to relieve the ir- 
ritation of those parts. 

HOMCEOPATHIC TREATMENT. 
Aconitum, Belladonna, Mercuritjs, Laciiesis. Aconite is especi- 
ally indicated in the commencement of the attack, and may always precede 
the other remedies, lohen there is violent inflammatory fever, attended 
with insupportable shooting pains in the region of the liver, with tossing, 
restlessness, and great anxiety and anguish. 

Dose : Of a solution of eight globules to two tablespoonsful of water, 
give a teaspoonf ul every three hours, until improvement or change. 

Belladonna may be advantageously administered, after Aconite 
has subdued the preceding symptoms, or from the commencement, when 
the following indications present themselves ; oppresive pains in the region 
of the liver, which extend to the chest and shoulders, distention of the pit 
of the stomach, sometimes extending across the region of the stomach, 
producing a sensation of tension, with difficult and anxious respiration; 
determination of blood to the head, with cloudiness and giddiness, some- 
times causing faintness; great thirst, tossing about at night, and sleepless- 
ness. Belladonna may be advantageously alternated with Nux-vomica in 
such cases as coincide witli the joint indications afforded for both of these 
medicines, especially if the patient has been addicted to excessive use of 
fermented liquors. Belladonna is, moreover, especially appropriate when 
the temperament of the patient exhibits a combination of the sanguine 
and lymphatic. 

Dose: If singly, dissolve eight globules in two tablespoonsful of 
water, and give a teaspoonful of the solution every two hours, until 
amelioration or change. If no positive and permanent improvement 
should ensue within four hours after the third dose, pause two hours 
more, and proceed with the next medicine. If in alternation with 
Nux-v., the like solution of each administered in rotation, by tea- 
spoonsful, at intervals of two hours. 



334 OUR FAMILY PHYSICIAN. 

Mercurius will, in the majority of cases, prove effectual when Bella- 
donna has failed to produce a favorable impression on the disease, and 
should accordingly be administered six hours after the third dose of the 
foregoing remedy in such instances. The particular indication for Mer- 
curius are as follow: 

Considerable fullness or tumefaction in the region of the liver, with 
pricking, burning, or oppressive pains, not allowing the patient to lie long 
on the right side, and sometimes augmented by movement of the body or 
part affected ; pain in the shoulders ; bitter taste in the mouth, want of 
appetite, thirst, and continual shivering, sometimes followed by sweat- 
ing, but without relief, with pale yellow color of the skin and eyes ; 
also, in more advanced stages of the complaint, when there is indura- 
tion of the liver. This medicine may moreover, like Belladonna, be 
administered in alternation with Nux-vomica, under similiar conditions. 
If the patient is of a lymphatic temperament, or is distinguished by 
softness of the muscular system, there will be additional reason for select- 
ing Mercurius. 

Dose: A solution of eight pills, in all respects, singly, or in alterna- 
tion, as directed for Belladonna. 

Bryonia, Chamomilla. Bryonia, when the pains in the region 
of the liver are mostly shooting, or consist of an obtuse pressure, with 
tension and burning, increased by touch, coughing or respiration, and 
especially during inspiration, or much exacerbated by movement ; also 
when the symptoms are attended with violent spasmodic oppression of 
the chest; rapid and anxious respiration; bitter taste in the mouth, 
tongue coated yellow, and constipation. Bryonia, like Chamomilla, is 
particularly useful in cases which have been excited by mental emotions, 
such as a violent paroxysm of anger, and is well adapted to persons of 
nervous or bilious temperament, and of choleric disposition. 

Dose: Of a solution of eight pills to two tablespoonsful of water, 
give a teaspoonful every three hours, until distinct amelioration or 
change. In cases in which the pain is very severe, the doses should 
be repeated every two, three and four hours, progressively, accord- 
ing as improvement ensues, and, subsequently, every six hours. 

Chamomilla is more particularly required in the milder forms of 
the complaint, or, more correctly speaking, in simple irritation of the 
liver, when there are pressivc pains, pressure in the stomach, oppression 
of the chest, and a sensation of tightness under the ribs ; yellow color of 
the skin, pains not aggravated by motion, etc.; tongue foul and yellow, 
bitter taste in the mouth ; paroxysms of great anxiety. Chamomilla is 
also almost a specific, when the above symptoms have been brought on 
by a fit of passion. 

Dose: In all respects as directed for Bryonia. 

Nux-vomica is particularly indicated when the pains are shooting 
and pulsative, and attended with excessive tenderness in the region of 
the liver, to the touch, pressure in the region of the stomach and under 
the ribs, with shortness of breath and constipation ; also when enlarge- 
ment and induration occur; and, in the chronic form, when there are 
marked symptoms of derangement of the stomach. This medicine is es- 



LIVER COMPLAINT. 835 

pecially appropriate for the treatment of patients of a sanguine or bilious 
temperament or choleric disposition. 

Dose : In acute attacks, four globules in a teaspoonful of water every 
two hours, until a degree of effect is apparent, and then every six 
hours, until positive improvement results. In chronic cases, six 
globules in a tablespoonful of water, every night at bed-time, for a 
week, after which, a pause of four days should ensue, the adminis- 
tration being similarly resumed, if necessary, and so on. 

Pulsatilla. Sensation of tension in the region of the liver, and 
pressure or dull pain in the region of the stomach ; oppression at the 
chest, bitter taste, yellow tongue, nausea ; loose, greenish, and slimy 
stools; excessive anxiety, especially towards evening or during the night. 
(Temperament lymphatic ; disposition mild. ) 

Dose : Of a solution of six globules to two tablespoonsfuls of water, 
give a teaspoonful every six hour, until s amelioration or change. 

Sulphur is valuable to follow any one of the preceding medicines, 
which, although appai^ently indicated, does not speedily produce a decided 
action ; or when the disease continues, although in a diminished degree ; 
it is particularly efficacious, after Nux-vomica, to combat the bad conse- 
quences of the disease. In many instances in which the distinct analogy 
between the symptoms of the disease and those which characterize one or 
more of the other medicines enumerated herein, has led to the adminis- 
tration of such other medicine or medicines, and when such treatment 
has failed to be followed by adequate benefit, the intermediate adminis- 
tration of a single dose of Sulphur, from time to time, has served to 
awaken the susceptibility of the system to the action of such other medi- 
cine (when evidently appropriate), and the repetition of its administra- 
tion after such dose of Sulphur has been followed by admirable results. 
Dose : To assist the action of the other medicines, give four globules 
in a teaspoonful of water, following up the treatment with the rem- 
edy judged most appropriate to the case, after an interval of twelve 
hours. 



SUPPURATIVE INFLAMMATION OR ABSCESS OF THE 

LIVER. 

Sulphur, Silicea, Kali-c., Lycopodium. These four medicines 
may be numbered amongst those which have proved most useful in cases 
of suppuration of the liver. The selection from amongst them must, of 
course, depend upon the particular features of each individual case, and 
must be regulated by instituting a comparison between the symptoms of 
the disease and those which are recorded as characteristic of each of these 
medicines in the article on that subject. 

Dose: As for Nux. 

Diet. — The regulations for diet which are prescribed for the treat- 
ment of Fevers in general, and such other regulations as are detailed 
in the article on " Indigestion," are equally applicable to cases of Inflam- 
mation of the Liver. 



336 OUR FAMILY PHYSICIAN. 

LIVER COMPLAINT OR CHRONIC INFLAMMATION OF THE 

LIVER, 

In this form of the disease we rind many of the foregoing symptoms, 
but in a modified degree ; and in addition, a continued pain or uneasiness 
in the right side seldom leaves the patient, who gradually falls off in flesh 
and loses strength ; and there is, not unfrequently, present an occasional 
cough with expectoration ; sometimes considerable perceptible enlarge- 
ment of the liver, either continual or returning periodically, with a, num- 
ber of dyspeptic symptoms ; high-colored or red urine, yellow tinge of 
the skin and eyes, occasional febrile symptoms: the pulse, except during 
these attacks, generally quick but regular. 

ALLOPATHIC TREATMENT. 

Chronic Inflammation (Cirrhosis) of the Liver is generally caused by 
the use of alcoholic drinks. The patient generally pays no attention to this 
trouble until it causes dropsy of the abdomen. It is then safely regarded as 
incurable. 

In the early stages of the disease, by the abandoning of the use of 
spirituous liquors, and the use of Arsenious Acid, and the Iodides, as in 
the following formula, recovery can doubtless be made. Take of the Io- 
dide of Ammonium a dram, Fowler's Solution half a dram, Tincture of 
Calumbo an ounce, Water four ounces. Mix. 

Dose: A teaspoonful three times a day, before meals. 

The use of Dilute Nitro-Muriatic Acid in doses of ten or fifteen drops 
in sweetened water three or four times a day is beneficial. 

In the later stages the treatment is the same as for Dropsy of the 
Peritonium (Ascites ) 

HOMCEOPATHIC TREATMENT. 

With proper modifications as to the frequency of doses, the regula- 
tions prescribed in the foregoing article (pp. 332 to 334) are equally 
applicable to this variety of the disease. The medicines enumerated 
should accordingly be selected in conformity with the indication therein 
set forth. The following, however, are especially appropriate, in the ma- 
jority of cases of Chronic Inflammation of the Liver, and the under- 
mentioned rule for the dose is generally, reliable, as regards other medi- 
cines. 

Nux- vomica, .Bryonia, sulphur, sepia.— There are comparatively 
few cases (if any) of Chronic Inflammation of the Liver, in which one 
or more of these medicines, either singly, successively, or alternately, will 
not be required ; for indications see pages 332 to 334. 

Dose: Of the medicine selected give four globules in a teaspoonful of 
water, morning and evening, for a week (or until an earlier subsi- 
dence or change in the symptoms); after which, pause four days, 
resuming the <-ourse, as before, if necessary, and so on. 

JAUNDICE. 

SYMPTOMS. — Yellow color, varying in shade from a pale saffron to a 
dark-brown yellow, appearing first in the eyes, then extending over the 



JAUNDICE. 337 

surface of the whole body ; hard, whitish evacuations ; orange-colored 
urine ; symptoms of deranged digestion, and sometimes, tensive pain or 
pressure in the region of the liver. 

In severe cases, even, the perspiration will impart a yellow hue to the 
patient's linen. 

Exciting Causes.— The disease frequently declares itself without 
being plainly referable to any exciting cause ; the principal causes, how- 
ever, are affections of the liver, indigestion, poisonous substances, taking 
cold, powerful mental emotions, emetics, drastic purgatives, or internal 
obstructions, such as gall-stones, or even worms obstructing the biliary 
duct. 

Predisposing Causes.— Amongst the predisposing causes may be 
enumerated a too sedentary or irregular mode of life, indulgence in spirit- 
uous liquors, and the frequent use of aperients. 

It may be also remarked, that this disease frequently assumes the in- 
termittent type. 

Jaundice is not, of itself, to be considered as a dangerous disorder, but 
rather as an indication of some internal derangement, which, if neglected, 
may entail serious consequences ; for example, dropsy, hectic fever, or 
general wasting away. 

ALLOPATHIC TREATMENT. 

Jaundice is a symptom which accompanies other diseases of the liver, 
and in such instances its treatment is that of those affections. 

Generally there is a catarrhal inflammation of the upper part of the 
intestine (duodenum) requiring that the food should be light and 
unirritating to this part of the digestive tube. Milk, eggs, animal broths, 
broiled beef steak, oysters, fresh fish, are suitable. Bread, arrow-root, 
rice, potatoes, beans, pies, etc., may, by calling upon the functions of that 
part of the intestine, continue the disease. 

Laxatives may be called for, but must be mild. Injections are to be 
preferred, if there is constipation. A Seidlitz powder may be taken. 

In this, as in other affections of the liver, the Nitro-Muriatic Acid 
is useful in doses of ten drops in sweetened water three times a day. 
Manganese has appeared useful, in catarrhal jaundice. Take of dried 
Sulphate of Manganese forty grains, Purified Ox Gall sixty grains, Resin 
of Podophyllum two and a half grains. Mix well, make a mass and divide 
into twenty pills. 

Dose : One three times a day. 

In Malarial Jaundice, after from ten to twenty grains of Quinine has 
been given, Manganese is also useful. Take of Dried Sulphate of Man- 
ganese forty grains, Chenoidine sixty grains. Mix and make into twenty 
pills. 

Dose : One three times a day. 

A small blister over the stomach has appeared useful 

Pain should be relieved with half grain doses of Opium or ten drops 
of Laudanum, or a grain of the Extract, or one or two teaspoonsful of the 
Tincture of Hyoscyamus. 

When jaundice has continued for weeks or months, an irremediable 
22 



338 OUft FAMILY PHYSICIAN. 

obstruction to the flow of bile. If it cannot be removed, remedies are 
directed to aid in the elimination of bile by the kidneys, and skin and to 
support the powers of life. 

To increase the flow from the kidneys the diuretic pill, composed of 
one grain each of Extracts of Squill and Digitalis and Calomel, may be 
given, one pill every three hours until it acts freely on the kidneys. Or 
the Fluid Extract of Broom may be given in doses of half a teaspoonful. 
Watermelon or Pumpkin Seed tea may be useful. 

The skin may be sufficiently acted on by hot bathing. If not, by the 
hot wet pack. 

Bile may be supplied to the aid of digestion by giving one or two cap- 
sules filled with ox gall after each meal. 

It should be remembered that the yellowness will exist in the skin for 
some time after the bile duct is open, so that the bile flows naturally into 
the intestine. 

HOMCEOPATHIC TREATMENT. 

Mercurius, china. These are two of the best remedies in the treat- 
ment of the disorder. 

Mercurius may be denominated a specific remedy for jaundice in a 
great number of cases, when indeed the patient has not been subjected to 
drenching courses of Mercury or Calomel. 

Dose: Six globules in a teaspoonful of water, every six hours, until 
four doses have been given, and then every twelve hours, until per- 
manent and positive amelioration or change. 

China is, however, to be preferred to Menrurius in cases in which 
Mercury has been too copiously administered. China is also particularly 
appropriate when the attack has come on after violent corporeal exertion, 
or when it can be distinctly traced to indigestible substances ; also, when 
the disease assumes an intermittent character. In a great number of cases, 
indeed, in which jaundice recurs periodically, or in which patients, al- 
ready predisposed to its attacks, have been unavoidably or inadvertently 
exposed to some directly exciting cause (such as over-exertion, cold, etc.) 
China will operate as a preventive resource, and will commonly ward off 
the development of an incipient attack. 

Dose: For the treatment of jaundice, in an advanced stage, give four 
globules in a tablespoonful of water, three times at intervals of 
four hours and at intervals of eight hours, until amelioration or 
change. As a preventive resource, give six globules in a wineglass- 
ful of water, night and morning, for three days, then pause two 
days, suspending treatment, or resuming the course, similarly, ac- 
cording to the state of the patient. 

Nux-vomica is preferable in the generality of cases, even in such as 
have been directly occasioned by violent emotion, when the bowels are 
confined, or alternately coniined and relaxed. Nux-uomica is also especially 
appropriate when sedentary habits, or study, or indulgence in spirituous 
liquors, appear to have been the predisposing, or, partly, the exciting causes 
of the attack. 

Dose: Three globules in a teaspoonful of water, every four to eight 

hours. 
Digitalis. A most important remedy in many cases of this disease; 



JAUNDICE— GALL-STONE— SPLEEN.; 339 

the following are the principal indications for its employment: nausea, 
retching, or vomiting, and purging of greenish fluid; or sluggish state of 
the bowels, with white, gray, or clay-colored evacuations; tongue clean, or 
coated white; pressure at the pit of the stomach and region of the liver ; al- 
ternate heats and chills. 

Dose: Of a solution of six globules to three tablespoonsful of water, 
give a teaspoonf ul every two hours, until the violence of the symp- 
toms become modified; and then every four hours, until positive 
amelioration or change. 

INFLAMMATORY JAUNDICE. 

Cases in which jaundice is associated with symptoms of inflammation 
and pain on pressure in the region of the liver, are so closely analogous to 
inflammation of the liver, that the reader is referred, on this subject to 
the foregoing articles, treating especially of that disease. 

GALL-STONE.— ALLOPATHIC TREATMENT. 

In the treatment of the passage of gall stones, is in the first place to 
relieve the pain, and for this purpose the best remedies are Opium and 
Belladonna. If a physician is at hand, he will give a hypodermic injection 
of a quarter of a grain of Morphine with a sixtieth of a grain of Atropine. 
The effects of the anodyne should be maintained until the pain, caused by 
the passage of the stone, ceases. An injection of a teaspoonf ul of Laud- 
anum with half a teaspoonf ul of Tincture of Belladonna, in a couple of 
tablespoonsful of thin starch may be made, or the same remedies given by 
the mouth in half the quantities. The pain may be intense enough to in- 
duce the physician to resort to the inhalation of Chloroform or Ether. 

Belladonna Ointment may be applied over the seat of pain, and cov- 
ered with a hot flaxseed meal poultice. 

A hot bath is sometimes successful in mitigating pain. No rule can 
be given for giving Opium in this disease, but when larger doses have 
been given for a few days, Opium poisonng may occur unexpectedly. 

Expulsion of the calculus (stone) may be aided by cathartics, for this 
purpose salines are to be preferred, as Epsom Salts and Seidlitz Powders. 

No remedies are known which can be given in sufficient quantity to dis- 
solve the stones. 

As a preventive measure the Phosphate of Soda should be given in 
doses of from twenty to thirty grains, two or three times a day. The rem- 
edy should be persevered in for months. It has the property of rendering 
the bile more liquid, and so prevents the formation of new gall stones. 

A change from a sedentary life is desirable. A simple, wholesome 
diet, and attention to the general health are called for. 



CHAPTER XV. 



INFLAMMATION OF THE SPLEEN. 

Symptoms. Sharp, pressing, or shooting pains in the region of the 
spleen, beneath the lower ribs on the left side, with, in most cases, a high 



340 OUR FAMILY PHYSICIAN. 

degree of fever with general derangement; and sometimes enlargement 
and tumefaction; when very severe, vomiting of blood. 

From our very imperfect knowledge, however, of the physiology of 
this organ and its relation to the others, this disease, except when it 
presents itself in the tangible form above mentioned, is extremely dim- 
cult to discover. Its best characteristics are tenderness or sensibility on 
pressure in the region about the spleen, with general debility; paleness 
of the complexion, bloodless appearance of the conjunctiva (the superficial 
membrane lining the eyelids, and extending over the fore part of the eye- 
balls), languid circulation, and tendency of the extremities to become 
cold. 

It is a rare disease in this country, but sometimes declares itself in hot 
seasons, when it is not unfrequently mistaken for other affections. It may, 
however, arise in individuals of delicate constitutions, or in children, when 
exposed to the influence of marshy miasms, particularly when to that cause 
has been added insufficient clothing, want of exercise or proper nutriment, 
and long-continued mental disquietude. 

ALLOPATHIC TREATMENT. 

Acute inflammation of the spleen is to be treated on the same general 
principles as inflammation of the liver. The same anodynes will be re- 
quired, and they are to be administered in the same way. The constant 
application of cold by means of a bladder of pounded ice over the region 
of the spleen is particularly appropriate. Benefit will also result from 
the use of Ergot in large doses. A teaspoonful of the Fluid Extract of 
Ergot may be given three times a day. 

By far the most common affection of the spleen is a chronic inflam- 
mation knows as enlargement of the spleen, which occurs in malarial dis- 
tricts, or where intermittent fever prevails. It is also known as ague 
cake. This affection, occurring periodically, requires the use of Quinine in 
full doses— five or ten grains given six hours apart, until a slight ringing 
of the ears is produced. For continued use for enlarged spleen, it should 
be continued with Sulphate of Iron. Take of Sulphate of Quinine sixty 
grains, Dried Sulphate of Iron ninety grains. Make into thirty pills, ac- 
cording to the art of the apothecary. Take one pill three, four or five 
times a day. 

Bromide of Potassium, given in doses of from ten to fifteen grains 
three times a day, sometimes reduces the enlargement of the spleen with 
wonderful rapidity. 

The Iodide of Ammonium and Arsenious Acid, in small doses, fre- 
quently repeated, see particularly efficacious in chronic enlargement of 
the spleen [ague cake) with chronic malarial poisoning. Take of Iodide 
of Ammonium two and a half drams, iodide of* Arsenic one and a half 
grains, Pepperminl Water four ounces. Mix. Taken teaspoonful from 
three to five times a day. A dram of Fowler's Solution may be substi- 
tuted for the Iodide of Arsenic. 

Brushing the skin over the spleen with Tincture of Iodine, or rub- 
bing it with the Red Iodide of Mercury Ointment, will be of benefit. 

Sometimes wearing a Belladonna Plaster, on the left side, will relieve 
the pain of enlarged spleen, 



1NFLMMATI0N OF THE SPLEEN. 34i 

HOMOEOPATHIC TREATMENT. 
China should be administered at the onset of treatment, if no fever of 
any moment existed from the commencement, particularly if the disease 
owes its origin to marsh miasm, or if the accompanying* fever present an 
intermittent type, iu which case it should be administered during the in- 
tervals, if impared appetite and general derangement be present. Also, if 
the patient have been weakened by vomiting of blood, or diarrhoea 
When the abuse of this medicine,or quinine has given rise to disease of the 
spleen, benefit will often be derived from the employment of such of the 
subjoined remedies as may correspond most closely with the symptoms of 
the case. The alternation of China and Arsenicum is appropriate when 
the symptoms involve a combination of the indications afforded for each 
respectively. 

Dose: If singly, when the disease presents no positive periodical 
character, and the symptoms are not violent, of a solution of eight 
globules, to two tablespoonsful of water, give a teaspoonful every 
two hours, until positive amelioration or change. If the symptoms 
be very severe, the like dose should be repeated at intervals of one 
hour. If the disease assume a distinctly periodical character, the 
like dose should be administered, during the respite, an hour before 
the anticipated return of the attack. If in alternation with Arseni- 
cum, dissolve the like quantities of each, separately, and administer, 
first two doses of the one, at intervals of three hours, then pause nine 
hours, and proceed with two similar doses of the other, and so on. 

Arsenicum is useful where the disease assumes the intermittent type, 
or is complicated with ague ; and further, when the patient complains of a 
violent, burning pain in the region of the spleen, and a constant pulsation at 
the pit of the stomach, attended with great anxiety; also vomiting of a 
dark, grumous fluid, watery, or bloody discharge from the bowels, and 
burning at the posterior passage; excessive iveakness, and dropsical swelling 
at the feet. The alternate administration of this medecine with China, 
is sometimes advantageously adopted as above stated (see China). 

Dose : In all respects, whether singly or in alternation with China, as 
directed for the last-named medicine. 

Arnica is indicated by pressing pain in the left side, under the short 
ribs, causing difficulty of breathing, and when the vomiting of blood is 
very severe. When external violence has given rise to the disorder, A mica 
is especially called for. 

Dose: In ordinary cases, of a solution of six globules to three table- 
spoonsful of water, give a teaspoonful every three hours, until ameliora 
tion or change. But if vomiting of blood occur, the like dose should 
be repeated every hour. 
Ktjx-vomica is chiefly indicated by the symptoms of deranged diges- 
tion, constipation, etc., which remain after the more threatening symp- 
toms are removed, or after the use of Quinine. 

Dose : Six globules in a teaspoonful of water, at bed-time, until ame- 
lioration or change. 



342 OUR FAMILY PHYSICIAN. 



Part Seventh. 



DISEASES OF THE KIDNEYS AND BLADDER. 

CHAPTER XVI. 



DISEASES OF THE KIDNEYS. 



NEPHRITIS. 

INFLAMMATION OF THE KIDNEYS. 

The history of this disease, in individual cases, is in many respects 
very obscure. It occurs chiefly among middle-aged persons, and among 
men more frequently than women. 

Some of the causes are : Bruises in the region of the kidneys ; sharp, 
or adhering gravel in the kidney ; violent colds, employment of various 
drugs, such as Turpentine, Spanish Fly, Nitre and Savin, whether used 
internally or externally. Sometimes violent extensive burns. Excessive 
use of stimulants. Suppression of the "courses." Long lying on the 
back. Secondarily the disease is caused by suppurative inflammations in 
other organs, also by diseases of the brain and spinal marrow, heart dis- 
ease, etc. 

Nephritis usually sets in, like other acute inflammatory diseases, with 
a violent chill, which is almost immediately succeeded by the local pains. 
After they have reached the acme of their intensity, they extend over 
the whole region of the kidneys, on both sides ; they are continuous, of 
different degrees of acuteness, cannot easily be described according to 
their nature, they are considerably aggravated by pressure upon the renal 
region by taking a full breath, or by motion generally, also by lying on 
the affected side and by the warmth of the bed. They are scarcely ever 
restricted to the kidneys ; on the contrary, following the course of the 
ureters (little tubes that carry the urine from the kidneys to the bladder) 
they radiate into the bladder, testicles, and, in the case of females, into 
the round ligaments and thighs. Sometimes the testicles are found drawn 
up spasmodically. With the appearance of these pains the urinary secre- 
tion diminshes in proportion as the inflammation involves a larger 
portion of the kidneys, so that the secretion of urine may be entirely sus- 
pended. At first the urine is only saturated, sometimes tinged like blood ; 
but it may likewise preserve its normal color, if one kidney is sound and 
the other does not secrete any urine at all. The general constitutional 
balance is very much disturbed. The fever is very violent, the pulse 
hurried and soon becomes small and contracted, the skin is hot and dry, 
the thirst agonizing. The patients feel sick to the core. Vomiting is a 
frequent occurrence without the stomach appearing much deranged, for 
the tongue may be quite clean. At first the bowels are quite constipated, 
the appetite is gone. 

The further course of nephritis corresponds with the changes that 



INFLAMMATION OF THE KIDNEYS. 343 

have been indicated. Recovery may take place after the first onset of the 
disease, without any suppuration having taken place, or by arresting it, 
the completeness of the recovery being shown most conclusively by the 
urine resuming its normal quality. On the contrary, if suppuration sets 
in, the local pain decreases, becomes duller, and more like a painful pres 
sure ; the fever, however, increases, frequent chills or shiverings are ex- 
perienced by the patient, the tongue becomes coated, the stomach is still 
more disturbed, pus is found in the urine at an early stage of the disease, 
and there is frequently an admixture of blood. The patient becomes 
anxious, restless, the pulse is more frequent and smaller. The subsequent 
phenomena depend upon how far the urinary secretion is suspended. If 
only one kidney is diseased, or only a small portion of both, there is no 
material diminution of the quantity of urine secreted ; an abscess forms, 
with the usual phenomena characterizing the suppurative process, the 
abscess either discharging and recovery taking place, or else renal phthi- 
sis (consumption) setting in, with all the symptoms of marasmus (wasting 
away) gradually following. This last mentioned result may drag along 
for months, the urine containing pus all the time. Characteristic features 
of renal phthisis are, a great tendency to malignant affections of the skin- 
and disposition to lie down. In some cases, serious symptoms set in 
most suddenly when the discharge of urine had been completely sus- 
pended from the beginning, and the patients die in a few days. 
They may likewise set in gradually, so that tlie disease, by slow degree 
assumes a typhoid character. The patients sink into a sound sleep, are 
attacked with a more or less violent delirium, convulsions, and finely die. 

The diagnosis of nephritis cannot always be made with perfect cer- 
tainty, because the symptoms are sometimes very trifling, and, moreover, 
very little characteristic. In nephritis the bowels are almost always ob- 
stinately constipated ; if the disease terminates in phthisis, the constipa- 
tion changes to diarrhoea. 

The termination is unfavorable only if the symptoms of poisoning 
with uraemia become more and more manifest, until they reach the highest 
degree of intensity. In other respects the disease becomes the more 
threatening, the more protracted a course it runs, until it finely terminates 
in phthisis. 

ALLOPATHIC TREATMENT. 

Treatment of inflammation of the kidneys will consist in the use of 
hot applications to the loins, hot poultices, dry cupping, and other reme- 
dies to relieve pain. Mild purgatives, and medicines to act on the skin, 
and by these means relieve the kidneys. If there is much pain the medi- 
cines to act on the skin, should contain Opium as the powder of Ipecacu- 
anha and Opium with Cholorate of Potash, Dovers Powders, the dose of 
which is ten grains. 

The popular objection to Opium in this disease, in sufficient doses to 
relieve the pain, on account of drying up the secretions is groundless, be- 
cause it acts freely on the skin, and so is protective against any ill which 
may result from a diminution of exertion from the kidneys; besides this 
suspension of the action of the kidneys will enable them to recover from 
the inflammation the more quickly, from simply the rest. The antiphlo- 



344 OUR FAMILY PHYSICIAN 

gestic effects of Opium, are most important. Notwithstanding the consti- 
pating effects of the Opium, there is no difficulty in obtaining copious dis- 
charges from the bowels. 

Further effects on the skin may be secured by hot bathing, the hot wet 
pack, and the hot air bath. The hot air bath may be given by burning 
alcohol in a saucer under the patient, sitting in a cane seated chair, well 
wrapped, (chair and patient), from the floor up to the neck with blankets. 

Jaborandi has especial power of causing the elimination of urea (a 
poisonous ingredient of urine), by the skin, and is especially indicated in 
this disease. The dose of the tincture, or fluid extract is half a teaspoonful 
to a teaspoonful. It may be repeated at such intervals as is required to 
excite a sufficient degree of sweating. 

The bowels may be freely moved with two or three grains of Jalap, 
and a half a grain of Podophyllum, or a saline cathartic may be given* 
The amount of purging and sweating required will be proportioned to the 
decrease in the natural flow of urine. Nothing more than water, given to 
increase its flow. Ice may be given in small lumps, and swallowed, or al- 
lowed to melt in the mouth, if there is a sickness at the stomach. 

In the early stages the diet should be light, but solid food is to be al- 
lowed as early and as freely as there is power to digest and assimilate it. 
If suppuration should occur, great attention must be given to sustaining 
the strength of the patient, and nourishment of milk, cream, raw eggs, 
beaten up with sugar and water or milk, strong beef tea, juice of meats 
and aniseed essence, freely and regularly given. 

The difficulty of discriminating this disease and its various conditions, 
together with its serious nature, dictate that its control should be placed 
wholly in the hands of a skillful physician. 

HOMCEOPATHIC TREATMENT. 

Cantharides w T ill be found most efficacious in the treatment, 
and may be taken, at the very commencement of the attack, even 
when the accompanying fever is considerable, particularly when the 
urine passes off in drops, or is tinged with blood ; or when it is exceeding- 
ly painful to pass water, with burning pain in the urinary canal ; and 
when there are the general symptoms of shooting, cutting, and tearing 
pains in the loins and regions of the kidneys ; or even in cases of complete 
suppression of urine. 

Dow. Of a solution of eight globules to two tablespoonsful of water, 
give a teaspoonful every three hours, until positive change. 

Nrx-voMiCA is appropriate when the affection can be traced to excess 
of wine or stimulants, and sedentary habits; and where we find constipa- 
tion, feeling of faintness, nausea, vomiting, distention of the stomach, and 
drawing up of the testis and of the spermatic cord. 

Uose : As for Cantharis. 

BELLADONNA. — When shooting pains in the kidneys are present, ex- 
tending to the bladder— and further, when inflammation in the kidneys 
is accompanied with colic and spasms of the stomach, heat in the region 
of the kidneys, scanty flow of water of an orange-yellow, or sometimes of 



INFLAMMATION OF THE KIDNEYS. 345 

a bright-red color, depositing red or whitish thick sediment ; anxiety, 
restlessness, and periodical aggravation. 

Dose : As for Cantharis. 

Hepar-sulphuris is useful, when we have reason to apprehend the 
formation of an abscess or the commencement of suppuration. The non- 
professional prescriber must be careful not to mistake the apparent allevi- 
ation of suffering here for the subjugation of the disease, as the distinction 
is difficult. The following symptoms may serve as a guide in these 
serious cases ; cessation of the acute pain, a sensation of throbbing and a 
feeling of weight in the region of the kidneys, alternate chills and slight 
flushes of heat, and copious perspiration are sure signs of pus forming. 

Dose : A powder or eight pills dissolved, to be taken like Canth. 

INFLAMMATION OF THE KIDNEYS OCCASIONED BY MECHANICAL 

INJURIES. 

Arnica is appropriate for the treatment of Inflammation of the Kid- 
neys resulting from mechanical injuries (such as contusions or severe 
concussions), and should be employed at the onset of treatment, whatever 
be the course afterwards indicated by the subsequent development of 
symptoms. 

ILL-EFFECTS FROM ABUSE OF CANTHARIDES. 

The mischievous use of Cantharides in the application of blisters, 
whereby the kidneys often become considerably and even seriously affected, 
is promptly and effectively counteracted by the Homoeopathic antidote 
employed internally and externally. 

Camphor {Concentrated Tincture) should be administered without 
delay, when an affection of this kind is distinctly traced to the cause in 
question. 

Dose {internal) : One drop of the concentrated Tincture of Camphor 
on a small lump of sugar, every hour, until three doses have been 
given ; and afterwards, every two hours, until the symptoms sub- 
side. 

Application {external) : Moisten the palm of the hand with a few 
drops of the concentrated tincture, and apply with friction on the 
inner side of each thigh. 

INFLAMMATION OF THE KIDNEYS ASSOCIATED WITH GRAVEL. 

This disease sometimes arises from the presence of stone in the kid- 
neys ; in which case the symptoms of fever do not occur, until a consid, 
erable time after acute pain has been experienced. Further, a numbness 
of the thigh, and a retraction of the testicle of the affected side are con- 
sidered as distinguishing marks of the existence of a concretion in the 
kidney or urinary duct. See Gravel page 450. 



BRIGHT'S DISEASE— ALLOPATHIC TREATMENT. 

Treatment of acute Bright's disease (acute inflammatory dropsy) will 
have reference, in the first place, to combatting the inflammation of the 



346 OUR FAMILY PHYSICIAN. 

kidneys. Upon the early recognition of the disease may depend largely 
the success of treatment. 

The patient should be kept warm in bed. Hot fomentations should 
be applied over the loins, by means of wet cloths covered with oiled 
muslin and several thicknesses of flannel. Dry cupping should be ap- 
plied, over the loins, as the best method of revulsion. If the patient is 
strong and robust, wet cupping (blood-letting by cupping) will be of the 
highest possible service. General bleeding is sometimes necessary in the 
very robust, but should never be employed, if the patient is in any way 
enfeebled, as when the disease occurs after scarlet fever, and in persons 
given to intemperance Saline laxatives are valuable, both by way of 
revulsion and eliminating poisonous material from the blood, and so re- 
lieving the kidneys, as Epsom Salts, Seidlitz Powders, or ten grains of 
Jalap, or two or three grains of the extract with a tablespoonful of Ro- 
chelle Salts, or Cream of Tartar. 

Opium, as a rule, ought not to be given in this disease, on account of 
diminishing the secretions, including those of the kidneys, which ought 
to be permitted to act naturally. 

Belladonna, in doses of ten or fifteen drops of the Tincture, twice a 
day, or sufficiently often to produce a slight dryness of the throat, is said 
to be serviceable in this disease. 

The diet should be light. The drinks should be confined to water, 
barley-water, flaxseed tea, and other nourishing drinks, which may be 
given as freely as the patient desires. 

Medicines, to act on the kidneys (diuretics) ought not to be given in 
the early stage of the disease, because their action may increase inflam- 
mation. 

The dropsy is not dangerous, unless it invades the pleural cavity 
(cavity of the sac lining the chest and covering the lung), or the lung 
cells. This will be shown by the marked dyspno?e (difficulty of breath- 
ing, or short breath). As the danger is from uraemia (blood poisoning 
from urea, an ingredient of the urine, remaining in the blood), it is for- 
tunate that remedies which will cause the elimination of urea from the 
blood, also diminishes the dropsy. This is done through the skin and 
bowels, the former by measures which produce sweating (diaphoretics) 
and the latter by remedies which produce free watery discharges from 
the bowels (hydrogogue cathartics). 

Hydrogogue cathartics are by far the most efficient. They are called 
for in proportion to the amount and location of the dropsy, and the dan- 
ger from blood-poisoning. When the dropsy invade the pleura or lungs, 
and the shortness of breath is marked, relief may be had in a few hours 
by giving Elaterium in doses of an eighth to a quarter of a grain, two or 
three hours apart, until free cathartic is produced. It may be given with 
a grain of Extract of Hyoscyamus, or a teaspoonful or two of the Tinct- 
ure and a grain of Pulverized Capsicum. Elaterium must be used with 
caution on account of its prostrating effects. It is scarcely safe for weak 
subjects, but may be a necessity. 

Croton Oil may be given in doses of a drop, repeated at the same 
intervals. The hot air bath may be used alternately with these active 
cathartics. 



bright's disease of the kidneys. 347 

The decrease of the amount of urine passed, and its low specific 
gravity shows that urea is not eliminated by the kidneys in sufficient 
quantities, and measures should be at once resorted to, to compensate for 
that deficiency. The most reliable means at our hands for this purpose, 
are the watery stool producing (hydrogogue) cathartics and copious 
sweating by means of the hot air bath. 

In case of insensibility, or convulsions from blood-poisoning by urea, 
Elaterium should be given in doses of a quarter or half a grain mixed 
with butter and placed well back on the tongue. The hot air bath should 
be used simultaneously. 

The hot air bath may be easily given by conveying hot air from an 
alcohol lamp through a sheet iron pipe under the bedclothes. The part 
of the pipe which rests under the clothes may be closed in a tin box for 
convenience. Rouchette, of New York, devised a very simple apparatus 
for this purpose, called Rouchette's hot air bath. 

The elimination of urea by the skin will be greatly facilitated by the 
use of Jaborandi. Half a teaspoonful to a teaspoonf ul of the tincture or 
Fluid Extract may be given three or four times in the twenty-four hours. 
A very eligible remedy as a diapbontic is Solution of the Acetate of Am- 
monia in doses of a tablespoonf ul three times a day. 

If the symptoms are not very urgent, the use of the saline cathartics 
recommended in the first part of this article, are to be used instead of 
these most powerful ones just spoken of. 

The daily use of the hot air bath may be continued, during the dis- 
ease as the most efficient means of producing elimination by the skin. If 
the effect of the bath is agreeable, its application may be continued from 
half an hour to an hour each time, or if too depressing, it may be used for 
a shorter time, at more frequent intervals. 

When the flow of urine begins naturally to increase the use of diure- 
tics (medicines which cause a flow of urine), may be cautiously began, 
and the other evacuates omitted, beginning with the cathartics. Among 
the eligible diuretics for thispurpose, are Cream of Tartar (Bitartrate of 
Potash), which may be drank at will in lemonade, made of a clear solution 
of Cream of Tarter dissolved in hot water. Digitalis in doses of ten drops 
of the tincture three times a day, gradually increased until the desired ef- 
fect is produced, or Broom (Scorporius), in a tea, or half teaspoonful doses 
of the fluid extract three times a day. 

During convalesence attention should be given to the diet, that the 
food is nourishing, and well digested containing tender meet, milk, and 
eggs. As the patient leaves the room he should be clothed in flannel, and 
properly protected against cold. Generally, the Tincture Muriate of Iron 
should be given in doses of ten to twenty drops, largely diluted in sweet- 
ened water, after eating. Tonics of one or two grains of Quinine, or a 
a couple of ounces of some of the simple bitter teas as Columbo, Quassia, 
Gentian, etc., may be taken with benefit before meals. 

Chronic Bright's Disease. — It is to be understood, in the first 
place, that this disease is incurable. Life is greatly prolonged by judicious 
management. 

The indications are related to the dropsy and the uraemia (poisoning 
by that ingredient of the urine known as urea remaining in the blood.) 



348 OTTR FAMILY PHYSICIAN. 

General dropsy calls for the same treatment as is directed in the 
acute disease. It is better, however, to use the saline cathartics or Sulph- 
ate of Magnesia i Epsom Salts.) Citrate of Magnesia, Rochelle Salts or 
Seidlitz powder, if the dropsy be moderate, but if the dropsy be great, the 
more powerful hydrogogue (water-producing) cathartics may be used, as, 
Elaterium, Croton Oil, or Bitartrate of Potash (Cream of Tartar) and 
Jalap, as directed in the acute disease. One free watery stool may be pro- 
duced daily. Care should be exercised not to weaken the patient by 
pushing cathartics too far. 

Remedies to act on the kidneys (Diuretics) may be used in the chronic 
form of the disease, without risk of harm. Pure water may be drunk in 
large quantities. Of the diuretic medicines, the Cream of Tartar. Ci- 
trate or Acetate of Potash, are to be preferred. They may be used in 
connection with the vegetable diuretics Digitalis, Squills, or Broom. 

The potash may be readily taken prepared as follows : Take of Cream 
of Tartar an ounce, dissolve in hot water; when cold pour on the clear, 
supernatant liquid, cut up some lemons into it, and sweeten to the taste. 
The whole of this Cream of Tartar lemonade is to be taken during the 
day. 

Take of the Citrate of Potash and Bicarbonate of Potash each four 
ounces, dissolve in a pint of soft water. Of this solution two tablespoon s- 
ful may be put in a large tumbler half full of water, sweetened to the 
taste, add a large tablespoon ml of lemon juice and drink while efferves- 
cing, six times a day. In the absence of lemons, a tablespoonful of a 
solution of three drams of Citric Acid in half a pint of water, may be 
used instead. 

Of the vegetable diuretics Digitalis is to be preferred, given in infu- 
sion, (tea) two drams of leaves to the pint of water, in doses of one or 
two tablespoonsful. Broom in decoction (tea boiled), one ounce of broom 
top to the pint, in the same doses. 

The tinctures of Digitalis and Squill, the Fluid Extract of Broom 
may be used in doses of half a teaspoon ml to a teaspoonful. 

When the stomach or bowels will not permit giving diuretics, cloths 
may be soaked in an infusion of Digitalis made with an ounce of the 
leaves in a pint and a quarter of water, and laid over the abdomen. Or 
the body may be rubbed for a time with a liniment made with equal 
parts of the Tinctures of Digitalis, Squill, and Iodine. 

Medicines which produce sweating (diaphoretics) must be depended 
on, if hydrogogue cathartics are not well borne, and the kidneys do not 
act freely with the use of diuretics. Indeed, it seems preferable to use 
diaphoretic measures alternately with the action of cathartics. Or rather 
use diaphoretic measures regularly and resort to cathartics to cause a 
greater elimination of water and urea. The first and best means at our 
disposal for this purpose is the hot air bath, as described in the treatment 
for inllammation of the kidneys, and in the treatment of acute Blight's dis- 
ease. In short, the benefit from the hot air bath is so great, and it acts so 
nicely, that I am disposed to recommend its use to the exclusion of every 
other means. Jaborandi and Solution of the Acetate of Ammonia 
are appropriate, used as recommended in the treatment of acute Bright's 
disease. 



bright's disease.— gravel. 349 

The measures for the elimination of urea, are the same as given for 
that purpose in the acute form of the disease, namely: reliance, when the 
symptoms are urgent, or the use of the hot air bath, and the hydrogogue 
action of Elaterium, especially when the urea has produced conea insensi- 
bility, or convulsions. When this urgency does not exist, it is best to 
avoid the use of Elaterium, but recourse may be had to the milder cather- 
tics, directed for the mitigation of the dropsy. 

The tonic effect of Quinine and Iron, are markedly useful in this dis- 
ease. The former may be given in doses of two or three grains three 
times a day. The form of Iron to be preferred is the Muriate Tincture of 
Iron. It should be given in doses of twenty or thirty drops, largely dilu- 
ted in sweetened water, three times a day. A change in the form of these 
tonics from time to time, is advantageous. Pills of a twentieth to a thir- 
tieth of a grain, give one three times a day, appears to be of great advan- 
tage in chronic Bright's disease. 

Food should be nutritious, and as abundant as the digestion will ad- 
mit of. The clothing should be warm and the patient should lead an out 
door life to such a degree as his strength will warrant. 

For the relief of pain, Opium should be avoided, if possible, and Bella- 
donna, Hyoscyamus, Indian Hemp. Aconite, Conium, etc., used instead. 
When these fail to give relief, recourse may be had cautiously to Opium. 
It has acted admirably in some cases. 

Vomiting and purging are to be regarded as conservative, only they 
are nature's means for eliminating urea. They should be restrained only 
sufficiently to keep them within the bounds of safety. They mav be re- 
lieved by aiding in throwing off the urea, by resorting to the hot air bath. 
Medicines calculated to relieve vomiting are Oxolate of Cenum in doses 
of five grains. Dilute Hydrocyance Acid in doses of three to five drops, 
Creosote, in doses of one drop in water, Bismuth, in doses of ten to twenty 
grains, and lumps of it swallowed whole or allowed to dissolve in the 
mouth. 

If any remedies are necessary lor diarrhoea use Astnie-Gentes, directed 
for the treatment of that trouble are appropriate. 

Upon the early recognition of the disease, and the promptness with 
which its effects are met, will depend the benefit of treatment. The dis- 
ease may be stayed, and in some cases life may continue with comfortable 
health for years. 

Gallic Acid appears to have the power of preventing the waste of al- 
bumen. It should be given in doses of five to fifteen grains in solution 
with five or six drops of Aromatic Sulphuric Acid. The following is the 
formula of Dr. Aitken: Take of Gallic Acid, from one to two drams, Dilute 
Sulphuric Acid, one dram, Tincture Supulus(the yellow powder shaken 
from hops) a dram. Infusion of [lops six ounces, mix , dose a tablespoonf ul 
three times a day. 



GRAVEL. 



RENAL, CAECUEI. 

The formation of gravel in the kidneys is a common occurrence, but 
frequently remains unnoticed, because no unpleasant symptoms are 



350 OUR FAMILY PHYSICIAN. 

caused by them. In most cases, the causes of this affection are obscure 
or very uncertain. 

While the gravel (calculi) are generally met with in rather fleshy per- 
sons who live mostly on animal food, yet they do, also, occur in weakly 
persons who use a very spare diet. Without doubt the mode of living is 
the cause of the concretions (gravel), although a peculiar disposition of 
body must exist which, is as yet unknown to us. The urinary concre- 
tions in the kidneys vary ; at times they form a fine sandy depost, gravel; 
at other times larger bodies, whose shapes vary according to their local- 
ity and their place of origin ; they may even be large enough to fill 
the cavity of the kidney. Their surface is at times smooth, at others 
rough ; the number of calculi contained in one kidney is very indefinite; 
sometimes their sides, where they had been in contact with other calculi, 
form regular facets. 

The symptoms caused by renal calculi, are very important, because 
they frequently attain a great height, and have the appearance of great 
danger, as though life itself were imperilled by them. 

Gravel may exist without any morbid symptoms ; in other cases, the 
passage, and perhaps the formation of gravel are attended with marked 
derangements of the functions of the stomach, the main feature of which, 
generally, is an excess of acidity. We have pointed out this connection 
when speaking of chronic catarrh of the stomach. Even larger calculi 
may exist and be passed without any pain. This depends upon the size 
of the calculus, its smoothness, roughness, or the angularity of its form, 
upon the width of the ureters, upon the sensitiveness of the urinary pas- 
sages to the foreign body, whether and what severe disturbances the 
passage of the calculus occasions. These symptoms together, are gener- 
ally designated by the name of renal colic. It should be observed, how- 
ever, that other obstacles to the excretion of urine, such as the presence 
of bloody coagula in renal hemorrhage, may cause renal colic, except 
that such colic is usually less persistent, violent, and distressing ; for the 
reason that the obstruction is not fixed, and does not irritate or wound 
the mucuous membrane. 

Renal colic generally breaks out suddenly, after a severe effort or con- 
cussion ; its gradual development form indefinite pains in the renal re- 
gion, whence they spread to adjoining parts, is of less frequent occur- 
rence ; the former generally takes place if the pains announce the 
entrance of a renal calculus into the ureter ; the latter, if the pain is oc- 
casioned by a gradual irritation of the renal pelvis, or by a- change in the 
position of the concretion. The pains, generally, are very violent, are 
felt in the region of the affected kidney, whence they spread to the blad- 
der and the thigh, and, when excessive, generally affect the whole side. 
The patients suffer a great deal, are tortured by an agonizing anxiety,and 
have no rest in any position or place. Their lace is, at times, pale as 
death, at others bright-red; the body is cool, the pulse small and fre- 
quent. If the parts are very sensitive, convulsive symptoms are apt to 
set in. The passage of urine is impeded and painful, sometimes the 
strangury is complete. The pains, sometimes, continue gradually to in- 
crease, until the abdomen shrinks from the least touch, or else they re- 
main unchanged, or they remit at intervals until they finally cease en- 



GRAVEL. 351 

tirely, and the patient again enjoys perfect health. In such cases, the 
concretions usually pass off, soon after, with the urine. If the calculus 
has not passed, the pain may continue and nephritis result in consequence. 
The passage through the ureter, which, after the intense pain has some- 
what abated, the patient is able to watch and point out as the calculus 
progresses, lasts from a few hours to several days. 

The diagnosis of renal colic is not always very easy. The most com- 
mon characteristic indications of the disease are : the fixed starting-point 
of the pain, together with the urinary difficulties. The prognosis is un- 
favorable only, if the concretions remain in the kidney and cause a dan- 
gerous irritation in this organ. An arrest of the calculus in the ureter 
is a rare exception. 

ALLOPATHIC TREATMENT. 

Gravel or Renal Calculus.— The relief of pain in a "fit of gravel" 
(Nephritic Colic) is the first thing called for. The most reliable means of 
relief is the hypodermic injection of a quarter of a grain of the Sulphate 
of Atropine every fifteen or twenty minutes until relief is obtained, by 
the hands of a physiciau. In case relief is not soon given, recourse in 
severe cases may be had to the inhalation of chloroform. 

The passage of the gravel may be hastened by freely drinking water, 
which increases the secretion of urine; this will carry the gravel before it 
into the bladder. 

The most common variety of gravel is uric acid. This ingredient of 
the urine is very insoluble and precipitates from the urine in the pelvis of 
the kidneys. The passage of this gravel causes pain. When gravel of 
this kind is passed in the urine into a vessel, it is known by its red color. 
The urine is almost always acid when voided. The preventive treatment 
of this condition consists in rendering the uric acid soluble by the use of 
the vegetable salts of potash, as the Citrate and Bitartrate of Potash. 
The Bicarbonate of Potash is also appropriate. The uric acid unites with 
the Potash and forms the Soluble Urate of Potash. Cream of Tartar 
lemonade may be made by the directions given in the treatment of Chro- 
nic Bright's Disease and drunk as freely as is agreeable to the patient. Or 
Citrate and Bicarbonate of Potash may be used, also as there directed, as 
freely as is desired. 

Carbonate of Lithium should be given two or three times a day in 
doses of five grains. It may be taken in either of the potash solu- 
tions. 

Soda is inappropriate in this condition as with Uric Acid; it forms a 
hard insoluble salt. 

Alcoholic drinks, wine and beer, ought to be omitted. The diet 
should be plain and simple but nutritious. An active life in the open air 
is beneficial. 

Sometimes the gravel is composed of Phosphate Salts ; then the 
gravel, if voided in the urine, they are of a grayish or white color. The 
urine is generally alkaline. 

The use of Dilute Nitro-Muriatic Acid in doses of ten to twenty drops 
diluted with sweetened water until pleasant, should be taken three times 
a day. 



352 OUR FAMILY PHYSICIAN. 

Bengoate of Ammonia has the power of dissolving the Phospate cal- 
culi. It may be given in doses of ten to twenty or thirty grains, two or 
three times a day. 

The diet should be generous, both in quality and quantity. 

There should be nervous and mental rest. Tonics of bark and iron 
are useful. 

The gravel may be composed of Oxalate of Lime. In that case the 
color of the gravel, if voided is dark, brown or yellow. Its prevention 
will consist mainly in the use of Dilute Nitro-Muriatic Acid twenty or 
thirty drops in a glass of water three times a day. The use of sweets and 
especially the rhubarb or pie-plant ought to be disallowed. 

A calculus may be more easily discharged from the bladder, if the 
urine is retained for a long time, or the bladder may be washed out 
through an open mouthed catheter. 

Stone in the bladder nearly always begins with the presence of a cal- 
culus (gravel.) 



CHAPTER XVII 



DISEASES OF THE BLADDER. 



CYSTITIS, INFLAMMATION OF THE BLADDER. 

Inflammation of the bladder, in most cases, involves the mucus lining 
of the bladder, and as such is called Catarrhal Cystitis. 

The most frequent causes of cystitis are irritations affecting the mucus 
lining of the bladder directly; they are either mechanical : catheterism, in- 
jections into the bladder, stone, or medicinal : acrid diuretices, Cantharides, 
Copaiva, Cubebs, or evfn the decomposing urine itself. In other cases the 
disease may occur as a complication; inflammatory disturbances of adjoin- 
ing organs may spread to the bladder, or the: cystitis may simply be symp- 
tomatic of some acute general affection. In rare cases only a cold alone 
will be sufficient to cause an inflammation of the bladder. 

The symptoms of acute cystitis vary. The local symptoms may amount 
to no more than a slight feeling of pressure in the regi n of the bladder, and 
are scarcely ever as intense as Hartmann describes them. Amid more or 
less febrile motions, the patient always experiences at first a pain when 
urinating. When the attack first sets in. a larger quantity of urine is 
voided with painful urging; soon, however, the urine is voided only in 
drops, and amid the most agonizing pains, as though burning embers were 
passing through the urethra. This symptom is most strikingly witnessed 
in the most acute form of cystitis after the use of new beer; it is charac- 
teristic of this inflammation. Very soon the difficulty of urinating be- 
comes associated with a constant pain in the region of the bladder; it is 



INFLAMMATION OF THE BLADDER. 353 

a cutting or stitching pain, and is aggravated by motion, urging to stool 
coughing, sneezing, pressure from without ; it spreads upwards and down- 
wards to the penis, perinseum, and thigh. At the outset of the disease the 
urine is clear; after a while it becomes slightly tinged with blood, and, in 
the further course of the disease, mixed with flocks of mucus and pus-cor- 
puscles, turbid, inclined to decomposition. The general health is not al- 
ways disturbed correspondingly to the abnormal sensations proceeding 
from the bladder ; at the commencement of the disease the general health 
is not much impared, and it is only at a latter period that restlessness, 
chills, loss of appetite, and even vomiting set in. 

The disease very frequently runs such a rapid course, that an improve- 
ment and even complete recovery may take place in a few days. If the 
disease increases in intensity, the tenesmus of the bladder may increase to 
complete retention, the bladder becomes extremely distended, and threat- 
ening symptoms of prostration set in, which may end in death. Usually, 
however, the disease, unless recovery takes place, assumes a lentescent 
character, and becomes chronic. 

In the chronic form the pains decrease considerably, only the constant 
urging remains. The mucus is secreted in considerable quantity, and along 
with it pus, so that the urine has a marked white-yellow appearance, 
sometimes like milk, and deposits a very tenacious mucus sediment. The 
tendency to decomposition is very great, the reaction decidedly alkaline, 
less frequently neutral. However, the urine is decomposed only, if it re- 
mains for a long time in the bladder. Unless peculiar circumstances 
hasten the loss of strength, it generally takes place very slowly, and the 
disease may continue for years before death takes place from exhaustion. 
Complete recovery is a rare event. Among the sequelae, we distinguish 
ulceration of the mucus membrane, hypertrophy of the walls of the blad- 
der, paralysis of the detrusor muscle; it is particularly the two first-named 
sequelae that hasten the fatal termination of the disorder, by causing hec- 
tic fever and a real phthisis of the bladder. 

What we have said shows that the prognosis is quite uncertain. Even 
if we usually succeed in overcoming an acute catarrh of the bladder, yet 
ailments sometimes remain for a long time after the slightest attacks, to 
which the careless or improper conduct of the patient may impart a high 
degree of gravity. Chronic catarrh of the bladder is always a dangerous 
disorder, whenever a great deal of mucus and pus is secreted. 

HOMCEOPATHIC TREATMENT. 

This malady, like the previous one, ought only to be treated by non- 
professional persons when medical aid is not at hand. 

Aconitum is ever requisite in the initiatory treatment of this disease, 
if there be a considerable degree of fever, with hot, dry skin, and quick, 
hard pulse. 

Dose : Dissolve ten pills in two tablespoonsful of water, and give a 
teaspoonful of the solution every two hours, until the pulse becomes 
more healthy, and the skin moist, etc. After which consult the in- 
dications for the following medicines respectively, wherewith to 
continue treatment. 

23 



354 OTJR FAMILY PHYSICIAN. 

Cantharides* is as valuable a remedy in the treatment of Inflam- 
mation of the Bladder as in that of the Kidneys, and will, in the greater 
number of cases, be required to follow the initiatory administration of 
Aconitum (or even to precede the latter when the fever has not run so 
high.) 

Dose: Dissolve eight globules in two tablespoonsful of water, and 
give a teaspoonful of the solution every three hours, until change. 

Nux-vomica. — When the affection is attributable to an indulgence 
in wine and spirituous liquors this remedy, timely administered, will, 
in many instances, check its further progress ; and also, when it results 
from suppressed piles, or other habitual discharges, or from dyspeptic 
derangements. 

Dose : As for Canth. • 

Pulsatilla. — Valuable in checking the development of the affection 
when arising from suppressed menstruation. 

Pulsatilla is also serviceable in all cases, from whatever cause arising, 
when occurring in individuals of phlegmatic temperament, with the 
following symptoms : frequent desire to urinate, painful and scanty emis- 
sion of water, either slimy or tinged with blood, which deposits a puru- 
lent-looking sediment ; burning and cutting pains in the lower part of 
the belly, with external heat and tumefaction ; suppression of urine. 

Dose : Six pills in a teaspoonful of water, every six hours, until ame- 
lioration or change. 

Helleborus-nig., Veratrtjm. — These medicines are of considerable 
service in cases of inflammation of the bladder which come on gradually, 
but subsequently become very severe, attended with frequent urging to 
pass water, and spasmodic pains, during which only a small quantity o^ 
water is passed ; to these symptoms are added continual inclination to 
vomit, aversion to all kinds of food, excessive distention of the belly. 

Dose: Of either of these remedies as selected, give three globules in 
a teaspoonful of water, every two hours, until three doses hava 
been given, and then every six hours, until positive amelioration or 
change. 



HEMATURIA, BLOODY URINE. 

Bloody urine, proceeding from the bladder, originates most com- 
monly in injuries of the mucous membrane of the bladder by foreign 
bodies, or by concretions. Moreover, hematuria and malignant growths 
in the bladder may arise from inflammation of the bladder and its conse- 
quences, ulcerations and dilatation of the vessels. It is seldom the case 
that hemorrhage from the bladder occurs without any, evidently, mate- 
rial cause. As in the kidneys, so in the bladder, certain poisons may 
cause hemorrhage, though, in the latter, less frequently than in the 
former. 

* When an affection of the bladder has been induced by the local application of Cantharides, in 
the form of a plaster, tho tincture of Camphor should be employed as an antidote, in the manner de- 
scribed at page 05. 



HEMATURIA— BLOODY URINE. 355 

Excepting the symptoms of the casual affection, the symptoms of 
hematuria are generally trifling, determined, for the most part, by the 
coagula that form very readily and interfere with the easy flow of urine. 
Hence, we have urging, tenesmus, spasm of the bladder, burning or cut- 
ting pains, and very frequently a perfect absence of pain. The symp- 
toms are always restricted to the bladder, and do not involve the kidneys 
in any way. Asa rule, the blood is not intimately mixed with the urine, 
is not decomposed, and, if the hemorrhage is at all considerable, the blood 
coagulates in such quantity that the catheter is often required in order 
to effect a passage for the urine. The flow of blood from the bladder very 
easily exceeds the quantity flowing from the kidneys, and hence super- 
induces, more readily, the phenomena entailed by loss of blood. On the 
other hand, an hemorrhage from the bladder usually has a shorter dura- 
tion than hemorrhage from the kidneys, and scarcely ever lasts uninter- 
ruptedly for weeks. Of itself, it is scarcely ever an accident of any great 
importance. 

ALLOPATHIC TREATMENT. 

In the treatment of bloody urine we ought to discriminate between 
hemorrhage from the bladder and from the kidneys. In hemorrhage 
from the kidney the blood is more evenly mixed through the urine, and 
fibrine is apt to be discharged in long strings which have been moulded 
in the ureter (the tubes leading from the kidneys to the bladder). In 
hemorrhage from the bladder, the blood is apt to be passed with the very 
last of the urine voided. 

Internally, the remedies to be resorted to are the following : The 
Tincture Muriate of Iron, which should be given in doses of twenty or 
thirty drops largely diluted in sweetened water ; Gallic Acid may be giv- 
en with Ergot, the former in doses of ten to fifteen grains, with five or 
six drops of Aromatic Sulphuric Acid, in water, and the latter in doses 
of a teaspoonful of the Fluid Extract, four times a day, or oftener. In 
this, as in other forms of hemorrhagic disease, a useful formula is : Take 
of Gallic Acid a dram, Ergotine and Digitalis, each, a scruple. Make 
into twenty pills. Take one every four hours. 

Turpentine is also a useful and available remedy. It may be given 
in the following mixture: Take of Oil of Turpentine three drams, Fluid 
Extract of Digitalis a dram, Mucilage of Gum Arabic half an ounce, 
Glycerine two ounces, Water an ounce, Oil of Gautheria half a dram. 
Mix. Dose : A dessertspoonful every three hours. 

Should the disease be periodical, ten drams of Quinine once or twice 
a day will prove the best remedy. 

The Tincture Muriate should be given alternately with any of the 
other plans of treatment given. 

In case the hemorrhage is from the bladder, it is best to wash out 
that organ by injecting into it a solution of Tannin, or Alum, or both, 
strong enough to have a styptic taste. 

When the hemorrhage is from the kidneys, hot air baths and purga- 
tives are called for, as directed in the chapter on Diseases of the Kidneys. 
Drink should be simple, as plain water, barley-water, etc., which 
may be taken freely. 



356 OUR FAMILY PHYSICIAN 

HOMOEOPATHIC TREATMENT. 

The best remedies for hemorrhage from the urinary organs are : 

Arnica. "When caused by gravel in the bladder, injury from exter- 
nal causes, like a fall or blow. Espec ially, if caused by the awkward or 
ignorant use of the catheter. 

Dose : Six pills every two to four hours. 

Cannabis. The flow of blood is accompanied by retention of urine 
or at least by painful urination, burning, lancinating, sharp pains during 
the emission of urine, fine where the blood comes from the urethra also. 

Dose : As for Arnica. 

Cantharis. Is only good where there is much pain of a violent cut- 
ting, pressing and crampy character, extending into the urethra, and, 
also, into the kidneys. Pain increased by drinking water. 

Dose : As for Arnica. 

Nux-vom. If the difficulty is caused by the abuse of spirits, by sup- 
pressed menses, etc. 

Dose : As for Arnica. 

Sassafras tea or a few drops of Oil of Sassafras on a lump of sugar, 
taken three times a day, is a sovereign remedy. The Oil is best. Take it 
for two days only. 

Witch Hazel. In any form, as a tea (home-made), Pond's Extract, 
Humphrey's Extract, or any of the standard extracts of this remedy may 
be relied on as very good indeed, in all cases of this kind, as well as in 
many other forms of excessive bleeding. 

Ipecacuanha. Is reliable where there is profuse loss of blood, with 
cutting in the abdomen and urethra, faintness, deadly paleness, sickness 
at the stomach, oppression of the chest, and a feeling of warmth in the 
lower abdomen. 

Dose : As for Arnica. 



ENURESIS XOCTURNA. WETTING THE BED. 

This inconvenience would be of little consequence, except for the cry- 
ing abuses to which the endeavor to remove it has led. Physicians as well 
as parents have supposed that this weakness could be done away with by 
purely educational means, which were, moreover suggested by the most 
insane views regarding its causes. Laterly, physicians have improved 
their methods of meeting this accident; lay-persons, however, are still true 
to their absured prejudices in tins respect. 

Wetting the bed is an accident to which children are liable; it seldom 
lasts beyond the age of pubescence, still less beyond the age of twenty 
years. Healthy individuals scarcely ever wet their beds more than once. 
This trouble generally dates from the earliest infancy, and rarely makes 
its appearance at a later period. Various causes have been assigned for it, 
and corresponding methods of treatment devised for its cure, however, 
with varied results. Laziness may give rise to it in many cases, but more 
frequently it is the fear of getting up in the dark. A common cause of the 



WETTING THE BED. 357 

trouble is, that children sleep too soundly to be roused from their sleep by 
the irritating action of the urine upon the bladder. Yet the bladder need 
not be weak or paralyzed ; if so, the accident may take place even during a 
light sleep. The children generally say that they dreamed of wetting the 
bed, showing that the irritation was not sufficiently powerful to wake 
them. The quality of the urine may cause a passing attack of enuresis ; 
we see this in children who are liable to catarrhal attacks, and, under such 
circumstances, immediately void a saturated urine. The irritation caused 
by pin-worms may likewise induce enuresis. 

Corporeal punishment should never be resorted to as a means of curing 
this weakness, which is rather made worse by it than otherwise ; older 
children are made so nervous by this treatment, that they sometimes re- 
main wide awake half the night. On the contrary, their sense of honor 
and will should be appealed to. It is of no use to keep the ordinary bever- 
age from them in the evening : this may cover up the weakness for a time, 
which returns again as soon as a little more liquid is again partaken of. 
Nor is it of any more use to frequently rouse children from their sleep at 
night. If no abnormal conditions forbid, the best plan is to gradually ac- 
custom the bladder to hold larger quantities of liquid. Children should be 
accustomed during the day to retain the urine as long as may seem proper, 
and not to yield to the least desire lo urinate, as is their usual custom. 
This system, if carried out consistently and vigorously, is often alone suf- 
ficient, in otherwise normal cases, to effect a cure, of course not in a few 
days. By measuring the quantity of urine at every discharge, we can de- 
termine a priori the time when the enuresis will cease. The more the 
quantity increases the nearer we are to a cure. This method has the ad- 
vantage of being readily adopted by the children, provided they are prom- 
ised a speedy delivery from their trouble. 

ALLOPATHIC TREATMENT. 

The involuntary flow of urine during sleep so frequently met with in 
young children, may result from any of the causes of incontinence. The 
character of the urine is to be examined in all cases. If it is alkaline 
when first voided Dilute Nitro-Muriatic Acid should be given in doses of 
from five to twenty drops, in from a quarter to half a glass of sweetened 
water, three or more times a day, to cause an acid reaction of the urine. 
If the patient is weakly, ten drops of the Tincture Muriate of Iron should 
be given in the same way as the acid, after each meal. Should the urine 
be exceedingly acid when first voided, alkalies ought to be given. A 
drink of Cream of Tartar Lemonade may be used. 

Take from two to four teaspoonsful of Cream of Tartar, dissolve in 
hot water; when cold pour off* the clear liquid, cut some lemons into it 
and sweeten. Drink as desired. The patient ought to be made to drink 
sparingly of water or other fluids during the latter part of the day. Dur- 
ing the night he should sleep on the side. He ought to be wakened if he 
turn on his back. 

There is no remedy which so positively overcomes the irritability of 
the bladder as Belladonna. Take of Sulphate of Atropine one grain, 
dissolve in one ounce of distilled water. Give five drops at bed-time and 
increase the dose by two drops each night until the incontinence ceases or 



358 OUR FAMILY PHYSICIAN. 

marked dryness of the throat, or dilation of the pupil is produced. The 
Tincture of Belladonna may be used for the same purpose in doses of five 
drops. The ratio of increase of the Tincture may be five drops, until the 
same results are produced. If the trouble does not cease under the use of 
the Belladonna alone, the Tincture of Nux Vomica may be given in doses 
of three drops three times a day, to a child of three to five years old. If 
the child is five years old or oyer, five drops may be given. Ergot is often 
efficacious in this disease, twenty to thirty drops of the fluid Extract may 
be given in water two or three times a day. 

Iodide of Iron is often especially serviceable in this trouble. It seems 
adapted to cases of weak, pale, scrofulous children. The Syrup of the 
Iodide of Iron may be given in doses of twenty drops, largely diluted in 
water, three times a day. If it is used it is not necessary to use the Mu- 
riatic Tincture. 

If these means fail, it is best to awaken the patient once or twice in 
the night to empty. A large ball or something of the kind may be tied 
to the back of the patient, which will awaken him if he turns upon his 
back, when he may arise and empty his bladder. 

It is claimed that the trouble is caused in some boys by a long prepuce 
having a very small opening, giving rise to irritability of the bladder. 
That in that case drugs are useless but circumcision removes the diffi- 
culty. 

HOMCEOPATHIC TREATMENT. 

Where, in spite of every precaution on the part of the nurse, children 
wet tbe bed every night, and no other symptom of derangement can be 
detected, the following remedies are often effectual in surmounting the 
weakness. 

Lexin is to be prepared, when the mishap generally occurs during 
the first sleep. 

Dose : Six pills in a teaspoonful of water at bed time, for four nights 
in succession ; then pause four days and resume the administration, 
if necessary, on alternate days, four times and so on. 

Acidijm phosphorictjm will prove useful in some cases when large 
quantities of urine are emitted, so that the child's bed is "flooded " 
nightly. 

Dose : As for Sepia. 

Belladonna is appropriate in cases in which the weakness is evi- 
dently incidental to a relaxed condition of the bladder, or to cerebral 
irritation. 

Dose : Pour pills in a teaspoonful of water, repeated, if necessary, 
every day. 

BuLPHTJM should be perseveringly employed in almost all chronic 
cases occurring in delicate children, but particularly in those who are, or 
have been, subject to eruptions on the skin. 

Dose: As directed for Sepia. 

Cina is a useful remedy when the existence of worms appears to be 
the irritating cause. 

Dose : Eight pills, as directed for Sepia. 



CYSTOSPASMUS— SPASM OF THE BLADDER. 359 

. CYSTOSPASMUS. SPASM OF THE BLADDER. 

This spasm is a symptom in many affections of the urinary organs, 
and, as such, is not referred to in this place. There is no doubt that it 
may likewise represent a pure nervous condition of the bladder, although 
its occurrence as such is comparatively rare. 

The disease may break out at any age, but is most frequent in middle- 
aged individuals of the male sex. All persons with weak and irritable 
nerves are predisposed to this affection, hence it is most frequently met 
with among hypochondriac and hysteric individuals. Hence, a sudden 
emotion, an outburst of passion, great depression of strength, violent ex- 
ertions during sexual intercourse, onanism, may be proximate causes of 
the disease. Whether a simple spasm of the bladder may be caused by a 
cold, is questionable. 

A spasm of the bladder commonly sets in quite suddenly, (the patient 
being otherwise in the enjoyment of good health), as a violent, constric- 
tive pain, proceeding from the neck of the bladder, and extending along 
the under side of the penis towards the glans and attended with partial 
or complete erection, sometimes radiating to the groin, testes, thighs, and 
very often, at the same time, along the perinseum towards the anus, 
accompanied by a pain resembling tenesmus. If the spasm affects the 
detrusor muscle (the muscle that forces the urine from the bladder) alone, 
the least accumulation of urine excites a violent desire to void it, so that 
the patients are sometimes unable to prevent the flow of urine ; if the 
sphincter (the muscle that retains the urine in the bladder) is affected, the 
urine is either voided drop by drop or cannot be voided at all ; if the de- 
trusor and sphincter are affected at the same time, we have the most 
violent urging to urinate, attended with a more or less complete inability 
to void the urine ; this last-mentioned case is most apt to cause nervous 
phenomena of a different kind, such as anguish, restlessness, trembling, 
convulsions, violent tenesmus. An attack of spasm may last from one or 
more minutes to half an hour. After the pains begin to abate, the urine 
sometimes passes off in a full stream, clearer and paler than usual. The 
return of the paroxysm is not governed by any rule, since the spasm 
sometimes only takes place once, sometimes a number of times, even on 
the same day. 

ALLOPATHIC TREATMENT. 

Spasm of the bladder is best and most quickly relieved by an injec- 
tion, into the bowel, of a teaspoonful of Laudanum, and thirty drops of 
the Tincture of Belladonna, in one or two tablespoonsful of thin Starch. 
The injection should be made with a hard-rubber syringe. Hot applica- 
tions may be made over the bladder and between the legs. This may be 
well done with a hop poultice. 

The removal of the cause is more difficult. A gouty condition and a 
highly acid urine, is to be met by the use of alkalis, as the Cream of Tar- 
tar, Lemonade, made by dissolving an ounce of Cream of Tartar in hot 
water ; after cooling, the clear, supernatant liquid is to be poured off and 
drank during the day, with the addition of lemons and sugar. Or Citrate 
of Potash may be taken as follows : Dissolve four ounces, each, of Citrate 



360 OUR FA3TILY PHYSICIAN. 

and Bicarbonate in a pint of water. Two tablespoonsful of this niay be 
drank in half a glass of sweetened water, after mixing with it a table- 
spoonful of Lenion Juice, of a solution of Citric Acid two ounces to the 
pint of water. The dose may be repeated four to six times a day. This 
makes the urine bland and unirritating. Wine of Colchicum may be 
given in doses of ten to thirty drops, three or four times a day, omitting 
its use when the bowels move too freely. 

Should the trouble be caused by an inflamed (or abscess of ) kidney, 
anodynes should be given as needed, and the person treated as directed in 
that disease. 

If caused by a stone in the bladder, as denoted by severe pain after 
voiding urine, the removal of the stone by a surgeon, is the only certain 
treatment. Opium and Belladonna can only temporarily relieve pain. 

Excessive venery is one cause which is removed only by continence. 

The diet should be plain and nutritious. All stimulants should be 
avoided. Milk may be allowed freely. Barley-water and Flaxseed tea 
are appropriate as drinks. 

In paralysis of the bladder, if there is overflow of urine (constant 
passing water), the catheter ought immediately to be used, the bladder 
emptied and then washed out with warm water. The use of the catheter 
twice a day, or oftener, is necessary, as long as the paralysis continues. 
The catheter used should be large, and the bladder completely emptied 
each time. The bladder ought frequently to be washed out with warm 
water. 

Remedies calculated to restore the muscular power are : Strychnine, 
Electricity and Ergot. The dose of Strychnine is one-thirtieth of a grain 
three times a day. It may be given in solution with Dilute Phosphoric 
Acid. Take of the Sulphate of Strychnine one grain, Dilute Phosphoric 
Acid half an ounce. After solution is effected, add Syrup of Ginger 
three and a half ounces. Mix. Dose: A teaspoonml three times a day. 
If the patient is feeble, half a dram of the Pyro-Phosphate of Iron may 
be added to the mixture, and also half a dram of Sulphate of Quinine, 
if its tonic effect is needed. 

Ergot is also valuable in this trouble. The dose of the Fluid Extract 
is half a teaspoonml to a teaspoonml, in water, three or four times a day. 

The form of Electricity most appropriate is the direct current. 

Hot hip baths, the cold douche, blisters over the lower part of the 
spine, is said to be serviceable. 

Aloes is the most suitable purge. 



INFLAMMATION OF THE TESTES. 361 



Part Eig\h.tb.. 



DISEASES OF THE SEXUAL ORGANS. 



CHAPTER XVIII. 



ORCHITIS. 

INFLAMMATION OF THE TESTES. 

Now and then this affection is met with as the result of mechanical 
injuries, but most frequently originates in gonorrhoea. It not only super- 
venes during the course of acute urethritis, but it may likewise set in 
suddenly during gleet, generally without any apparent exciting cause. 
Severe exertion, or the discontinuance of the use of suspensories, are said 
to sometimes cause the disease, but this is not an established fact. The 
excessive use of beer or wine is a much more active cause of the disease, 
probably because the inflammation is very much increased by such stim- 
ulants. Both Cubebs and Copaiva hold the same relation to gonorrhoea. 
They have a specific effect upon the urethra, and it is easily conceivable 
that, instead of effecting a cure when given in large quantities, they ag- 
gravate the inflammatory symptoms, and, owing to the specific action 
which they likewise exert upon the testicles, communicate the inflam- 
mation to these organs. 

Symptoms. — Orchitis seldom sets in suddenly. Ordinarily it com- 
mences with slight drawing pains in the spermatic cord which is sensitive 
to contact. At the same time the patient experiences violent tearing 
pains in the the thigh of the affected side. The weight of the testicles at 
first is troublesome, then becomes painful and finally intolerable. In one 
or two days the epididymis becomes painful to pressure, swells with 
more or less rapidity, and shortly after is succeeded by an inflammatory 
effusion into the tunica propria, in consequence of which the testicle very 
soon enlarges to the size of a fist. The pains now become agonizing ; the 
patient has to confine himself to a horizontal posture with the testicle 
properly supported. The pain is a burning-tearing pain, most frequent- 
ly with remissions after the fashion of rheumatic pains. The general 
condition of the patient does not suffer much, only in violent cases there 
is fever or even vomiting. The discharge usually disappears after the 
orchitis is fully developed, and does not re-appear until the inflammation 
has run its course ; only in a few cases it does not reappear after the sub- 
sidence of orchitis. 

The inflammation in its acute form does not often last beyond the 
tenth day, sometimes the improvement commences on the fourth day. 
This, however, is not very rapid, since it sometimes takes weeks before 



362 OUR FAMILY PHYSICIAN. 

the testicle resumes its former size ; very frequently an obstinate swelling 
of the testicles remains. 

ALLOPATHIC TREATMENT. 

Inflammation of the Testicle is to be treated, first, by absolute rest. 
The patient should be confined to his bed and should not be permitted to 
rise for anything. The bowels should move into a bed pan, and the urine 
voided while lying down ; above all he must not walk about, nor even 
sit in a chair. The testicles must be supported by a roll of soft cloth 
between the thighs, while the patient lies upon his back. The support 
must be sufficient to relieve the pain as much as possible. 

Such applications should be made as will give the greatest relief to 
the pain. This is generally best done by hot applications, as flannels 
wrung out in hot water, covered with oiled silk to retain their moisture, 
and heat or warm poultices. Sometimes cold applications are more grate- 
ful ; they should then be resorted to and even ice applied, if it relieves the 
pain more than other means. I have often found cloths dipped in a solu- 
tion of ten grains of the Acetate of Morphine and two scruples of Sugar 
of Lead in a quart of soft water, a grateful application. 

A brisk purge may be given at the beginning of the trouble. For 
this purpose nothing is better than a couple of tablespoonsful of Epsom 
Salts. (If this amount is boiled a couple of minutes with two and a half 
teaspoonsful of roasted coffee in an earthen vessel, and allowed to draw 
for a few minutes, then strained, it can be taken without trouble) or the 
same amount of Citrate of Magnesia, or Rochelle Salts taken in lemonade, 
or a couple of Seidlitz powders may be used. 

During the highth of the inflammation a quarter of a grain of Mor- 
phine or tw T enty-five drops of Laudanum, with ten or fifteen drops of 
Tincture of Belladonna may be given sufficiently often to relieve the 
pain. Or a teaspoonful of Laudanum and thirty drops of Tincture of 
Belladonna, with a couple of tablespoonsful of thin starch may be given 
by injection into the bowel, once or twice a day and any additional ano- 
dyne, if needed, given by the mouth. 

If the inflammation leaves the testicle in a hardened condition which 
does not disappear, it may be removed by applying Tincture of Iodine 
once a day, or every other day. 

HOMOEOPATHIC TREATMENT. 

Orchitis or Inflammation of the Testicles when depending on 
an injury can be relieved by Arnica. A dose every four to eight hours ; 
also apply externally. 

If the result of Gonorrhoea, by Clematis or Aurum if a dose is taken 
every evening. 

Pulsatilla is also a reliable remedy if the swelling is considerable 
without fever or thirst. 

Aconite if there is much fever and thirst, and especially if this should 
occur at the beginning of the attack, which it should usually be expected 
will be the case. 



SPERMATORRHOEA. 
By this heading we, strictly speaking, comprehend a flow of semen 
without any sexual excitement. However, in order to avoid the necessity 



SPERMATORRHOEA. 363 

of resorting to a number of sub-divisions, we have classed together in this 
chapter abnormal nocturnal emissions, as well as various other morbid de- 
rangements of the male sexual organs ; an additional motive for this ar- 
rangement is the circumstances that the treatment of most of these con- 
ditions is the same. 

The functions of the male sexual organs vary in accordance with tem- 
perament, mode of life, constitution, etc., to such an extent that it is often 
difficult to decide whether these differences are of a morbid nature or be- 
long to the normal standard. This can only be determined by the manner 
in which the male sexual sphere is generally affected by the local phenom- 
ena; whether the organs are not abnormally disturbed, or whether the 
procreative powers are impared or even suspended. 

The history of these various abnormal conditions of the sexual sphere 
is pretty much the same. Debilitating constitutional diseases, or acute 
diseases during the period of convalescence are apt to cause a so-called 
irritable weakness in the sexual sphere, which, in the former case is per- 
manent and in the latter case only temporary. This fact is most strikingly 
witnessed in diabetes and tuberculosis. In the last-named condition the 
excessive irritability of the sexual organs contributes to hasten the general 
decay. A second cause are cardiac and nervous diseases, which may, how- 
ever, likewise result from the sexual weakness. Hypochondria is a fre- 
quent cause, and still a more frequent consequence of sexual weakness. 
The most common cause of sexual weakness is the vice of onanism, which 
is too much overlooked by physicians. Yet it is certain that thousands 
might, by a timely warning, be saved from unspeakable mental and physi- 
cal disease. 

Excessive nocturnal emissions generally take place between the years 
of twenty and twenty-five, and exceptionally at an earlier age, even sixteen. 
They are of a morbid nature if they occur almost regularly without rous- 
ing one from sleep, and if they do not occur often, yet leave for days a 
sensation of languor and debility, and of mental depression. They are 
likewise abnormal if they occur several times in one night or week. 
Moreover, every emission that takes place in the waking state, with or 
without any special cause, at stool, for instance, is to be regarded as ab- 
normal. The consequences of such abnormal losses very soon show 
themselves : Paleness of the face, with dark margins around the eyes ; 
insufficient sleep ; drowsiness, with inability to sleep ; dullness of the 
head ; aching, pressing pain in the head ; vertigo ; irritable, sensitive 
temper ; aversion to society, to work, and, after a while, a deranged ap- 
petite and digestion, deficient assimilation. 

Spermatorrhoea, properly speaking, consists in a loss of semen at ev- 
ery emission of urine, at stool, without any cause, or after the most 
trifling erections. The pernicious consequences of this sort of sperma- 
torrhoea, manifest themselves much moore speedily than after nocturnal 
emissions, most probably because spermatorrhoea never occurs in organ- 
isms whose physiological functions had been carried on in normal 
manner. 

Irritable weakness of the sexual organs is sometimes the cause, but 
more frequently .the consequence of both the previously-mentioned an- 



364 OUR FAMILY PHYSICIAN. 

oinalies. The sexual excitement occurs too easily and too vehemently 
without possessing sufficient energy and consistence for the act of co- 
ition. The ejaculation of the semen takes place too soon, or even not 
at all, or the introduction of the penis into the vagina is prevented, by 
a premature cessation of the erection. The sexual weakness may be 
characterized by all sorts of abnormal manifestations in the sexual 
sphere. The mental disposition exerts a powerful influence in this di- 
rection. Hypochondriacs are particularly disposed to irritable weak- 
ness which, under abnormal mental influences, sometimes attains to 
such a degree of intensity that it seems to amount to complete 
impotence. 

Complete impotence, by which is meant an entire suspension of the 
ability to perform the sexual act, is, upon the whole, a very rare and, 
frequently, only temporary disorder, except when depending upon de- 
bilitating incurable constitutional diseases, such as diabetes or tubercu- 
losis, or when depending upon the loss of one testicle. 

An excess of sexual excitement (satyriasis) besides taking place at 
the commencement of gonorrhoea, as we have already stated, may like- 
wise occur in consequence of debilitating conditions, first as a passing 
increase, and subsequently to be succeeded by a decrease of excitability. 
It is frequently met with in the case of persons who have been ad- 
dicted to the vice of onanism, or among worn-out roues ; very rarely 
without such a cause, and then mostly as a symptom of some deep- 
seated disease of the brain. 

In treating most of these forms of sexual weakness, the diet, mode 
of life and psychical (mental) agencies exert an important influence ; 
hence we place them in the front rank. 

We cannot lay it down, as a rule, that these morbid conditions 
require either a lean or a strengthening diet. Some are afflicted with 
weakness of the sexual organs, more especially with excessive pollu- 
tions, because they live too well; it is a mistake to suppose that this 
waste is repaired by a nourishing diet, since it is well known that some 
persons are living in circumstances which preclude the possibility of in- 
dulging in good living. Hence it becomes a matter of interest to inquire 
whether a lean or a rich diet is the more suitable. All such patients 
must be cautioned against going to sleep with a full bladder or a full 
stomach, either in the daytime or at night. Certain beverages, such as 
spirits and hop beer, must be strictly avoided. Beer-drinkers are very 
apt to deny the debilitating influence of hop beer on the genital organs ; 
that this influence exists, must be evident to all who are acquainted with 
the effects of Lupulin. It is well known that drunkenness, either partial 
or total, causes an irritable weakness of the sexual organs. Coffee, and, 
in some, even tobacco, have to be interdicted; among the secondary ef- 
fects of coffee, we notice a depressing excitability and irritability of the 
nervous system. 

In general, all strongly spiced and stimulating food is hurtful. As 
regards bodily exercise, it is certain that bodily fatigue diminishes sexual 
excitement, and brings it back again to a normal standard; muscular 
exercise has also the advantage of preventing the mind from dwelling 



SPERMATORRHOEA. 365 

upon erotic subjects. Viewed from this point, walking is not the best 
kind of exercise, for the reason that it leaves the mind free to revel in all 
kinds of fancies ; onanists are very apt to be fond of walking. Severe 
mental labor is sometimes preferable to bodily exercise, especially in the 
case of hypochondriacs and onanists. This leads us to a consideration of 
psychical influences as a means of cure. 

Every physician knows that the evil consequences of nocturnal emis- 
sions, and even, to some extent, of self-abuse, are more imaginary than 
real. Numbers are made hypochondriacs by reading books that fill them 
with fear and trembling at the excesses they may have been guilty of in 
former days. Encouraging advice does more good than medicine. Self- 
abuse is prevented much more certainly by comforting encouragement 
than by picturing the consequences of such a crime in the most frightful 
colors. In dealing with sexual weakness it is in the first place necessary 
to depress the fancy, and in the second place to strengthen the will. On 
this account, reading novels is so hurtful, and cold-water treatment has 
such an excellent effect. 

Prof. O. S. Fowler, the world-renowned Phrenologis t and keen ob- 
server, makes these truthful remarks about the prevention of this fearful 
vice, self-abuse, by knowledge : 

" What salvation remains for those yet guiltless ? To forestall is 
infinitely better than to cure. Must all our noble boys, all our pure, 
lovely girls, be defiled by this moral leprosy, and lost if not redeemed ? 

"Is there no prevention ? Can they not, somehow, be kept from this 
fell destroyer ? Must all fall over this moral precipice only to be marred 
and defiled for life ? What a pity, this offering up of human life on this 
vile altar ! We cannot spare our sons, Ave must not lose our daughters 
thus ! They are too infinitely precious. Think what a darling child is 
worth ! Its entire future, and all its descendants are at stake. The risk 
is too awful. No parents should sleep until they have first so hedged 
their children around that they cannot sin. How can this plague be 
stayed ? Not by ignorance. That has been tried, only to fail, quite 
too long already. All who fall, sin for want of knowledge. Nothing 
can be clearer. Say ye who have sinned, did you not err through igno- 
rance ? Would not one seasonable word have prevented all the suffering 
it has caused you? Let universal experience decide. Parental warn- 
ing and counciling are its great forestallers and preventers. Parents 
are bound to feed, clothe and educate their children, and guard them 
against lying, stealing, etc., then why not against this secret sin as well, 
as much the most, as it is ruinous to soul and body. God in nature puts 
on parents the sacred duty of guarding their children against all sinful 
and self-ruining practices ; and their first is to guard them against this 
vice. And the guilt of those who do fall rests not on the poor, life-long 
suffering victims, but on their parents. 

"An eighteen-year-old liliputian, in Portland, Me., when told that 
this had made him small and weak, clinched his first, gritted his teeth, 
and muttered curses upon his father and elder brother who lately deceased, 
who died by this sin, because they allowed him to fall by not warning him, 
and he was right. So has any*other child whose parents let him or her 



366 0UB FAMILY PHYSICIAN. 

contract this vice. Parents are their children's keepers, not the children 
their own. Choose your own means, but use some effectual end! Give 
them no occasion to curse your neglect. The mother is more especially 
adapted and required to teach this class truths. In ordaining that she 
nurse them, Nature commands that she supply their other physical 
wants, and also mould their morals! Those who defile themselves may 
justly blame her most ; yet blame is too weak a term. 87ie should teach 
them the sacredness of this structure, and to guard it as the apple of their 
eye. 

"All communities contain sufferers from sexual abuses ; let her make 
such her walking examples of breaking this law of chastity. Parents 
should teach sexual truths, aided by good books as early as they can be 
understood. You must plant knowledge before the sin has taken root ; 
much best — before the seeds of sin have been sown. 

" To the sexual education of oirls, these principles apply with 
redoubled force. Young America learns such things early and easily." 

Stop the act, and that and cold water will complete the cure; curse 
medicines. 

ALLOPATHIC TREATMENT. 

In Spermatorrhoea, if the discharges are only occasional, and the gen- 
eral health is not affected, no special treatment is required; if the patient 
is unmarried, as soon after marriage the annoyance will cease without 
treatment. It is best, however, that he should not eat a hearty meal for 
four or five hours before retiring ; he should empty the bladder before re- 
tiring ; the bed should be hard and the coverings rather light ; he must 
lie on his side, never on his back, and rise about the middle of his night's 
rest, and stepping on the cold floor, empty his bladder again. 

In instances in which the health has become debilitated, and the 
functions of the mind impaired, it will be necessary to institute medi- 
cal treatment. In these cases, the whole nervous system has lost tone. 
The diet should be nutritious but plain, cold bathing and tonics should 
be resorted to. If the patient is unmarried, I would put him upon the 
use of Strychnine and Quinine dissolved in Dilute Phosphoric Acid, 
as take of Sulphate of Strychnine a grain, Dilute Phosphoric Acid one 
ounce ; after the Strychnine is dissolved, add half a dram of the Sul- 
phate of Quinine, and three ounces of Syrup of Orange Flowers, or 
Simple Syrup; if the patient is married, I would give two or three 
grains of Pyro-Phosphate of Iron in Syrup, after eating, giving the 
former mixture before eating ; or, instead of the first mixture, Phosphide 
of Zinc and Nux-vomica a quarter of a grain each may be taken in pill 
three times a day ; or the pills of Phosphorus, Nux-vomica and Quinine 
may be used. In addition, teaspoonful doses of Fluid Extract of Ergot 
may be taken one, two or three times a day; from two to twenty drops of 
Tincture of Belladonna may be given with the Ergot, at night, with ben- 
efit. The dose should be increased until benefit or dryness of the throat 
is produced. 

In eases more extreme, with greatly reduced health, it may be neces- 
sary to resort to Cod Liver Oil, in addition to other tonic treatment. 



LEUCORRHCE A— WHITES. 367 

In rebellious cases, Mr. Erichsen's method of applying a solu- 
tion of Nitrate of Silver to the neck of the bladder through a silver ca- 
theter having several fenestrations (openings) should be resorted to. The 
strength of the solution should be five grains to the ounce, at first ; but 
after two or three weeks, if no improvement result, the strength may be 
increased. The solution is driven out of the openings by a sponge fast- 
ened to the end of a wire stylet being pushed through the catheter to the 
end next the bladder. Occasionally, the daily introduction of cold steel 
sounds will answer the same purpose. 

The measure which succeeds in the end, without fail, is life in wed- 
lock. In some extreme cases, the cure is not attained for a year or per- 
haps more. Only a temporary lack of capacity exists, and eventually a 
complete cure results, if the patient lives a married life, and the general 
health is good, or restored with the use of appropriate tonics. 

If the person is unmarried, and in robust health, it is best to use the 
following prescription : Take of Bromide of Potassium an ounce, Infu- 
sion of Digitalis eight ounces. Mix. Dose : A tablespoonful twice a 
day, and after the emissions cease, give at night only. In this class of 
persons, from two to five two-grain pills of Monobromated Camphor, 
taken twice a day, is appropriate treatment. As with the Bromide of 
Potassium, after the involuntary emissions cease, the medicine need only 
be taken at night When the Bromides of Camphor or Potassium are 
used, and the discharge is not stopped, a pill of a third of a grain of Ex- 
tract of Belladonna and one or two grains of the Extract of Hyoscyamus 
should be taken, at bed time, in addition. 



CHAPTER XIX. 



DISEASES OF THE FEMALE SEXUAL ORGANS. 



LEUCORRHCEA.— WHITES. 

CATARRH OF THE SEXUAL MUCOUS LINING. 

Simple catarrh is one of the most common derangements of the fe- 
male sex. It originates in a variety of causes. In the first place we have 
to mention as exciting causes such as act directly upon the sexual organs 
— excessive coition and self-abuse, miscarriage, and to some extent con- 
finements, which, if occurring in too rapid succession, almost always 
cause leucorrhoea, especially when after the last named causes the patients 
persist in getting about too soon. 

Sudden and violent attacks of vaginitis and leucorrhoea have been ob- 
served to arise from causes such as those which follow sudden suppressions 
of perspiration ; of diarrhoeas, or of sudden suppression of milk, or in 
other instances, suppression of some eruption on the skin. 

The influence of cold damp weather, or exposure to cold and damp 
from the location of the residence in a marshy district, or perhaps the na- 
ture of the house itself (stone, with walls constantly moist on their inner 



368 OUK FAMILY PHYSICIAN. 

surface) and from water standing in the cellar, especially when long con- 
tinued, is a powerful promotor of leucorrhoea. 

An entirely opposite but not less numerous class of causes of this 
disease may be found in the high living, stimulating spices, condiments, 
and drinks in which many women indulge. 

Symptoms. — At the first appearance of leucorrhoea, there are usually 
the indications of acute inflammation, pain, heat, and redness of the parts 
involved, which may subside as the discharge becomes more and more 
fully developed. With this discharge, whether acute or chronic, there 
will usually be more or less pain in the groins and hypogastrium (lower 
part of the abdomen) and in the lower part and small of the back. The 
urethra will often become implicated, causing painful micturation (passing 
water) and sometimes causing almost inability to urinate, in the acute 
form. 

HOMCEOPATHIC TKEATMENT. 

The radical cure of this disorder is attended with much difficulty, and 
can only be affected by long, patient, and careful treatment in those cases 
in which it is incidental to serious derangements of the womb or of its 
appendages. 

Pulsatilla is indicated when the discharge is thick, like cream, or 
milky, and sometimes gives rise to a burning sensation: when, moreover, 
it is associated with indigestion, and occurs in females of relaxed fibre and 
lympathic temperament, or in whom the monthly flow is irregular and 
scanty; the discharge is often worse when lying down. 

Dose: Six globules in a teaspoonful of water, morning and evening, 
for four days (unless a decided change should sooner occur); then 
pause four days, after which the course may, if necessary, be repeated 
as before, and so on. 

Sepia should be selected when the affection occurs in delicate and ex- 
hausted females, the discharge being yellow or green, generally watery 
and more or less acrid or corrosive ; and when it is accompanied by a ten- 
dency to profuse perspiration, particularly on sitting down, after walking. 
Sepia is also additionally indicated, if the monthly discharges are irregular; 
and, further, when bearing-down pains are often experienced. 

Do.se : Four globules, in other respects as directed for Calcarea. 

China should be given when the discharge is very profuse, and gives 
rise to great debility; the menses seem to be suspended, or the leucor- 
rhoeal discharge occurs instead; painful pressing towards the groins and 
anus. 

Dose: Four globules, as directed for Pulsatilla. 

iEscuiiUS hip (Buckeye), is indicated where the whites are accom- 
panied by intense pain and lameness in tin 1 back and hips, so that it is 
almost impossible to rise after sitting, or to walk a long distance; consti- 
pation, and piles. 

f)osr : Three globules, as directed for Pulsatilla. 

Kbeosotum. The discharge precedes and follows the menses, and is 
greatest when standing or walking; it is yellow, offensive, acrid, and cor- 
rosive, causing soreness of the parts, and violent itching. 

Dose: Three globules, as directed for Pulsatilla. 



LEUC0RRHO3A OR WHITliS. 369 

Podophyllum should be administered in case in which the discharge 
is thick and transparent, and there is constipation, and a feeling of bear- 
ing or pressing downwards in the genitals; falling of the womb, and pro- 
trusion of the intestine daring stool. 

Dose: Three globules, as directed for Pulsatilla. 

Collinsonia is indicatedi)y cases in which the discharge, which may 
be thick or thin, is accompanied by great itching of the parts ; and there 
are obstinate constipation, and disordered and painful menstruation. 

Dose : Three globules, as directed for Pulsatilla. 

Iodium may be found very useful in cases of long standing; particu- 
larly in scrofulous subjects ; the whites are most abundant at or near the 
time for the menstrual flow ; and the discharge is so very acrid and cor- 
rosive that not only are the adjacent parts made sore, but the undercloth- 
ing is made rotten and destroyed. 

Dose : Six globules, as directed for Calcarea. 

Diet and Regimen. The diet ought to be simple, but generally very 
nutritive. Coffee and tea ought to be avoided, and cocoa or arrowroot sub- 
stituted. Regular exposure to the benign influence of the fresh air is com- 
mendable, but over-fatigue and prolonged standing should be sedulously 
avoided. 

ALLOPATHIC TREATMENT. 

The treatment of Lecuorrhoea or Whites must necessarily be directed 
first to the cause, as failure of the general health, as from constipation or 
anaemia (impoverishment of he blood), the treatment will relate pri- 
marily to the treatment of consumption, for which directions will be given 
in the article on consumption , or if the patient is anaemic (pale, weak, 
and tired, especially tired upon rising after full nights rests), the treatment 
will first be directed to the removal of the anaemic condition, by the use 
of tonic remedies, especially Iron. When the discharge is very profuse, 
and exhausting the Phosphate or Hypophosphite of Lime, may be given 
with great advantage. During the general improvement of the body, the 
discharge diminishes. In Parrish's chemical food (Compound Syrup of 
the Phosphates), we have both the Iron and Lime. The dose is a teaspoon- 
f ul. It may be mixed with an equal part of Syrup of the Lacto-Phosphate 
of lime, and a dessertspoonful given three times a day. The Compound 
Syrup of the Hypophosphites (Lime, Soda, Potash, and Iron), meets the 
indications, and is agreeable to take. The dose is from a teaspoonful to a 
dessertspoonful three times a day. If there is colicky pains, or symptoms 
of dysentery the Hypophosphites should be combined with Dilute Phos- 
phoric Acid. Take of the Compound Syrup of Hypophosphites seven 
ounces, Dilute Phosphoric Acid one ounce, mix. Dose one or two teaspoons- 
ful three times a day. It is a good rule t) add the Dilute Phosphoric Acid, 
to the Hypophosphites whenever they are given. 

In marshy districts or when Ague is prevalent, Quinine should be 
given for a week, alternated with Cinchonidias for a week, in doses of two 
or three grains three times a day, or such other treatment as is suitable 
for Ague poisoning, given in the treatment of intermittent fever. Some- 
times a change of residence is necessary to retain better hvgine, Exalted 

24 



370 OUR FAMILY PHYSICIAN. 

activity of the sexual organs will demand an omission of the relations of 
the bed. There are few causes of Leucorrhoea in which the uterus is 
sound. The organ is relaxed, and probably enlarged, and the secretion of 
the mucus membrane increased, showing a chronic inflammation, or con- 
gestion. Flexions (the womb bending on itself), or other displacements 
of the organ, must be corrected by mechanical means. The skill of a 
physician is required, but if unavailable, it may be said here that the com- 
mon ring pessory relieves more cases of displacement than any other in- 
strument that can be used by the un-skilled hand. The neck of the 
womb should rest within the ring after its introduction. The concave pes- 
sory ought not to be usedas a rule ; it makes a flexion worse, as do the 
stem pessories with a cup. Adjusted by a skilled person some form of 
Dr. Hodge's bow pessory is suited to most displacements. Correction of 
the malposition of the womb relieves the congestion, and does as much 
towards curing the discharge. This caution must be added; an unsuitable 
or illy fitted supporter, is a positive injury. The enlargement and chron- 
ic inflammation is generally caused by rising too soon from child-bed or 
after an abortion. A long period of rest in bed, is required after these 
events ; four weeks will do, but sometimes a longer time is required. The 
binder wide enough to reach from the ribs to the middle of the 
thighs,* should be kept tightly pinned after delivery. After the lochia 
(flow), ceases the warm vaginal douche should be commenced. Constipa- 
tion, must be obviated as directed for that trouble. The preparations con- 
taining Aloes are to be preferred. Diet should be nourishing, and exer- 
cise at first moderate. Too frequent pregnancies in women, liable to abor- 
tion is another cause of chronic enlargement, and of a condition causing 
Whites. The womb must have rest after an abortion, as well as after 
confinement, this is necessary for months sometimes. Too frequent mens- 
truation is another cause 10 be obviated, if possible. In this chronic en- 
larged condition, a teaspoonf ul of the Fluid Extract of Ergot with ten or 
fifteen drops of Tincture of N"ux-vomica may be taken two or three times 
a day. Ten grains of the Iodide of Potassium in sweetened Peperment 
water three times a day, is a beneficial remedy for this enlargement, and 
for the chronic discharge. Iron may be indicated in the form mentioned 
above. Change of climate, and the use of mineral waters may sometimes 
be called for, but generally the indication is met by the Hypophosphites 
recommended above. 

The kind and quantity of food should be regulated to meet the wants 
of the system. Sleep should be long and undisturbed. The skin must 
be kept warm with flannels, bathing, rubbing, and out door exer- 
cise. 

The bath should, as a rule, be warm and tepid, taken daily and fol- 
lowed immediately by cool bathing. The combined sitz and sponge bath 
is most generally applicable ; after the bath the skin should be rubbed 
until it is aglow. If there is a poor, or no reaction, the cool bath should 
not be used. Some are most benefited by the warm baths exclusively. 

While many cases of leucorrhoea can be cured without them, injec- 
tions are very valuable in treating this trouble, and sometimes they are a 
necessity. A long flexible syringe having a long vaginal tube, should be 
selected, and often the form called the " Douche." The syringe should be 



WHITES.— MENSTRUATION. 371 

filled and one end of the tube introduced into the vagina and the other in the 
bucket containing the fluid which is raised considerably higher than the 
patient. The highth of the bucket and the length of this column of fluid 
governs the force of the current. The flexible tube should therefore be 
long. In this way any quantity of fluid can be used at an injection with- 
out wearying the patient. She should lie upon her back with her hips 
raised with a pillow and a rubber cloth so arranged that the fluid may be 
conducted into a bucket. In the use of water injections I have found 
warm water (as hot as can be borne) the best. The quantity allowed to 
flow through the vagina should be large ; one or two gallons frequently 
repeated. Sometimes the cold douche alternated with the hot douche and 
less often the cold douche alone, gives better results. The diseased surface 
is not generally the vagina but the interior of the womb, which medi- 
cated injections do not reach. They are often, however, useful. The 
simple water injection should be used first, followed by a quart of the 
medicated injection. A strong tea of White Oak Bark with or without 
the addition of one or two teaspoonsful of Alum in the quart may be 
used. One or two drams of Tannin and four drams of Alum to a quart of 
water, is often serviceable. One or two even teaspoonsful (drams) of 
Sulphate of Zinc in a quart of water may be used. It is often better to 
change the injection from time to time. If the flow is offensive the Per- 
manganate of Potash, two drams to the quart, or one dram of Carbolic 
Acid to the quart of Water may be used for an injection. If the dis- 
charge is irritating bathing the external genitals with a solution of Soda 
or Borax will be useful. 

Many times the physician has to resort to topical applications to the 
neck of the womb and its cavity, for which the following preparations of 
Iodine and Tannin are highly useful. Take of Iodine half a dram, Io- 
dide of Potassium and Water, of each a sufficient quantity to dissolve the 
Iodine, Glycerine sufficient to make an ounce, then add two drams of 
Tannin, or such quantity as is desired. The Tincture of Iodine saturated 
with Tannin is a very efficient application in chronic inflammation of the 
neck and interior of the womb, and in enlargement of the organ, so pro- 
lific of leucorrhoeal discharge. Also an excellent plan of local treatment 
which must also be made by the physician, is, Iodoform one dram, Tan- 
nin one ounce. Mix well. A sufficient quantity of this powder is to be 
packed dry around the neck. One of the most effectual applications in 
these same affections with ulceration and consequently for the leucor- 
rhoea, is the undiluted Carbolic Acid, which may be applied to the neck 
and cavity of the womb with a probe wrapped with cotton, but by a phy- 
sician only. Before making this internal application, the uterine (womb) 
cavity should be dilated with a sponge tent. 



MENSTBUATIOST. 



By menstruation we understand a flow of blood from the female 
sexual organs recurring at regular intervals. It is a sign that the female 
organism has attained the faculty of conceiving, and depends upon the fol- 



372 OUR FAMILY PHYSICIAN. 

lowing processes: The gradual maturing of an ovnlum (egg) in the ovaries 
determines an increased afflux of blood to those organs. If this congestion 
has reached its acme, the other organs of the sexual system participate in 
this hyperemia (congestion) to such an extent that the blood-vessels become 
ruptured and a more or less considerable discharge of blood takes place, ac- 
companied by a sometimes more extensive and at other times more local de- 
tachment of the epithelial lining of the sexual organs. While the dis- 
charge of blood lasts, the matured ovulum (egg) enters the fallopian tubes, 
which renders its fecundation possible. A discharge of blood need not 
necessarily accompany the passage of the ovule into the tubes; otherwise 
how could a woman who is nursing her baby and does not see the least 
sign of a menstrual show, conceive again at such a time V That this hap- 
pens, is a fact established beyond the possibility of a doubt. 

According to circumstances the menses appear at times sooner, and at 
other times later. They are influenced by climate; the nearer to the equa- 
tor, the sooner the menstrual period appears; they are likewise influenced 
by the mode of living: in cities the menses appear sooner than among 
country-girls; by the mental capacities: the more advanced the mental de- 
velopment, the earlier the menstrual functions make their appearance. 
The constitution exerts no particular influence ; very robust girls some- 
times menstruate very late, w r hereas feeble ones often menstruate prema- 
turely. According to the circumstance the menses may set in between 
the ages of ten and twenty years ; in our climate they appear in cities be- 
tween the ages of fourteen and sixteen, and in the country between the 
ages of sixteen and twenty years. 

The quantity of the menstrual blood is likewise variable and cannot 
be determined a priori ; stout women sometimes lose a small quantity of 
blood, whereas feeble and spare-bilt women lose a great deal. The quantity 
is from two to eight ounces. 

Nor is the duration of the menstrual flow the same in all cases. It 
generally averages five days, but, without being considered abnormal, may 
last only two, or may be extended to eight or nine days. Sometimes the 
bleeding stops for a short time and then reappears again. 

The periodicity of the bleeding likewise varies. By far in the majority 
of cases it returns again every twenty-eighth day. In many cases there is 
and interval of four weeks between the periods ; in a few cases we notice 
an interval of twenty-one to thirty days. Four weeks may be considered 
the normal length of the interval between each two successive turns. 

The influence of the menses upon the general health is sometimes 
considerable and at other times none at all. We notice hyperaemia 
of the vagina and of the external pudendum, sometimes with increased 
secretion of mucus: tumefaction of the breasts with painful, knotty 
swelling of single milk ducts. During the menstrual flow the ner- 
vous system is much more sensitive and excitable, whence the follow- 
ing phenomena : chilliness alternating with flashes of heat; headache, 
hemicrania, vertigo, languor, drowsiness without any ability to sleep; 
irritated, whining mood; loss of appetite, palpitation of the heart. En 
addition t<> these derangements, we often see a sickly, gray complexion, 
efflorescences in the face, margins around the eyes; vomiting or nausea; 
altered voice. These phenomena usually occur only during the first 



MENSTRUATION. 373 

twenty-four hours of the now, after which they cease either suddenly or 
gradually. 

The total cessation of the menses takes place indefinitely, some women 
menstruating regularly until the age of 55, whereas others cease to men- 
struate when they are 30 years old. These differences do not depend upon 
the time of the first appearance of the menses, or upon the vigor of the 
individual, upon the number of times a woman has conceived, nor even 
upon other morbid conditions. The final cessation is not bound by any 
rule, and may take place quite normally between the ages of 40 and 50 
years. It may occur suddenly and completely, or in paroxysms ; some 
periods, even to the number of ten or twelve, being skipped, after which 
the menses may occur again regularly for months, or a sort of hemorrhage 
may set in, which is again followed by a stoppage of the menses. As a 
rule the quantity of the menstrual flow is larger as the period of a final 
cessation draws near, than in the preceding years. 

In the previous paragraphs we have only briefly alluded to the most 
important points. But they show satisfactorily the importance of the 
menstrual function to the female organism. Hence, it is that menstrual 
irregularities have, at all times, excited a lively interest among physicians 
as well as lay-persons, to such an extent that they have been classified 
under special heads, although, in reality, they constitute a symptomatic 
manifestation of one and the same general or local disease. The question 
now is, when, in a general sense, menstruation may be said to be abnor- 
mal. The menses are abnormal in the first place if they do not harmon- 
ize with one of the previously-indicated periods ; they are likewise 
abnormal, if, for some cause or other, the usual duration of the menstrual 
flow in a given case is either shortened or lengthened. A woman who 
menstruates every 21st day, is not considered sick ; but we consider a re- 
turn of the menses every 21st day abnormal, if heretofore they had 
occurred every 28th day. Finally, whether the menstrual flow is to be 
considered abnormal, may depend upon the influence which it exerts 
upon the general organism. A suspension of the menses in the case of a 
young girl who, after being relieved from the prejudicial influences of 
school and city-home, goes into the country and there regains her bloom- 
ing health, cannot be regarded as a morbid condition. 

Every attention should be given to the mind and feelings of the 
young woman ; her excited fancy should be controlled, and her nervous 
sensitiveness and excitable temperament, which are so apt to cause disease, 
should be quieted. For this reason, a woman should be treated with 
kindness and attention, especially during pregnancy and the menstrual 
period. Every depressing emotion, chagrin, fright, anger, acts prejudi- 
cially upon persons in health, much more upon those who are diseased. 
We refer the reader to our chapter on hysteria and to our subsequent 
chapter on chlorosis, where we shall show that a premature development 
of the mental faculties, and more particularly of the fancy, exerts a 
pernicious influence upon the constitution of the growing woman gener- 
ally, and upon the normal functions of the sexual system in partic- 
ular. 

Woman's material mode of living deserves a closer attention. A 
wrong system has, in this respect, become a second nature to such an 



374 OUR FAMILY PHYSICIAN 

extent, that a physician is expected to allow his patients to indulge in 
their accustomed violations of a proper diet, on which account we invite 
him to pay particular attention to the following points in the treatment 
of female diseases. 

1. Women who lead a sedentary life, should be induced to take more 
exercise than usual, and to rouse themselves from their phlegmatic tor- 
por. This is one of the first requsites of health ; frequent exercise in the 
open air, cleanliness, frequent bathing and washing, and frequent changes 
of linen. During the menses, every heating exercise and every exposure 
to a cold should be avoided ; likewise heavy farinaceous food, freshly- 
baked bread ; violent emotions, sexual intercourse, emetics, purgatives, 
baths. This caution need not be carried so far as to compel healthy and 
robust women to lie down the first two days and even to give up their 
accustomed walk. 

2. A bad habit that is indulged in by many ladies, is eating at any 
hour of the day. This practice is decidedly injurious to the success of ho- 
moeopathic treatment, and should be abolished. Order is useful in all 
things and likewise in our meals, and patients should be given to under 
stand that they must partake every day of a warm dinner at a fixed hour; 
breakfast and supper may consist of cold articles of food. 

3. Too much sleep, and sleeping too often within twenty-four hours 
can only be approved of, if the patients are very weak and anaemic ; during 
sleep the body has to be kept perfectly unrestrained and easy, without the 
least inconvenience from the pressure of the ordinary clothing ; otherwise 
sleep will not exert the quickening influence that is expected from it. Fe- 
males especially have the bad habit of lying down with a mass of clothing 
on. This practice not only prevents the body from getting warm, but in- 
terferes with the free circulation of the blood and thus gives rise to other 
troubles in addition to those already existing. Tight lacing is another 
censurable practice which is often the sole cause of menstrual irregulari- 
ties. By going without corsets for a time the woman will soon learn to 
keep her back straight without any artificial support. If corsets are worn 
too tightly, they compel the wearer to breathe with the upper portion of 
the thorax, the lower ribs being not allowed freely to expand on account of 
the compression exerted upon them. This gives rise to an incomplete res- 
piration, an imperfect introduction of oxygen and a diminution of the 
elasticity of the pulmonary vesicles. Thus it is that corsets become a co- 
operating cause of many of the blood-diseases of females. When speaking 
of chlorosis and tuberculosis, we shall revert to this subject. 

4. Regarding the function of the bowels, it is of importance that our 
female patients should never suppress an urging to stool, and that they 
should at least have one evacuation from the bowels every day. Women 
are much more afilicted with constipation than men; in most cases they 
are the authors of this exceedingly prejudicial state of the bowels, some- 
times on accout of neglect, at other times from sheer laziness, again on ac- 
count of sedentary habits, and hnally because they are ashamed of satis- 
fying the call of nature. 

5. Women should make it a rule to wash their parts, especially if af- 
fected with leucorrhuea or other diseases, several times a day with cold 
water, aud during the menstrual flow with tepid water. More recently 



MENSTRUATION. &75 

the Sitz-baths and the vaginal syringe are now in almost general use. 
These are not only excellent means of relief in many morbid conditions, 
but likewise excellent means of prevention, and should be found in every 
lady's bed-chamber. Cold water is indeed the most reliable nervine at our 
disposal. 

DERANGEMENTS ATTENDANT ON THE APPEARANCE OF THE MENSES. 

It must be self-evident that the awakening of the sexual life, which is 
the greatest revolution which the female organism can undergo, is accom- 
panied by phenomena that very often partake of the nature of a morbid 
process. The normal conditions under which the menses should first ap- 
pear, have been explained in a previous paragraph.: A premature appear- 
ance of the menses always implies a feeble constitution and powerful 
sexual instinct. Hence, it is of the utmost importance not to accelerate 
this period because all the ailments which sometimes befal young girls at 
this age, are supposed to originate in the tardy appearance of the catam- 
enial discharge. Of course, where the delay is evidently of a morbid char- 
acter, nature should be assisted by such remedial means as will promote 
the menstrual flow. 

Such morbid phenomena are the more striking, the more sensitive and 
delicate the young woman who had been reared in the bosom of luxury and 
ease. Although these ailments may not be very considerable, yet their re- 
moval often requires the interference of art. Sometimes a judicious diet 
is sufficient for this purpose, but in many cases medical agents have to be 
used. Such cases are characterized by the following symptoms: Conges- 
tion of blood to the head, as indicated by heaviness of the head ; rush of 
blood to the chest, with palpitation of the heart, and sometimes attended 
with oppression of breathing ; sensation of warmth and repletion in the 
abdomen; feeling of indolence through the whole body; occasional flashes 
of heat and red flushes in the face ; languid feeling in the legs and feet ; 
pain in the small of the back and pelvic region ; drawing in the thighs, fre- 
quent urging to urinate. These symptoms may be regarded as menstrual 
distresses which are very speedily succeeded by an actual appearance of 
the menses and disappear with them. If these symptoms continue for a 
longer time without any menstrual show taking place, the patient will 
have to take a good deal of exercise in the open air, use more vegetable 
than animal diet, more liquids than usual, and spend her time as much as 
possible in chearful company. 

If the above mentioned symptoms become more severe and continu- 
ous ; if the rush of blood is more violent, causing anxiety, palpitation of 
the heart, constant heat, a restless sleep full of dreams and interrupted by 
sudden starts; if the face looks bright-red, and the signs of cerebral 
hyperemia and congestion of the organs, the chest becomes manifest: we 
resort to remedies that have been indicated for such conditions in their 
respective chapters. One of the leading remedies is undoubtedly Pulsa- 
tilla, especially if the congestive symptoms of the head and chest are ac- 
companied by signs of abdominal and uterine congestion, as if a stone were 
oppressing the uterus, and the patient complains of chilliness, stretching 
of the extremities, yawning and other febrile symptoms may likewise be 
indicated by a certain train of symptoms. The above-mentioned dietetic 



376 OUR FAMILY PHYSICIAN. 

rules should not be neglected while this medicine is used. Belladonna 
may be added to this group of remedies as one of its most prominent mem- 
bers. Whereas Chamomilla is very seldom indicated, Yeratrum and Bella- 
donna will often be required, the former if the functional activity of the 
heart is very much impared, as indicated by paleness of the countenance, 
great chilliness or constant alternation of chilliness and heat, anxious feel- 
ings; the latter if symptoms of cerebral congestion prevail, with bright 
redness of the face. 

If the young woman has reached the age of pubescence and feels oth- 
erwise quite well, although the menses do not show the least sign of mak- 
ing their appearance, you would commit a great wrong to drench the or- 
gaism with medicines ; your duty will be to leave nature alone in determ- 
ining the period for the appearance of the menses, more particularly if the 
organism shows signs of being backward in its development. It is only 
if the organism is sufficiently developed and the young woman's age 
justifies the expectation that the menses ought to appear, that it is 
proper to hasten this process by the employment of suitable remedies. 
We give Pulsatilla, and, if the indications are satisfactory, repeat the dose 
rather frequently, more particularly in cases where the non-appearance 
of the menses causes, without .any other bodily ailments, an excessive 
nervous irritability, whining, peevish, timorous disposition, paleness of 
the face and great flabbiness of the muscular tissue. Nux-voniica, on the 
contrary, will be found appropriate in persons of an opposite tempera- 
ment, an irascible, choleric disposition, a full habit, without any decided 
congestions, redness of the cheeks and turgescence of the body. 

Dose: For any of the remedies, six pills, once in each day, dissolved 
in a teaspoonf ul of water. 



SUPPRESSION OR DELAY OF THE MENSES— AMENORRHEA. 

"This suppression either takes place during the flow, or in conse- 
quence of causes acting previous to the actual appearance. In the former 
case a cold may have operated ; or cold washing may be the cause ; or the 
feet may have got chilled ; or the patient may not have been sufficiently 
protected by her clothes ; mental or moral emotions, vexations, chagrin, 
anger, fright, or dancing, sexual intercourse, dietetic transgressions may 
have led to the suppression. Most of these causes, if operating shortly 
before the time when the menses were to come on, may cause their reten- 
tion. A gradual suppression of the catamenia may take place in conse- 
quence of deficient nutrition, as well as of the abuse of warm beverages, 
and the continued influence of depressing emotions. We have already 
shown that a change in the mode of living may superinduce a suspension 
of the menses, in the case of young women, without leading to derange- 
ments of the general health. 

11 The more sudden the suppression of the menses, the more violent 
the changes arising from such an occurrence. Some of the most promi- 
nent symptoms are: Violent headache, great anxiety and oppression of 
breathing, nose-bleed, spitting of blood, congestions of the head,^ heart, 



SUPPRESSION OF THE MENSES. 377 

and lungs, and the like. In some cases a suppression of this kind gives 
rise to acute uterine catarrh. If a phj-sician is called in time, he will, of 
course, inquire what gave rise to the trouble, and will seek to remove the 
consequences of fright, mortification, anger, etc., by appropriately-spe- 
cific remedies. If the physician is not called until some time after the 
morbid symptoms have existed, the aforesaid remedies will no longer be 
applicable, and the constitutional condition generally will have to be 
acted upon by corresponding remedies, and you should follow the same 
course as a physician. 

ALLOPATHIC TREATMENT. 

Amenorrhea. If the menstrual flow (menses) never has appeared 
and the patient is strong and healthy, and there is no menstrual molimen 
(symptoms or sensations) it is not prudent to resort to any interference. 
Every means should be employed to strengthen and invigorate the system. 
The body, rather than the mental faculties, should be exercised. Life in 
the open air and tonics containing iron, should be given if the patient is 
ansemic (having thin blood.) Constipation should be corrected as directed 
in the treatment of that disease. The preparations containing Aloes are 
especially appropriate. 

Scarcely ever is menstruation (and menstrual sensations) absent after 
nineteen or twenty years, unless there is lack of development in some of 
the organs of generation. This is to be inferred, if invigorating measures 
after employment for some time, have proved ineffectual. The advice of 
a skillful physician should be always procured. Development of the 
womb to a proper size, has in some cases been induced. 

Retention of the menses is probable when regular symptoms of men- 
struation occur without the flow, and the abdomen of the patient gradu- 
ally enlarges. The cause of retention may be absence of the vagina, an 
imperforate hymen or colosure of the mouth of the womb. These may be 
overcome by the skill of the surgeon. 

If the general health is good andthe generative organs, vagina, uter- 
us, and ovaries are well or reasonably developed, Iron may be effica- 
cious in establishing the menstrual flow. 

Persons who have Anienorrhcea (suppression of menstruation) are 
generally suffering from an indisposition of some kind with which the 
amenorrhcea is associated or dependent on. In some cases the patient has 
fallen into ill-health before the menses have ever appeared, and as a con- 
sequence there is no attempt at menstruation. 

It is, therefore, perfect nonsense to attempt to bring on the monthly 
flow or cure the amenorrhcea, while the general health remains impaired. 
In a patient suffering from consumption, treatment ought not to be 
directed to menstruation at all, until the patient can be brought up to a 
good degree of general health, and then nature will establish the menses 
if the system is able to sustain the discharge. It is a popular error that 
stoppage of the monthly courses is the cause of the ill-health which 
accompanies it, whereas exactly the opposite is the truth ; the general 
indisposition has caused the suppression of the menses. In the treatment 
of these cases the return of the monthly sickness is the final result to be 
attained. Improvement in other respects must be first attained and al- 



378 OUR FAMILY PHYSICIAN. 

most always the rest will follow as a necessity under nature's order 
alone. 

If the patient is not surrounded by good hygiene, this is the first 
point to attain. She should have pure air, and exercise out of doors 
should be taken. This exercise, if taken for exercise, is apt to be neglect- 
ed and not be of a character which will make her of cheerful spirits ; 
recreations, such as buggy riding, and walking with cheerful companions, 
or rambles in the fields or woods will accomplish this, if not carried to a 
point which is too fatiguiging. 

When the patient becomes exhausted at her exercise she is going a 
little too far. A sedentary occupation may sometimes need to be changed 
for a more active one. With persons who are unaccustomed to physical 
exercise, this habit must be cautiously and gradually begun. 

With shop and factory girls poor hygiene is most likely to be the 
cause of such a poor state of health as will produce amenorrhcea. In these 
cases, while the use of medicines follow the same rules as in other debili- 
tated patients, it is quite secondary to the improvement of their hygienic 
circumstances. 

In schools too little time is given to unrestrained life (exercise) in the 
open air and too much time to quiet mental work, and the anxiety of pa- 
rents as to the intellectual development of their children, leading them to 
send them to school at too early an age, and to crowd them too rapidly, is 
a prolific source of ill-health and consequent amenorrhea. If parents 
would not send their children to school until they were eight years old, 
and then if a large portion of the day was appropriated to every student 
to take such recreations as her inclinations lead her to, the breaking 
down and ill-health in schools for girls, would be as rare as it is now 
common, provided eight full hours were regularly spent in sleep. 

The importance of exercise is admitted in theory in these schools, but 
the amount is not regulated to the wants of each particular case. The long 
walk may be beneficial to the strong and well-nourished, if they are ac- 
customed to such exercise. The girls not so strong and well-fed, may, in 
these very walks, lay the foundation for a serious disease. To make 
exercise most useful it must be pleasurable, and for that end restraint 
must be thrown off. Again, exercise ought not to be violent. The gym- 
nasium is productive of good if not carried to an extreme. It may do 
much harm. Such exercises as jumping are not to be indulged ; occa- 
sional and moderate horseback riding is good, but carried to an extreme 
it may do harm. 

Early hours, good nourishing food, of which animal food form a large 
part, plenty of fresh air, and warm clothing are necessary to ensure good 
health, both before and after menstruation. 

The constipation and derangement of the digestive organs is generally 
an effect of the state of ill-health, which is to be corrected in the first 
place, before the patient can take such an amount of nourishment as will 
bring her body to a vigorous state and maintain it there. Two or three 
Compound Rhubarb pills at night, followed by a Seidlitz Powder, or a 
dessertspoonful of Rochelle Salts in Lemonade in the morning, may be 
given once or twice a week for a time; or after the bowels have moved 
freely from the use of three or four Compound Cathartic Pills. Remedies 



SUPPRESSION OF THE MENSES. . 379 

may be used as are directed for constipation. The pills containing Aloes 
and Extract of Nux Vomica are to be preferred. 

The circulation should be maintained by free, pleasurable exercise in 
the open air, sponging the skin with tepid or cool water and rubbing 
briskly with a coarse or rough towel, until the skin is aglow, and warm 
clothing. It is very important to keep the feet, legs, and arms so well 
clothed that they will keep warm. 

The two remedies which are especially serviceable in building up the 
health to a point at which menstruation will occur in obedience to nature 
alone, are, Iron and Quinine. One of the best forms for its efficacious 
administration is the Citrate of Iron and Quinine in doses of from three 
to five grains three times a day. It may be dissolved in Syrup of Ginger 
or Orange Flower water. Take of Citrate of Iron and Quinine two and a 
half drams, Syrup of Ginger six ounces. Take a teaspoonful or a tea- 
spoonful and a half three times a day. If the bitter taste is seriously 
objected to, one or two grain pills of the Sulphate of Quinine may be 
given two or three times a day, and the same quantity of the Soluble Ci- 
trate of Iron may be given in solution with Cinnamon or Orange Flower 
Water in the same proportions as directed for the Citrate of Iron and 
Quinine. 

The Pyrophosphate of Iron answers the purpose very well. It can be 
given as follows: Take of Pyrophosphate of Iron two and a half drams, 
water sufficient to dissolve, Syrup of Orange sufficient to make six ounces, 
mix. Dose a teaspoonful three times a day. The Tincture Muriate of 
Iron has long deservedly enjoved a reputation in the cure of amenorrhoea, 
and is one of the most effectual. The dose is fifteen or twenty drops three 
times a day, largely diluted in sweetened water. 

Before buying the sugar or Gelatine coated pills of Quinine one of 
these should be cut open with a knife, if they are good they will be soft 
under the coating. 

After the use of Iron and Quinine for a time, if health is not restored 
it is well to change to the use of Iron with Strychnine. Take of the Cit- 
rate of Iron and Strychnine seven Scruples, water sufficient to dissolve, 
Syrup of Ginger or Orange a sufficient quantity to make six ounces. Dose, 
a teaspoonful three times a day. Each teaspoonful contains a fraction 
less than a thirtieth of a grain of Strychnine. 

If the patient does not suffer from impoverishment of the blood, or if 
they have recovered from the anaemia, from three to five drops of Fowler's 
Solution three times a day may be given with benefit. It seems to restore 
the activity of the ovaries. The Choloride of Gold and Soda in pill, one 
twentieth of a grain each, three times a day is also thought to be beneficial, 
in the same way. 

Dyspepsia must be treated as is directed in that disease. It may some- 
times be advisable to keep the patient for a time on a milk diet. Only 
such food should be given as is found by experiment to be readily diges- 
ted. Milk, beef tea, eggs beat up with sugar and water or milk, are some 
of the easiest digested, and nutritious food. 

The object in treatment is first to put the body in good health as the 
amenorrhoea is only a symptom of the state of ill health. 

If menstruation have been suddenly suppressed, it is best to give a hot 



380 OUR FAMILY PHYSICIAN. 

sitz (hip; bath, a copious drink of Ginger tea, place her in bed and give her 
a full dose of Dover's Powders (ten or fifteen) grains, especially if she has 
had a child. A mustard plaster may be put over the lower part of her ab- 
domen, and bottles of hot water about her hips and loins. The use of elec- 
tricity has in some instances caused a return of the flow T . A hot water 
injection into the rectum may be made. 

YThen the time for menstruation has past, we must wait until just be- 
fore the next period, when for three or four days a warm hip bath should 
be given night and morning. If there is no pregnancy some of those reme- 
dies called emenagogue I calculated to promote the flow of menses), may be 
given, if the physician desires, but as so much harm may be done with 
these, it is deemed proper not to give directions for their use in a popular 
book. 

When the mental emotions have been the cause of the sudden sup- 
pression, Opium to the extent of produceing quiet in doses of half a grain 
to a grain is the best remedy. Laudanum in doses of ten to twenty drops, 
or Paregoric in doses of two teaspoonsf ul may be given. 

Chronic suppression should be treated on the principles before given, 
viz : correction of the general health, and from month to month encour- 
age the menstrual flow by the gentle measures just enumerated. 

HOMCEOPATHIC TREATMENT. 

Pulsatilla should be employed when a suppression takes place from 
the sudden effects of a chill, when the symptoms generally correspond 
with those described under the head of that remedy, in the article on 
Chlorosis. 

Dose : Six pills in a teaspoonful of water, night and morning, for a 
week (unless a change should sooner occur); then pause eight days, 
after which the course may, if necessary, be repeated as before, and 
so on. 

Cocculus in cases in which there are habitually attacks of colic-like 
pains in the bowels at the periods at which the menstrual discharge 
should occur if it were regular, more especially if the patient complains 
of great weakness of the lower extremities, languor and lassitude, precar- 
ious appetite, and generally also nausea, with much oppression at the 
chest and in the region of the stomach, etc.; especially when this func- 
tional derangement occurs in full-habited and apparently healthy persons, 
particularly if the suppression be traced to mental emotions. 

Bone: As for Pulsatilla. 

Nux-moschata when the suppression is accompanied by spasms and 
other hysteric affections; disposition to sleep and faint away; great ner- 
vousness ; complete exhaustion after slight exertion ; pains in the loins, 
etc., 

Dose : As directed for Pulsatilla. 

Caulophyllum should be given when there are spasmodic, bearing- 
down pains; and sympathetic, crampy, spasmodic pains in the bladder, 
rectum, or bowels. 

Dose: As directed for Pulsatilla. 

Veratrum should be administered in cases in which the convulsive 



PROFUSE MENSES. 381 

and other symptoms incidental to the suppression, when caused by fright, 
have failed to yield to the last-named medicine ; and when there are 
pale, livid face ; frequent nausea and vomiting ; cold hands, feet, and 
nose ; great weakness, with fainting turns. 

Dose : As directed for Pulsatilla. 

Lycopodium has proved of service in cases in which the patient com- 
plains of headache and giddiness ; flatulent distention of the bowels 
before each period at which the secretion ought to have returned ; and 
habitual costiveness. 

Dose: As directed for Pulsatilla. 

Beluadonna should be employed in cases which are associated with 
fullness of blood, determination of blood to the head, violent throbbing of 
the arteries of the head and neck, and nose-bleed. 

Dose : As directed for Pulsatilla. 

Sulphur is one of the most important remedies for the treatment of 
cases which assume a chronic and obstinate character, more particularly 
if such cases occur in persons of a feeble or exhausted constitution, or who 
bear about them, in a marked degree, the traces of a scrofulous habit of 
body, or who are affected with the piles ; or, again, when the prevailing 
symptoms are such as have been described in detail under the head of 
this medicine, in the article " Chlorosis or Green-Sickness." 

Dose : Six pills in a teaspoonful of water, the first thing in the morn- 
ing, fasting, for six days (unless change should sooner occur); then 
pause ten days, after which the course may, if necessary, be repeated 
as before, and so on. 

Sepia is also of great value, whether at the onset or after the previous 
administration of Sulphur, for the treatment of chronic and dim cult 
cases, and for such as are complicated with scrofulous taint of constitu- 
tion, or which occur in otherwise feeble and exhausted subjects. Sepia is 
more especially appropriate when the prevailing symptoms are such as 
have been described in detail under the head of this medicine, in the 
article on " Green-Sickness." 

Dose : Four pills, in other respects as directed for Sulphur. 



MENORRHAGIA. 



PROFUSE MENSTRUATION. 



The quantity of the menstrual discharge varies a great deal in differ- 
ent individuals. The climate, constitution and manner of living have 
considerable influence. The duration of the discharge, and the jjeriods of 
return, are also varied. In some women it continues from four to ten 
days, while in others it lasts only a few hours ; from three to six days is, 
however, the most usual period. The regularity is, in many cases, exact 
to a day, or even an hour ; while in others a variation of several days is a 
usual occurrence without the slightest disturbance in the usual health re- 
sulting therefrom. 

An excess of loss of menstrual blood, a true menorrhagia, does not 



382 OUR FAMILY PHYSICIAN. 

occur as often as it may seem to those who complain of it. To constitute 
menorrhagia, several circumstances have to occur that require to be care- 
fully discriminated. The generality of discharged blood has to exceed 
the ordinary loss quite considerably; and then, again, we have to inquire 
whether the scantiness of the ordinary menstrual flow is not an abnor- 
mal diminution in the present case. The menstrual flow is likewise con- 
sidered too copious if it continues beyond the ordinary period, although 
this need not necessarily imply that the menses are profuse. It is, there- 
fore, the morbid character of the menses that is necessary to determine 
the disorder, for a copious flow of the menses cannot be considered ab- 
normal as long as the constitutional harmony is in no respect disturbed 
by it. 

The causes of menorrhagia are quite numerous, of which it may be 
best to make mention of a few : Excess is occasioned by onanism, novel- 
reading, a constant dwelling of the fancy upon sexual things, and the ha- 
bitual use of heating beverages. A few other important points have to 
be added : Under certain circumstances, a profuse flow of the menstrual 
blood becomes a real physiological necessity to the body ; for instance, if 
a larger supply of nourishment than the body requires for its normal 
support, causes a real plethora. This can hardly be regarded as a morbid 
condition. A profuse flow is sometimes occasioned by changes in the 
uterus, such as acute or chronic inflammation of the womb, or some for- 
eign growth in the uterine cavity. Nursing exerts a very particular in- 
fluence. As a rule, nursing women do not menstruate ; yet it may hap- 
pen, even in the case of quite healthy mothers, that the menses reappear 
again permanently, in which case the flow is often very profuse. This is 
not a normal condition, although it does not inconvenience all women. 

Menorrhagias that set in when the process of nursing is continued 
too long, are of an exceedingly threatening character. Accident occurs 
quite often where the women nurse their children for several years for 
the purpose of preventing conception, not thinking that by so doing they 
inflict permanant injury upon their health. We must not forget to record 
the fact that diseases of other organs, or of the general constitution, ex- 
ert an influence upon the menses. Diseases such as typhus or scurvey, 
etc., the influence of heart disease or consumption, and all such diseases 
which, alter the quality of the blood must be considered. 

It is more especially heart disease that causes menorrhagia, so that 
the heart had better be carefully examined in every case of menorrhagia. 
Finally, the cessation of the menses, at the critical age, is almost always 
ushered in by profuse loss of blood. 

HOMOEOPATHIC TREATMENT. 

Ipecacuanha is one of the more generally useful medicines in severe 
cases of this derangement, as well as in flooding after labor, and may, in 
most instances, be administered first, unless there are strong indications 
for a preference being given to any of 'he others. 

Dose: Six globules in a teaspoonful of water, repeated at intervals of 
six hours, until amelioration or change. 

Kabina is indicated when the discharge is excessive, of a bright color 



PROFUSE MENSES. 383 

and occurs in full-habited females who are prone to miscarry ; or when 
the subjoined symptoms prevail ; rheumatic pains in the head and limbs, 
great weakness ; pains in the loins similar to those of labor. 

Dose : Six globules, as directed for Ipecacuanha. 

China is of considerable utility where there is great debility in con- 
sequence of a more copious menstrual discharge than is natural. 

Dose : Six globules in a teaspoonful of water, repeated at intervals of 
six hours, if necessary. 

Nux-vomica is especially appropriate for the following symptoms : — 
The discharge being of too frequent occurrence, too profuse, and of too 
long duration ; and when it commonly stops for a day or so and then re- 
turns, attended with spasms in the belly ; sometimes nausea and fainting, 
especially in the morning ; pains in the limbs ; restlessness ; irascibility. 
Nux-vomica is especially serviceable when the above symptoms occur in 
females who are addicted to the daily or frequent use of coffee, liquors 
and other stimulants, or have been extensively drugged by old-school 
practitioners. 

Dose: Six globules in a teaspoonful of water, repeated at intervals of 
four hours. 

Chamomilla is frequently useful when there is a discharge of dark, 
clotted blood, with severe colic, or pains like those of labor ; great thirst ; 
paleness of the face, and coldness of the limbs. 

Dose : Six globules in a teaspoonful of water, repeated at intervals of 
six hours, until improvement or change. 

Ignatia is of considerable service in cases resembling the above, 
when the derangement happens in hysterical or sensitive females, of 
mild and uncomplaining disposition ; or who have had a great deal of 
trouble. 

Dose : As for Chamomilla. 

Veeatrum is more particularly required for too early or too copious 
menstrual discharge, always attended with diarrhoea. 

Dose : Three globules, as directed for Chamomilla. 

Gelseminum is indicated in cases in which there is scarcely an inter- 
val between the periods ; which are not, however, attended with much 
suffering ; or, the flow having ceased, is brought on again by fright or 
other mental emotion. 

Dose Three globules, as for Chamomilla. 

Kreosote will be found useful when the menstrual blood has a de- 
cidedly offensive odor, is too profuse, and lasts too long ; the abdomen 
becomes distended before the periods; leucorrhcea, which excoriates the 
parts, between the periods. 

Dose : Three globules, as directed for Chamomilla. 

Diet and Regimen. — Patients who are habitually affected with ex- 
cessive menstrual discharge should live with great regularity, keeping 
early hours, taking regular, but moderate daily exercise in the open air 
(during the intervals) in favorable weather, and partaking of nothing but 
the most digestible, simple, and unstimulating diet, which, at the same 



384 OUR FAMILY PHYSICIAN. 

time, should be of a nourishing and strengthening description. Emo- 
tions of all kinds should be avoided, as much as possible ; and during the 
continuance of the discharge the semi-recumbent posture should be 
retained, and the body kept cool. Neither food nor drink should be taken 
hot; the food should be as cool as it can be relished, or chiefly cold, and 
the beverage quite cold. In addition to these directions more explicit 
particulars maybe derived froen the article on " Eradicative Treatment," 
at pp. 100—10,5 



MASTITIS. 

INFLAMMATION OF THE BREASTS. 

The mammse constituting exclusively a part of the female organism, 
we prefer treating of inflammation of the mamma? in this place instead 
of ranging this disease among the diseases of the thoracic organs. 

Mastitis proper only occurs during or immediately after nursing. The 
painful, sometimes rather extensive, hardened swellings of single por- 
tions of the breasts, which sometimes occur among unmarried females or 
married women who are not nursing, especially about the time of the 
menses, are evidently transitory states of congestion which never termin- 
ate in suppuration. The cause of mastitis is always traceable to the 
impeded discharge of milk. By some cause or other, soreness or a bad 
shape of the nipples, too feeble drawing by the child, one or more milk 
ducts become closed, the milk in the corresponding mammary lobule 
becomes stagnant, and an inflammatory process is the result. Another 
cause of obstruction of the milk-ducts is the improper manner in which 
some women wear their clothes, owing to which the the breasts either 
hang too loosely, or a direct pressure is exerted upon them. The doctrine 
that mastitis can originate in dietetic transgressions or a cold, is a conven- 
ient supposition rather than a scientific fact. What happens with other 
abscesses, is likewise true in regard to abscesses of the mammse ; in some 
cases they heal rapidly, in other cases they cause vast destructions of 
tissue. Mastitis is most apt to occur soon after confinement or shortly 
after weaning the child; mastitis occurring at the latter period is less apt 
to lead to the formation of abscesses. 

Symptoms. — The disease never breaks out all at once. Generally 
women experience some time previous, a gradually increasing pain both 
spontaneously or while the child is nursing; and a swelling soon develops 
itself soon after. As a rule the lower or lateral lobes are inflamed, very 
seldom the tipper ones, and still less frequently both breasts. Sooner or 
later, sometimes in a few days, and at other times in some weeks, the 
painful -pot becomes red and more sensitive, and the inflammation is 
intense, the whole organism feels the effect of the inflammatory process, 
and shows its sympathy by febrile phenomena. Soon the infiltrated tissue 
-hows the signs of suppuration, the pus being discharged through a small 
opening. As soon as the discharge, which is never complete, commences, 
the pain suddenly ceases and the febrile symptoms abate. 

The course of the inflammation depends upon a variety of circum- 
stances. If the inflammation is confined to one lobe, the abscess most 



INFLAMMATION OF THE BREASTS. 385 

commonly discharges close to the nipple, empties itself very rapidly and 
heals. If several lobes are inflamed, or the inflamed lobe is situated near 
the base, the suppuration, swelling and pain continue for a long time ; 
months and even years may elapse before the abscess heals, which dis- 
charges through several openings near the nipple. This disorder never 
lasts less than two weeks, and, under corresponding circumstances, may 
continue for months even, in its acute form. 

The treatment of mastitis includes above everything else a prophy- 
lactic treatment which has to be commenced long before confinement, 
especially in the case of primiparse (a woman with her first child.; The 
preservation and proper management of the nipples and of the mammae 
generally should be a constant subject of our attention. After confine- 
ment, if women do not intend to nurse their children, they will have to 
dispense with liquids as much as possible. Nursing women have to 
keep the following points constantly in view: the breasts must not 
be kept too warm, must not be enclosed in tight clothing, and must, 
by some suitable support, be prevented from dragging down ; every 
time after the baby has nursed, the nipple must be washed, but not be 
kept moist between the acts of nursing; the excessive use of liquids 
which women fancy favor the secretion of milk, must be avoided ; 
the child should be put to the breast as seldom as possible, for the 
more hungry it is the more vigorously it will draw and the more complete- 
ly the breast will be emptied. At the same time the nipples will not be 
held so long in the child's mouth, and they will not be exposed so much to 
the risk of being made sore by the constant nursing. By following these 
instructions, and more particularly by putting the child to the breast every 
two hours in the early period after confinement, mastitis will generally be 
prevented. You must do it. 

If the breasts have become hard and painful, the best remedy in the 
case of lying-in women is Bryonia, less frequently Belladonna, whereas 
the latter medicine is better adapted to women who are weaning their in- 
fants. We sometimes succeed in dispersing the stagnation of the milk by 
gently rubbing the indurated portion while the child is nursing. The 
same good effect is sometimes obtained by causing the milk to be drawn 
by an older, more vigorous child. In no event should the infant be all at 
once kept from the breast, even if nursing causes pain. It is only if the 
pain is very acute, and the hardness considerable that the infant should no 
longer be put to the diseased breast. Belladonna will now have tc be ad- 
ministered. As soon as redness has set in, the chances of scattering the 
infiammation are very slim ; in some exceptional cases we may sometimes 
succeed in effecting this result by a few doses of Merourius. Warm poul- 
tices should never be omitted ; they sometimes favor the dispersion of the 
abscess as much as in other cases they hasten the process of suppuration. 
Hepar mlphuris will promote the discharge of the pus. A great many 
authorities teach to open the abscess at an early period in order to prevent 
the further spread of the inflammation. We doubt whether such a pro- 
ceeding is justified by corresponding results; after opening the abscess we 
have often seen the infiammation spread much more rapidly ; in the most 
tedious cases of mastitis, the abscess had been opened in accordance with 

25 



386 OUR FAMILY PHYSICIAN. 

his suggestion. In a fortnight at latest the discharge of pus ceases under 
he use of a few doses of Mercurius, and the sore heal 

HOMCEOPATHIC TREATMENT. 

Bryonia is the principal remedy in this affection, before the inflam- 
mation becomes fully developed, especially when the breasts are hard, red, 
tense, and tumefied, and feel heavy; and when there is some degree of 
fever. 

Dose : Of a solution of six globules to four teaspoonsf ul of water, give 
a teaspoonful every four hours. 

Belladonna is, however, required when the inflammation is more in- 
tense, and the erysipelatous appearance of the skin is clearly defined 
usually running in radi; and is, in such instances, usually sufficient to 
subdue all inflammatory symptoms. 

Dose : As directed for Bryonia. 

Sulphur may be required, more especially for the treatment of scro- 
fulous subjects, and when the previous administration of Belladonna has 
been productive of partial or limited improvement, an evident suscepti- 
bility remaining, even if the active inflammatory symptoms have been 
allayed. It is also useful when, after the bursting of an abscess in the 
breast, the cavity is slow in healing up, and the discharge excessive. 

Dose : As for Bryonia. 

Graphites should be employed, particularly in scrofulous subjects 
where the breasts are in such bad condition from previous inflammations 
and abscesses, that the milk cannot flow, and its retention threatens in- 
flammation and abscess. Graphites will in most cases, ward off the diffi- 
culty. Should Graphites fail, Phytolacca should be tried, no other remedy 
being more prominently indicated. 

Dose : As directed for Sulphur. 

Phytolacca decandria will be found to be a most valuable remedy 
in may cases; more particularly where the breasts are hard from the com- 
mencement of the disorder, sensitive to touch, and more or less painful. 
It will also prove useful for "lumps " in the breasts. 

Dose: As directed for Bryonia, use also as an external application. 

Mercurius may be be required after any of the foregoing medicines, 
when, notwithstanding the previous treatment, and the reduction of the 
inflammatory symptoms, a degree of induration still remains. 

Dose : As directed for Sulphur. 

Phosphorus is indicated when symptoms of threatening formation of 
matter (abscess), such as increase of pain, with transitory chills, and 
throbbing in the breast ensue. Its immediate employment, under such 
ircumstances, will often succeed in speedily relieving pain, and prevent- 
ing the ripening and bursting of the abscess. It is also indicated in severe 
cases where there are already fistulous ulcers formed, of blue appearance, 
and having callous edges; and the patient has hectic fever and night 
sweats. 

Dose: Three globules every six hours, until relief is obtained. 



CANCER OF THE WOMB. 387 



CARCINOMA UTERI. CANCER OF THE UTERUS. 

In, by far, the majority of cases, this disease occurs beyond the age of 
forty, and is very seldom met with in women of a less advanced age. 
Feeble as well as robust, married as well as unmarried women are at- 
tacked by this terrible destroyer. Cancer of the uterus is one of the 
most frequently occurring forms of carcinoma, and not unfrequently runs 
its course as a solitary cancer. It is only in rare cases that it breaks out 
in addition to cancerous degenerations of other organs. 

Cancer of the uterus is frequently mistaken, at the commencement, 
for menstrual disorder, leucorrhoea or chronic inflammation of the womb. 
The first symptoms usually are menstrual derangements, cessation or a 
more frequent return of the menses, or in the place of the menses we 
have irregular hemorrhages and leucorrhoea. The mistake is made the 
more easily, if the patient has not yet reached the critical period, so that 
these changes may be set down as results of a natural cessation of the 
monthly secretion. If the patient has passed through the critical period, 
a sudden flow of blood takes place, at first resembling the menstrual flow, 
but soon increasing to a true hemorrhage. In the beginning the patient 
often complains only of a feeling of weight, drawing in the pelvis, a 
pressing towards the sexual organs, or the pains are excited by bodily 
motion, a concussion, sexual intercourse, touch. An examination shows 
the vaginal portion harder than in the normal condition, of unusual re 
sistance, swollen, misshapen, rugged and knotty, sensitive to pressure 
and readily bleeding. In the course of the disease, pains set in which 
are, at first, only vague, and occur only now and then, but afterwards 
become more severe, and finally, especially at night, exceedingly violent, 
pressing, stinging, lancinating, burning, not confined to the region of the 
uterus, but spreading to the small of the back and thighs. Characteristic 
are the more or less violent, burning and stinging-boring pains over the 
pubic bones and in the small of the back, along the hips and thighs, in- 
terfering with walking, and even sitting; very often a burning pain is 
continually felt deep in the pelvis, accompanied by fugitive stitches dart- 
ing through the uterus. The neighboring lymphatic glands are generally 
larger and painful. At the beginning of the trouble, a serous or slimy 
secretion flows from the vagina, having but little smell ; more usually the 
discharge is copious, of a brownish-red, suspicious-looking color, having 
a horrid smell and excoriating the skin. The bleeding becomes more 
and more frequent and copious, the blood being mixed with detached 
portions of tissue. These hemorrhages consume the strength of the pa- 
tient in a very short time. At this stage of the disease, the ichorous dis- 
solution of the cancer progresses very rapidly. The disease generally lasts 
for years, calculating from the first manifestation of distinct symptoms, 
and without allowing for the influence of special circumstances, such as 
confinement, which is one of the most pernicious occurrences that can 
happen to a woman afflicted with cancer of the womb. It is inconceiv- 
able how it is possible for the organism to bear up for so long a time un- 
der a destructive malady, like cancer, without perishing. 



388 OUR FAMILY PHYSICIAN. 

TREATMENT. 

No more than we reject the possibility of a cure of cancer gener- 
ally, do we believe that cancer of the uterus is an incurable disease, al- 
though it is difficult to obtain certainty in this respect. 

Kreosotum. When the following symptoms are present: Obsti- 
nate leucorrhoea during frequently recurring losses of blood, w r ith aching 
or pressing pains, and a gradually appearing fetid discharge of a serous 
fluid or a bloody ichor. This is attended with burning or lancinating- 
pains in the small of the back and loins. When standing she experi- 
ences a sensation as of a weight in the pelvis ; coition is painful ; all the 
symptoms are worse at the time of the menses. Electrical stitches in the 
vagina, as if proceeding from the abdomen, causing the patient to 
start ; voluptuous itching in the vagina, with burning and swelling of 
the external and internal labia ; ulcerative pain during coition ; the men- 
ses appear from four to ten days too soon, and continue for days, with 
discharge of a dark, coagulated blood, pains in the small of the back, and 
subsequent discharge of a pungent and bloody ichor ; gnawing, itching 
and smarting in the parts ; the menses stop for hours and days, but after- 
wards return again in a more fluid form and attended with violent colicky 
pains. The pressing downwards and the abdominal spasms continue 
after the menses, more especially in the groin and pelvic region ; bleeding 
from the uterus and a continual corrosive leucorrhoea are not wanting. 
The pains are worse at night . Sensation of fainting on rising, w 7 ith a 
peevish and desponding mood, and livid complexion. 

Arsenicum album has been given with excellent success in carcino- 
ma uteri . Arsenic can only be resorted to after the whole organism re- 
flects the picture of a cancerous disease. However, it only palliates the 
severe pains and the sleeplessness, and perhaps modifies the profuse met- 
rorrhagia, which occurs every now and then in the course of the disease. 

Nitri acidum is indicated in carcinoma uteri, as it is in many other 
nveterate dyscrasic conditions of the organism. The most important 
symptoms are : Irregular menses, they sometimes remain suspended for 
weeks and then appear again at short intervals ; between the menses co- 
pious leucorrhoea of a badly-colored, brownish appearance and offensive 
odor. The patient looks worn, feels nervous and is depressed in spirits. 
Obstructions in the portal circulation, such as hemorrhoids, indicate this 
drug. Acidum nitricum can, however, onty be used as an intercurrent 
remedy at the commencement of the disease ; if ichorous dissolution has 
commenced, this drug is no longer of any use. 

CARCTNOMIA MAMMAE. CANCER OF THE BREAST. 

Next to the uterus (womb) the breasts are the most frequently attack- 
ed by cancer. The causes of this disease can scarcely ever be determined 
with certainty. The influence of depressing emotions which are so easily 
and so commonly succeeded by cancerous degenerations, or diseases, is a 
much more evident source of the difficulty than the belief of some that it 
is the result of a bruise, from a blow or contusion. 

Cancer of the breast most commonly occurs between the ages of forty 
and fifty, about the period which is generally designated as a change of 



CANCER OR THE BREASTS. 389 

life. Unmarried women or women who have not had children seem to be 
more liable to it than married women with children. Before and after 
this period, it is proportionally a rare occurrence. 

The commencement of the disease is scarcely ever marked by peculiar 
morbid phenomena; the patients generally do not notice anything out of 
the way until a tolerably large tumor is perceived in the breast. It is at 
first round, smooth, movable, grows with more or less rapidity, and loses 
its mobility in proportion as it increases in size, and its surface becomes 
more uneven. At first it is most commonly deep-seated and gradually 
grows towards the surface, is sometimes entirely painless or becomes, pain- 
ful only at the time of the menses and when receiving some mechanical 
injury. If the cancer reaches the skin, it coalesces with it, after which the 
pains are almost constantly felt. At the same time the disorginizing pro- 
cess extends to the deeper tissues, and at an early stage the axillary (arm 
pit) and other neighboring glands become involved. The patients now 
commence to feel constantly or at intervals, and particularly at night, lan- 
cinating, boring pains in the affected part which very soon become un- 
bearable. The assimilative functions begin to suffer ; the patients have a 
pale yellowish-gray appearance, the spirits are very much depressed. A 
characteristic sign is the gradual effacement and finally the complete re- 
traction of the nipple which discharges either spontaneously or on pressure 
a turbid, serous fluid. At the place where the cancerous growth first be- 
came interwoven with the skin, the latter by slow degrees loses its healthy 
color, and ^finally breaks. An irregularly-shaped ulcer forms, showing a 
disposition to penetrate to the subjacent tissues ; the edges of the ulcer 
are infiltrated, have a sickly color and an uneaven base, and secrete at first 
a thin, serous and afterwards an ichorus, purulent, bloody, and most com- 
monly very fetid fluid. If the disease runs a slow course, the incipient 
ulcer often heals for a time, but again breaks open at a later period ; if the 
disease runs a rapid course, spongy and readily-bleeding excrescences are 
apt to shoot up from the bottom of the sore. If larger vessels become 
necrosed, hemorrhages take place which are sometimes very profuse, at 
other times trifling. The further course of the disease which, having ar- 
rived at this stage, always terminates fatally, depends upon the extension 
of the cancer, upon the invasion, by the carcinomatous process, of internal 
organs, upon the importance of the hemorrhage and upon the loss of fluids 
in consequence of the ichorus discharge. 

The duration of the whole disease varies considerably, ranging from 
two to twelve and even more years. The younger the patient, the sooner 
she will succumb to the disease, and the more sudden the cancerous growth, 
the sooner it will destroy life. The prognosis is very bad with scarcely an 
exception. 

In many respects the diagnosis is liable to difficulties, because various 
kinds of benign tumors may recur in the breast. An incipient cancer 
cannot always be recognized as such, though it may grow rapidly and be 
painful ; these two conditions never occur in the case of benign tumors. 
At a later period the diagnosis is determined by the retraction of the 
nipple, the fluid which it discharges, the rugged unevenness and immo- 
bility of the swelling, the participation of the neighboring glands in the 



390 OUR FAMILY PHYSICIAN. 

disease, the failing of the whole organism without any increase of the 
secretory products. Nevertheless there occur many cases of cancer, the 
true nature of which remains for a long time undetermined and is clearly 
revealed only after the disease has run a long course. 

Cancer of the breast is generally considered a surgical disease ; it is 
supposed by most authors that internal treatment cannot reach it. The 
disease, at least in its incipiency, is considered purely local, and an opera- 
tion the only cure. For these and other reasons, having given you the 
means of selecting an intelligent and honest physician and surgeon, we 
unhesitatingly commend you to his care and here offer no treatment. 

HOME REMEDIES. 

Take the juice of Sheep Sorrel, let it evaporate on a pewter plate to the 
consistence of a thick extract ; apply this over the cancer. It is very pain- 
ful but good . 

Another. Take equal parts of Sheep Sorrel, Poke Leaves and Yel- 
low Dock Root, beat them up in a mortar with a little water ; squeeze out 
all the fluid; place it on a lead or pewter plate, and let it evaporate until it 
forms a thick extract. Apply to the cancer. This is a noted cancer cure. 

Again: Make a ley of the ashes of Red Oak Bark ; boil down until it is 
as thick as molasses, and cover the cancer with it. In about an hour 
afterward, cover it with a coat of Tar. Remove this in a few days, and 
if any protuberances remain in the wound, apply more of the Oak Bark 
Potash and the Tar plaster, and so on until the cancer is cured. Heal the 
ulcer with some common salve. 



COMMON COLD. 391 



F*art IVintli. 



DISEASES OF THE RESPIRATORY ORGANS. 



CHAPTER XX. 

DISEASES OF THE LARYNX AND TRACHEA. 

(windpipe.) 

CATARRH, OR COMMON COLD. CATARRHAL FEVER. 

This term is given to an affection, which consists of a mild degree of 
inflammation of the lining membrane of the nostrils and windpipe, and 
occasionally also of the ramifications of the latter, induced by exposure 
to sudden changes of temperature, or to a damp or chilly atmosphere with 
insufficient clothing, particularly as regards children. 

Symptoms. This complaint is characterized by slight fever, impaired 
appetite, obstruction of the nose, sneezing, unusual languor, pains in the 
head, or in the back and extremities, and subsequently hoarseness or 
cough, generally preceded by transitory chills or shiverings ; there is also 
a slight degree of wheezing and difficulty of breathing. When the disease 
is confined to the nose and sinuses, it is termed A cold in the head. 

PREMONITORY STAGE. 

HOMOEOPATHIC TREATMENT. 

Camphor {concentrated tincture) is frequently effective in arresting 
the development of incipient cold or influenza, particularly if the exciting 
cause, to which it is immediately traced, has been wet feet. The symp- 
toms which usually identify the propriety of resorting to Camphor under 
these circumstances are as follow: unusual weariness, heaviness, and 
general uneasiness, attended with shivering and dryness or coldness of 
the skin, and symptoms of approaching fever. 

Dose : One drop of the concentrated tincture on a small lump of 
pure loaf sugar every three hours, until three doses have been 
given. 

Nux-vomica is the most generally useful, particularly when the 
symptoms have accrued after exposure to a draught, or prolonged expo- 
sure, in winter, to a cold, dry, frosty atmosphere. 

Dose: Six pills in a teaspoonful of water at night, repeated, if neces- 
sary, after an interval of six hours. 

Chamomilla is preferable when a copious outbreak of perspiration 
has been suddenly checked by a current of dry, cold air, or by a sudden 
transition from heat to cold. In the case of children, and highly sensi- 
tive females, this remedy is more especially useful. 



392 OUR FAMILY PHYSICIAN. 

Dose : Six globules in a teaspoonful of water, as directed for Nux- 
Vomica. 

Bryonia should be employed when the symptoms of incipient catarrh 
have been excited by prolonged exposure to a cold easterly wind ; or 
when in adults, who are subject to liver complaints or to rheumatism, the 
natural sweat has been suddenly suppressed, whilst they were somewhat 
heated. 

Dose: Six pills in a teaspoonful of water, repeated, if requisite, after 
the lapse of twelve hours. 

Dulcamara is the most appropriate remedy to be taken by those 
who are subject to severe coughs, or to sore throat, whenever they are ex- 
posed to a close, damp atmosphere (either during the day or late in the 
evening), or after getting the feet wet. Its alternate administration with 
Mercurius is sometimes of great advantage. In other cases when Dulca- 
mara fails to arrest the symptoms it should be promptly followed by Mer- 
curius. 

Dose: As for Nux. If in alternation with Mercurius, six pills, 
first of the one then of the other, in a teaspoonful of water, at inter- 
vals of four hours between them. 

Arsenicum is especially appropriate for the treatment of ill-effects 
resulting from a chill whilst bathing, or from long-continued immersion 
in the water, either voluntary or otherwise. Chills in the stomach, pro- 
duced by partaking of raw. cold fruits, or by eating ices, or drinking 
very cold water when heated, are also most readily counteracted by this 
medicine. 

Dose: Four globules in a teaspoonful of water, repeated, if necessary, 
every three hours. 

Pulsatilla should, however, be preferred under similar antecedent 
circumstances, if drinking whilst heated, or eating cold fruit, ices, etc., 
has caused the indisposition. 

Dose: Six pills as directed for Nux. 

FEVER STAGE. 

Aconitum is one of the principal remedies in feverish attacks pro- 
voked by cold, and particularly from exposure to a dry, cold wind, or to 
a draught, when hot, dry skin is present, or general shivering chills, al- 
ternating with burning heat of the surface; great thirst, especially 
towards evening, with a sensation of dryness, and roughness or scraping, 
slight burning, and sensation of excoriation in the upper part of the 
windpipe, or even throughout the whole of the chest, which gives rise to 
an incessant short, dry, hollow cough (more of a hoarse or rough descrip- 
tion at night); restless sleep. 

Dose: Six pills every two hours in a teaspoonful of water. 

Bryonia when there is an excessively dry, hollow cough accompanied 
by tenderness of the upper part of the windpipe on pressure, inclination 
to vomit, and pain in the chest, as if it would be torn asunder ; severe 
headache, aching pains in the limbs, increased by the slightest move- 
ment, violent cold in the head. 

Z>08e: Four piils in a teaspoonful of water, every two hours. 



COMMON COLD. 393 

Nux-vomica. — Dry cough, particularly in the morning, and some- 
times during the day, rarely during the night ; occasionally a small 
quantity of adhesive phlegm is with difficulty expectorated after a fit of 
coughing; and the paroxysms are frequently attended with a painful 
sensation in the region about the navel, as if arising from the effects of a 
bruise or blow. This remedy is further of great utility in catarrhal fever, 
with disposition to chilliness or wandering fever-chills, worse during 
movement, coming on and gradually increasing in the after part of the 
day, and alternating with flushes of heat. Warmth and absolute rest 
mitigate these symptoms. 

Dose : As for Bryonia. 

Chamomilla.— In the treatment of children, this medicine is gene- 
rally preferable to JYux-Vomica in arresting the attack. It is extremely 
valuable in restoring the suppressed perspiration, and removing the fol- 
lowing symptoms : colic, with pains in the head, ears, and teeth, thirst, 
and ill humor, and impatience; dry heat of the skin, or chilliness in any 
part of the body which may happen to be uncovered for a short time, or 
on lifting up the bed-clothes ; burning heat in one part (as for instance 
one cheek) and chilliness in another; severe, dry cough, especially at 
night, excited by tickling in the upper part of the windpipe. 

Dose : As for Aconite. 

Belladonna is indicated when there is a throbbing, bursting head- 
ache, attended with tendency of blood to the head, and increase of the 
pain from movement or exposure to cold air, pain and heat in the head, 
eyes, and nose j cough at night. 

Dose : As for Bryonia. 

Mercurius, when the lining membrane of the eyelids, nostrils and 
air-tubes is highly irritated, and gives rise to copious shedding of tears, 
cold in the head, and cough with profuse expectoration; headache, or feel- 
ing of tightness and fullness in the head, with pulsation extending to the 
nose; pains in the limbs and joints, accompanied with profuse sweating, 
which affords no relief. 

Dose : As for Bryonia. 

Sepia is indicated in cases of catarrhal fever, with shivering chills on 
every movement in a warm room, rarely alternating with heat; nocturnal 
spasmodic cough, with shortness of breath and inclination to vomit; cold 
in the head, pain at the back of the head. 

PREDISPOSITION TO COLD. 

PRECAUTIONARY MANAGEMENT. 

Some individuals, particularly among those of the fair sex, are tor- 
mented with an extreme degree of susceptibility to cold, the best correc- 
tive of which is, to rub the throat, chest, and indeed the whole body, every 
morning with a wet towel, until a glow of heat is produced,— drying one 
part before another is commenced; —also to acquire a habit of going- 
out every day , provided there is no inherent predisposition to pulmonary 
consumption; extremes, either of heat or cold, should at the same time be 
avoided, and care taken, when the body is heated, to let it cool gradually. 



394 OUR FAMILY PHYSICIAN. 

The shower-bath is another useful means of overcoming an unusual sus- 
ceptibility to cold. It should, generally speaking, be begun in summer and 
used tepid at first. 

ACCESSORY MEASURES. 

In many instances catarrh is carried off, or runs to a salutary termina- 
tion, in a day or two ; and this desirable result is frequently obtained by 
having timely recourse to the simple expedient of remaining a little longer 
in bed, and encouraging a gentle sweat by drinking a warm demulcent 
fluid, such as gruel ; batKing the feet and legs in warm water, at the tem- 
ature of about 98 to 100 degrees Fahrenheit, is also a useful auxiliary mode 
of restoring prespiration, but the patient should go to bed immediately 
afterwards. Very robust persons who are accustomed to be in the open 
air in all weathers, but who have caught cold after having overheated 
themselves, will frequently prevent any bad effects by drinking one or two 
glasses of cold water on going to bed. Others again, recover quickly, 
especially when the cold is confined to the head, by totally abstaining from 
all fluids for forty-eight hours, or by taking a tablespoonful of fluid, thrice 
a day only (at breakfast, dinner, and tea), for seventy-two hours. 

INFLAMMATION OF THE LARYNX. 

OR UPPER PART OF THE WINDPIPE. 

The disease consists in a suppurative inflammation, having its seat in 
the lining membrane of the upper part of the windpipe, or the connecting 
cellular tissue between it and the subjacent parts. The disease bears a 
considerable resemblance to croup, of which it very generally forms a part ; 
but occasionally the inflammation is exclusively restricted to the upper 
part of the windpipe ; and it is a frequent cause of a fatal termination in 
scarlet fever and smallpox. It is distinguished from croup by a constant 
hawking (which the patient voluntarily exercises in order to clear the air- 
passage) rather than a violent and involuntary cough,— and by the charac- 
ter of the expectoration, which consist of a thick, tenacious phlegm rather 
than of a coagulable and membranaceous looking exudation. 

Symptoms. The invasion of the disorder is announced by the usual 
signs of inflammatory fever; the voice soon becomes hoarse and inarticul- 
ate, whilst a painful sense of constriction is experienced in the tflroat; the 
breathing is laborious and shrill during inspiration ; the upper part of the 
windpipe is extremely sensitive to the touch, so that the slightest pressure 
against it either externally, by the hand, or internally, from the perform- 
ance of the act of deglutition, is productive of the most distressing spasms, 
which threaten death from suffocation. The heat of skin is great, the 
pulse rapid and hard, the thirst considerable, but incapable, of being satis- 
fied from the suffering that is occasioned by the attempt. On examining 
the throat, it is often found to present a red, inflammed, and turgid ap- 
pearance; in some cases the epiglottis (the small, oblong body, attached to 
the root of the tongue, which protects the opening of the windpipe) is in- 
volved, and the motions of the tongue are thereby rendered painful and 
difficult. As the disease gains ground, the face becomes swollen, and 
sometimes livid, the eyes protruded as in threatened strangulation, and 
life is speedily cut short by suffocation. 



HOARSENESS. 395 

Results. The disease, if not arrested, occasionally terminates fatally 
within a few hours, or in a day or two at the farthest. It ought not to be 
treated by the non-professional reader. 

HOMCEOPATHIC TREATMENT. 

Aconitum must immediately be exhibited when the signs of in- 
flammatory fever declare themselves, and continued until it gives evidence 
of having effected an abatement of the fever. 

Dose : Of a solution of six globules to two tablespoonfuls of water, 
give a teaspoonful every half hour. 

Spongia should in the generality of cases, be administered with Acon- 
ite every two hours after the last dose of Aconite, or as soon as the breath- 
ing becomes shrill, and the pain and sensibility in the upper part of the 
windpipe are more decided, with increase of hoarseness and difficulty of 
articulation. 

Hepar-sulphuris should be given six hours, or sooner if needful, 
after the last dose of Spongia, when the latter remedy appears to have 
done all that it is capable of effecting; in which case, this medicine will 
either be adequate to complele the cure, or at all events to bear the patient 
out of danger, and thus to leave more leisure for appropriate selection in 
treating the remaining symptoms. Hepar-s. may, however, be selected 
to follow Aconitum in preference to Spongia, if the fever and burning 
heat of the skin continue notwithstanding the previous administration of 
Aconitum. 

Belladonna has likewise rendered very appreciable service, espe- 
cially when there were considerable heat of the skin, much thirst, but 
complete inability to swallow liquids, owing to the spasms which the 
attempt occasioned ; further, when, on looking into the throat, it was 
found to present an inflamed and swollen appearance. Belladonna is, 
however, not to be administered in cases in which it has previously been 
employed ; as, for instance, if the affection of the windpipe occurred im- 
mediately after an attack of pure Scarlet-Fever. 

HOARSENESS. 

Hoarseness, or roughness of the voice, arises from some morbid con- 
dition of the upper part of the windpipe. In the majority of cases the 
seat of the affection is in the mucous membrane which lines that part, 
which is extremely liable to be affected by the common causes of Catarrh; 
hence it is a frequent accompaniment of the latter disorder. 

HOMGEOPATHIC TREATMENT. 
Pulsatilla is indicated by almost complete loss of voice, particular- 
ly when accompanied with loose cough, or thick, yellow discharge from 
the nostrils. 

Dose : Six pills in a teaspoonful of water night and morning, but if, 
after the course of a week's treatment, although much improved, 
the case be not cured but appears to have become stationary, proceed 
with one or other of the following medicines, according to symp- 
toms. 

Mercurius.— This remedy will be found useful in removing any 



3}3 OUR FAMILY PHYSICIAN. 

symptoms remaining after the above, but it is to be preferred should the 
hoarseness, from the commencement, be attended with thin discharge 
from the nose; and also when a sensation of burning or tickling is com- 
plained of in the upper part of the windpipe, with the characteristic 
indication of Mercurius, namely, a disposition to profuse sweating, espe- 
cially at night. 

Dose: Six pills in a teaspoonful of water, repeated at intervals of 
twelve hours, until amelioration or change. 

Nux- vomica.— Hoarseness, accompanied with a dry, fatiguing cough, 
worse in the early hours of the morning, with dry obstruction of the 
nose. 

Dose: As for Pulsatilla. 

Rhus-toxicoden t drox. — Hoarseness, accompanied with sensation of 
excoriation in the chest ; oppressed breathing, with frequent and violent 
sneezing, unaccompanied by cold in the head, but occasionally by a great 
discharge of phlegm from the nose. 

Dose : As for Mercurius. 

Staxxum is more particularly required when symptoms such as the 
following are present : cough, with copious expectoration of a greenish - 
yellow color, and of a sweetish or saltish taste, attended with great 
weakness and disposition to sweats ; soreness at the chest as from internal 
excoriation ; feeling of weakness or sinking in the chest, as if it were 
empty, particularly after expectorating, or even after speaking ; or dry, 
shaking cough, worse at night or towards morning, excited or aggravated 
by speaking or laughing, and occasionally followed by vomiting of 
food. 

Dose : Four pills as directed for Sepia. 

Lycopodium is very efficacious in obstinate coughs which are worse at 
night, and are attended with expectoration of tenacious phlegm, and 
sometimes vomiting; paleness of the face, emaciation, pains and oppres- 
sion in the fore part of the chest, flatulence, ill-humor, etc. 

Dose: Six pills in a teaspoonful of water, morning and evening, until 
change. 

Phosphor ls is appropriate to the following symptoms: dry cough 
excited by tickling irritation in the throat or chest, or by laughing, talking 
or drinking, or by cold air, and accompanied with pricking in the wind- 
pipe; hoarseness, or pains in the chest as if from excoration; cough with 
hoarseness, fever and depression of spirits, sometimes with apprehensions 
of death; dry-sounding cough, followed by expectoration of viscid or 
bloody phlegm, and attended with oppressed breathing and livid hue of 
lips and face; cough occurring in consumptive habits. 

Dose: Six pills in a teaspoonful of wat^r, night and morning, until 
change. 

Arnica is of great value in coughs attenled with bleeding from the 
nose and month; headache, pricking in the chest, rheumatic pains in the 
loins and extremities, and soreness or pain, ;is from a bruise, in the chest 
and belly. 

Dose: As for Phosphorus. 



COMMON COLD. 397 

Sponoia. Iii acute inflammation of the lining membrane of the air- 
tubes, this remedy is often of essential service; but it is of equai utility in 
the chronic variety, when the chronic symptoms prevail: cough with muco- 
purulent expectoration, emaciation, redness and deformity of the points of 
the fingers, lividity and incurvation of the nails, hectic fever. 

Dose : Four pills as directed for Lycopodium. 

ALLOPATHIC TREATMENT. 

The treatment of Catarrah or common cold is given in chapter X 
under the head of Catarrah, and in chapter XXI under the head of Acute 
Bronchitis. Sub-Acute Laryngitis often occurs in colds either alone or 
with Coryza (acute catarrh of the nose), or with Acute Bronchitis, but 
may occur alone . The inflammation is of a low grade. There is either 
hoarseness or loss of voice (aphonia), and a hoarse cough. In children 
spasm of the larynx is apt to be excited, known as false croup, but this is 
rarely the case in the adult. Besides the treatment as recommended for 
Acute Bronchitis, strong irritations over the larynx (Adams apple) is use- 
ful. This is best made by the frequent application of Tincture of Iodine. 
When the coloring of the skin is an objection the Decolorized Tincture of 
Iodine may be used, or a blister can be applied over the larynx. 

The inhalations of warm vapor is especially useful in all inflamma- 
tions of the laryux. The steam from a solution of Chloride of Ammonium 
from a croup kettle, or a spray producer may be inhaled with benefit. 
Glycerine may be applied freely to the epigiotis, and orifice of the larynx 
with benefit in some cases. It should run into the larynx. A large cani- 
el's-hair brush should be used. Should the fever run high, and the pulse 
rapid, great benefit will be derived in this as in other catarrhal inflamma- 
tions, by giving Tincture of Aconite in doses of half a drop to a drop every 
half hour until an impression is made on the fever, and then given one or 
two hours apart. It may be used without interfering with other treat- 
ment. A couple of drops of Tincture of Belladonna may be advantage- 
ously given with each dose of Tincture of Aconite, especially w r hen the 
secretion of phlegm is profuse. Tincture of Iodine droped in hot water 
will yield a vapor which may be inhaled frequently during the day. 
The vapor may be made to ascend through a funnel made of stiff paper, 
and so conveyed to the mouth. 

Chronic hoarseness of the throat occurs most frequently in persons of 
sedentary habits in a somewhat debilitated state of health. The indica- 
tions are in the first place for life in the open air, and less at the desk. 
These persons also need tonics, and possibly an alterative. Such a medi- 
cine we have in the Syrup of the Iodide of Iron, which may be given in 
doses of thirty drops in water three times a day. An equally servicable, 
and more elegant preparation is the following : Take of Iodine of Potas- 
sium five drams, Pyrophosphate of Iron one dram, water one ounce, Sim- 
ple Syrup three ounces, Spirits Pepermint half a dram. Dissolve the Iron 
in half the water and add the Syrup ; dissolve the Iodide of Potassium in 
the remainder of the water, mix and add the Spirits of Pepermint. Dose 
a teaspoonful three times a day. In robust persons the Iron may be om- 
mitted. Other tonics which may be useful are Citrate of Iron and Quin- 



598 OUR FAMILY PHYSICIAN. 

ine, in doses of from three to five grains three times a day ; dissolved in 
water or Syrup of Orange. Two or three grain doses of Citrate of Iron 
and Strychnine given in the same way may be found useful in restoring 
the general health. Three to five drops of Fowler's Solution may be 
given often, with advantage, with the above remedies. A dram and a 
half to two and a half is proper for a four ounce mixture. Pills of the 
Phosphide of Zinc, and Extract of Nux-vomica will often prove servicable. 

The following mixture of Iron may be given in connection, if Iron 
seems required : Take of Pyro-phosphate of Iron a dram, Water sufficient 
to dissolve, Syrup of Ginger sufficient to make four ounces. Mix. Dose 
a teaspoonful three times day. 

Nervous hoarseness is often relieved by from five to ten grains each 
of the Bromide of Ammonia and Bromide of Potassium, in water, three 
times a day. Atropine, in doses of a hundred and twentieth to an 
eightieth of a grain twice a day, will often prove effectual in relieving 
this form of hoarseness. 

Counter-irritation, by means of Tincture of Iodine, or Decolorized 
Tincture of Iodine, applied by a camel's hair brush ; or a liniment of 
equal parts of Croton Oil, Turpentine and Sweet Oil ; or by the use of 
Ointment of Tartar Emetic (made by mixing two drams of Tartar Emetic 
with an ounce of Lard) rubbing it well into the skin twice a day. 

Applications to the diseased surface, the vocal cords and interior of 
the larynx can best be made by inhalation. Iodine may be inhaled by 
dropping the Tincture into hot water. Carbolic Acid may be combined 
with Tincture of Iodine in the proportion of half a dram to a dram to 
half an ounce ; a sufficient quantity of Iodide of Potassium should be 
added, to prevent the Iodine from precipitating. 

Iodoform vapor may be inhaled with benefit often. The vapor may 
be generated by heating a plate or saucer with some of the powder upon 
it, and may be conducted to the mouth by a stiff* paper funnel. Bromine 
vapor may be inhaled by warming a vial having a few drops of the 
liquid, and holding to the mouth. 

A solution of Nitrate of Silver containing ten to twenty grains to 
the ounce, is, perhaps, the most useful of all the local applications. It 
should be applied with a brush or probang with the aid of a laryngoscopy 
mirror . 

Various substances, besides the above, may be used by means of the 
steam atomizer or the air spray producer, but they have no special advan- 
tage over the methods given. 

Persistent cases of excessive hoarseness (chronic laryngitis) depend, 
generally, upon tuberculosis or syphilis. If ulceration has gone on to 
any extent, the hoarseness or loss of voice is incurable. The former dis- 
ease is treated of in chapter XXI, in the article on Consumption. The 
latter disease does not come within the scope of this work. 

This trouble must not be confounded with the hoarseness which ex- 
ists in Chronic Pharyngitis (inflammation of throat) frequently called 
clergyman's sore throat, which is treated of in Chapter XI. 

The treatment of this form of Catarrh (sub-acute Laryngitis) in chil- 
dren does not differ materially from its treatment in adults. The child in 
the majority of cases, should be kept within doors until the inflammation 



COUGH. 399 

—cough and hoarseness — disappear. Then he may be gradually accus- 
tomed to his out door play, by beginning first at mid -day. In fact some 
children may be permitted to go out for a little while in the middle of the 
day, during the course of the attack. The clothing should be warm en-, 
ough to keep the skin warm and moist. Flannel should be next to the 
skin. A stimulating application should be made to the neck, as rubbing 
the skin thoroughly and often with Turpentine, or Turpentine and Spirits 
of Camphor, and a flannel saturated with Camphorated Oil, (Camphor one 
scruple, Olive Oil one ounce), may be worn around the neck. 

Cough should be relieved by the use of Paregoric, in doses suited to 
the age of the child, with an equal quantity of Tincture of Hyoscyamus, 
from ten to thirty drops of each can be given to children two to six years 
old in Syrup, or Syrup of Squills or Ipecacuanha. 

A hot foot bath at night will be useful. The cough mixture, or ten to 
thirty drops of Paregoric, or three grains of Dover's Powders (to a child 
three to five years old), should be given upon goinp to bed. 

If the disease becomes chronic, as in the adu t, it probably depends 
upon tuberculosis or syphilis, and is amenable to treatment proper for 
these diseases. 

Should the chronic affection be of scrofulous origin, benefit will re- 
sult from the internal use of the following mixture: Take of Iodine of 
Potassium a dram and a half, Pyrophosphite of Iron half a dram, Simple 
Syrup four ounces, Spirits Peppermint half a dram. Of this Syrup a tea- 
spoonful may be given three times a day. Cod Liver Oil will be useful. 
The diet should be good, the clothing flannel and warm. The Tincture of 
Iodine should be applied upon the neck over the larynx every day, or if the 
neck becomes very sore every other day. 



COUGH. 

Symptoms. Forced and audible expiration, with or without fever : 
either dry or acccompanied with expectoration. 

Cough, although not dangerous of itself, may become so, or form an 
important feature of other diseases. As a precursor of consumption it is 
too often neglected. 

Causes. It may arise from an irritation of the air-passages or lungs, 
from disease of these organs, or from cold or other causes, or be merely 
sypathetic — or the consequence of derangements of other important 
organs. 

"We purpose here to treat more particularly of simple mucus or moist 
and dry cough. 

NERVOUS COUGHS. 

Obstinate nervous coughs occurring in highly-irritable, nervous, and 
hysterical subjects, and which are generally dry, or attended with scanty 
and difficult expectoration, consisting of a little clear phlegm, are often re- 
lieved by change of air and scene, or even by exhilarating or active occu- 
pation, when medicinal resources fail to ensure a permanent cure. 



400 OUR FAMILY PHYSICIAN 

COUGH.— TKEATMENT. 

Aconitum is indicated by violent short cough, with quick hard pulse 
and feverish heat; pricking in the chest when coughing, or during in- 
spiration. 

Bo.se : Six pills in a teaspoonf ul of water. 

Dulcamara. The following are indications for the selection of this 
remedy : moist or loose cough, with copious expectoration after exposure 
to a cold, damp atmosphere; or cough with hoarseness and copious secre- 
tion of phlegm in the ramifications of the windpipe, sometimes accom- 
panied by expectoration of bright-colored blood during the night; bark- 
ing, shaking, cough, increased or excited by taking a deep breath. 

Dose: Of a solution of six pills to two tablespoonsful of water, give a 
teaspoon ful every three hours. 

Belladonna. Short, dry, barking {spasmodic, catarrhal, or nervous), 
cough at night, in bed, and also during sleep, renewed by the slightest 
movement; dry cough day and night, with irritation or tickling in the pit 
of the throat, or sensation as if a foreign body were in the windpipe, or as 
if dust has been inhailed; spasmodic cough, which scarcely allows time for 
respiration. This medicine is also sometimes useful in cough with rattling 
of phlegm on the chest, pricking in the front or sides of the chest, and ex- 
pectoration of thick, white phlegm, coming on especially after meals ; lan- 
cinating pain in the belly ; hoarseness, redness of the face, headache, sneez- 
ing after coughing, and pain in che nape of the neck. 

Dose : Dissolve six pills in four tablespoonsful of water, and give a 
teaspoonf ul of the solution every three hours ; but if only partial 
relief has resulted, within three hours after the fourth dose, pause 
three hours longer, and proceed with the next medicine. 

Hyoscyamus frequently answers when Belladonna has only afforded 
partial relief, and may be preferred to that remedy when the dry, tickling, 
nocturnal cough is mitigated for the time by sitting up in bed ; also when 
there is mucus rattling in the throat. 

Dose: A solution of four globules, as directed for Belladonna. 

Ignati-amara is preferable to Belladonna and Hyoscyamus in very 
tickling coughs, which continue day and night with equal severity, and are 
accompanied by a running cold in the head. Ignatia is, moreover, especi- 
ally indicated by the subjoined symptoms ,— shaking spasmodic cough, or 
short, hacking cough, as if arising from the presence of dust of feather- 
down in the throat, which becomes aggravated the longer the paroxysm of 
coughing continues; dry, tickling cough with cold in the head, occurring 
both day and night. This remedy is, further, particularly efficacious, when 
the attacks of coughing become aggravated after eating, or on lying down 
at night, or on rising in the morning, and when the patient is of a mild and 
placid temper, or subject to alternations of high and low spirits. 

Do.se : As for Belladonna. 

Nux-vomica. — This is a valuable remedy in many cases either of a 
catarrhal or nervous character, and is particularly efficacious where there is 
a dry, hoarse, fatiguing, and sometimes spasmodic cough which occurs 
in an aggravated form in the morning, and occasionally, also towards 
evening; or which recurs more or less during the day, but relaxes again 



COUGH. 401 

at night, and is then occasionally supplanted by oppression at the chest 
on lying down or on awaking during the night, accompanied with a feel- 
ing of heat, and dryness in the mouth ; if there be any expectoration, it 
consists merely of a little phlegm, which is detached with great difficulty. 
The cough is generally excited by a disagreeable tickling or scraping, with 
a feeling of roughness or rawness in the throat, sometimes attended with 
hoarseness and feeling of roughness in the chest, but more frequently 
with severe headache, or pain as if from a blow or bruise in the pit of the 
stomach under the false ribs : it is frequently aggravated after meals or by 
movement, not unfrequently, also, by reading or meditation, and is occa- 
sionally followed by vomiting. 

Dose : Six pills in a teaspoonful of water, every three hours. 

Pulsatilla.— Severe shaking, catarrhal or nervous spasmodic cough, 
worse towards evening and at night, frequently followed by vomiting ; 
sensation of suffocation, as if from the vapor of sulphur ; increase of cough 
when in a recumbent posture ; cough which is at first dry, then followed 
by copious expectoration of yellowish or whitish phlegm, sometimes of a 
salt or bitter taste ; or expectoration of mucus streaked with blood ; 
wheezing, or rattling of mucus in the chest; the paroxysms of coughing 
are frequently accompanied with soreness in the belly, as if from a bruise 
or blow, or painful shocks in the arms, shoulders, or back, and sometimes 
followed by a sensation as if the stomach became inverted from the vio- 
lence of the cough ; involuntary emission of urine when coughing ; loose 
cough, with aching in the chest, hoarseness, cold in the head ; excited by 
a sensation of scraping or of erosion in the throat ; shivering. 

Dose: Six pills in a teaspoonful of water, every four hours. 

Chamomilla is indicated by dry cough, excited by continual tickling 
or irritation in the upper part of the windpipe and chest, and increased 
by talking; the cough is most troublesome during the night, but also 
occurs during the day, particularly in the morning and towards evening ; 
accumulation of tenacious phlegm in the throat ; Avheezing in the chest, 
cough during sleep, sometimes accompanied with paroxysms, as of threat- 
ening suffocation ; cough with scanty expectoration of tenacious, bitter 
phlegm. This medicine is well adapted to the treatment of coughs in 
children, accompanied with more or less of the symptoms above described 
or with hoarseness, cold in the head, dryness in the throat and thirst ; 
great fretfulness ; fever towards evening ; paroxysms of coughing after 
crying, or after a fit of passion. 

Dose : Of a solution of eight pills to three tablespoonsful of water, 
give a teaspoonful every four hours. 

Bryonia is indicated by catarrhal cough occurring in winter during 
the prevalence of frost and cold easterly winds, with aggravation of the 
fits of coughing on coming from the the open air into a warm room. The 
following are the general indications for its employment : dry cough, with 
or without hoarseness, and excited by constant irritation in the throat, or 
as if caused by vapor in the windpipe, with greatly accelerated respira- 
tion, as if it were impossible to obtain sufficient air; spasmodic, suffocat- 
ing cough, after partaking of food or dririks, and also after midnight; 
cough with prickings or shootings in the dust and violent bursting head- 
26 



402 OUR FAMILY PHYSICIAN. 

ache, especially at the temples — also with prickings in the pit of the 
stomach, or in the side; further, in loose cough, day and night, with 
scanty expectoration of whitish or yellowish viscid phlegm, or slight 
spitting of blood, the paroxysms being sometimes followed by vomitings 
and accompanied by pain as from a bruise under the collar-bones, and 
pain and fullness in the forehead, as if the contents of the head were 
forced out, this remedy will frequently be found of great service ; — and 
likewise in dry, nervous cough. 

Dose : Of a solution of twelve pills to three tablespoonsful of water, 
give a teaspoonful every three hours. 

Rhus-toxicodendron is indicated by short, dry cough, worse towards 
evening and before midnight, excited by tickling in the chest, attended by 
hoarseness, or a feeling of roughness or rawness in the throat, congestion 
in the chest, a sensation of suffocating constriction, anxiety, and short- 
ness of breath ; cough on waking in the morning, or short cough, with 
bitter taste in the mouth, on lying down at night and on waking in the 
morning, with expectoration of viscid phlegm, sometimes followed by 
vomiting, pains in the stomach, and dartings or pricking in the thigh. 
Cough with expectoration of bright blood, with sensation of sinking or 
exhaustion of the chest, or shooting pains in the chest and sides. 

Dose : Eight pills in a teaspoonful of water night and morning. 

Ipecacuanha is more particularly required when the following 
symptoms occur ; . catarrhal, nervous, or spasmodic cough, particularly 
at night, attended with painful shocks in the head and stomach, and 
followed by nausea, retching, and vomiting; or dry cough, arising 
from tickling in the throat; or severe, shaking, spasmodic cough, with 
oppressed breathing, almost amounting to suffocation. In the case of 
children, this remedy is frequently valuable, when they appear to be 
threatened with suffocation from the accumulation of phlegm, or 
where the paroxysm is so severe as scarcely to afford time for respir- 
ation, causing the face to assume a livid hue, and the frame to become 
quite rigid. 

Dose: Of a solution of twelve pills to three tablespoonsful of 
water, give a teaspoonful every hour, until positive change. 

Mercurius is indicated by catarrhal cough with hoarseness or watery 
discharge from the nose, or accompanied with diarrhoza; or dry cough, ex- 
cited by irritation in the throat, or the upper part of the chest, which be- 
comes particularly troublesome towards evening, and at night; sometimes 
with slight prickings in the chest when coughing or sneezing; excited or 
increased by talking ; cough in children witli discharge of blood from the 
nose, vomiting, and headache; dry, spasmodic cough, with pain in the head 
and chest as if they would burst, retching after the paroxysms, and oc- 
casional expectoration of blood. 

Dose: Four pills iu a teaspoonful of water, night and morning, until 
distinct change ; or, if retching be present, the like dose, every two 
hours, after fits of couyhing. 

Carbo-VEGETABILIs is particularly indicated by h How cough, excited 
by irritation, or ;i troublesome sensation of crawling in the throat, and at- 
tended with burning pain and sensation, as if from excoriation in the 



COUGH. 403 

chest ; catarrhal or nervous spasmodic cough, frequently followed by in- 
clination to vomit or vomiting, occurring in paroxysms throughout the 
day; cough with hoarseness, especially towards evening, or morning and 
evening, increased by speaking. Obstinate cough with expectoration of 
greenish phlegm, or even of yellowish matter, or with expectoration of 
blood and burning sensation in the chest (a characteristic indication for 
this remedy as well as for Arsenicum). 

Dose: Four pills in a teaspoonful of water, night and morning, for 
four days. 

Arsenicum is required for cough with oppression at the chest, and 
tenacious phlegm in the upper part of the windpipe and chest; cough ex- 
cited by a sensation of dryness and Morning in the windpipe. Dry cough, 
chiefly in the evening after lying down, often with difficult respiration and 
fear of suffocation {suffocative catarrh, catarrhal asthma), as if arising from 
inhaling the /oapar of sulphur ; dry cough, excited by eating or drinking, 
or by ascending stairs, or cough which arises as soon as the open air is en- 
countered; thin, acrid discharge from the nose; sneezing ; periodic dry cough, 
— nocturnal cough with general burning heat, cough with expectoration 
of bloody phlegm ; catarrh in the lungs of old people, attended with ten- 
acious mucus expectoration, which is extremely difficult to eject and causes 
rattling in the chest, oppressed respiration, and, frequently, symptoms of 
impending suffocation, or paralysis of the lungs. 

Dose. Three pills in a teaspoonful of water, every two hours. 

Ammgntum-carbonicum is indicated by dry, tickling, stiff ocative cough, 
especially in the morning, sometimes with fever, occurring during the 
prevalence of a cold, stormy, bleak state of the atmosphere, and attended 
witli a sensation of heat or burning behind the breast-bone, resembling that 
which is occasioned by drinking spirits ; hoarseness ; cold in the head, with 
copious discharge of acrid, watery fluid. 

Dose : As for Arsenicum. 

Causticum, which may sometimes be of service in cases analogous to 
that which has been named as suggesting Ammonium c, either before, 
after, or in the place of that medicine, is especially indicated by dry, hollow 
cough, which even wakes the patient from sleep; short cough, excited by 
tickling, crawling, or a feeling as if the throat were excoriated, or by talk- 
ing; and cold, attended at times with burning, or a sensation of soreness in 
the chest, and rattling of phlegm; pain in the hip, and, occasionally, invol- 
untary emission of urine when coughing; pain in the chest, as if it were 
raw and sore (the patient comparing his feelings to those which he could 
conceive to arise from the application of a blister to the exterior of his 
chest). 

Dose : Three pills as directed for Arsenicum. 

Siucea is indicated by cough with oppressed breathing on lying on 
the back, or cough attended with tightness and oppression at the chest, 
as if something stopped the respiration while speaking or coughing. Fa- 
tiguing, or deep hollow cough, day and night, aggravated by movement or 
by speaking, and sometimes attended with aching and pain, as if from a 
bruise, in the chest; cough with copious expectoration of transparent 
hlegm or purulent matter, sometimes streaked with blood ; cough which 



404 OUH FAMILY PHYSICIAN. 

asthmatic breathing and emaciation, and with dread of suffocation at 
night ; cough irritated or excited by a sensation as if a hair were on the 
tongue. 

Dose : Six pills in a teaspoonful of water, night and morning, for four 
days. 

Sulphur is of paramount importance in some cases of obstinate 
coughs, and particularly in dry cough which disturbs the patient at night 
as well as during the day ; the cough is frequently excited after partaking 
of food, or during a deep inspiration, and is generally attended with a 
sensation of spasmodic constriction in the chest, sometimes followed by 
inclination to vomit, or the involuntary escape of urine, or pain as if from 
excoriation, or pricking pains in the chest ; headache, pains in the chest, 
belly, loins, and hips ; also cough, with expectoration of thick, whitish 
or yellowish phlegm, or of a greenish-yellow, fetid mucus, or purulent 
matter, of a saltish or sweetish taste ; feverish cough with spitting of 
blood. 

Dose : Three pills in a teaspoonful of water, morning and evening, 
for four days. 

Calcarea-carbonica is particularly indicated when the following 
symptoms occur : dry cough, aggravated towards evening, or at night, 
excited by tickling in the throat, or by a sensation as if there w 'ere feather- 
down in the throat; also loose cough, with rattling of mucus in the chest, 
and expectoration of offensive, thick, yellow phlegm ; anxiety. 

Dose : Six pills in every respect as directed for Sulphur. 

Sanguinaria-canadensis.— Dry cough ; pain and stitch in the right 
side of the chest ; diseases of the lungs ; it has a certain reputation in the 
cure of coughs. 

Do.se : The same as Calc. carb. 

Sepia. — The symptoms which indicate this medicine are as follows : 
cough, with copious expectoration of phlegm of a saltish taste, and of a 
yellow or greenish color ; also dry, spasmodic cough, particularly at night, 
or on first lying down, attended, in children, with crying, fits of chok- 
ing, nausea, retching, and bilious vomiting. This remedy is especially 
adapted to individuals having a constitutional taint, such as the scrofu- 
lous, scorbutic, etc., and, in chronic coughs, with thick, yellowish, 
greenish, or even puriform expectoration, with a putrid taste, it is also a 
valuable remedy. 

Dose: Four pills in a tablespoonful of water, night and morning, 
until change. 



CROUP. 



In an attack of Croup it is of the utmost importance to afford help 
before the dangerous stage sets in. The mother who has the best oppor- 
tunity of watching her child may avert the danger by the care and treat- 
ment recommended here. 

If the family physician is in reach he should be sent for at once. If 
no physician is near, this treatment may be used in perfect confidence of 



CROUP. 405 

its ultimate favorable effects. Persons who have once heard the croup 
cough will never forget it ; those who have not heard it may know it by 
the following signs : It is very much like the hoarse barking of the com- 
mon cur dog; sometimes shrill (crowing), sometimes deep and hollow, 
but rough ; it is an anxious sound. The cough occurs in paroxysms. 

The inspirations are long and labored ; the expirations interrupted 
and jerking. The little patients frequently toss about the bed in great 
agony, stretch the neck, and bend the head backwards, boring it into the 
pillow, which last should not be prevented, as, if forced to raise the head 
too high suffocation may take place in consequence. The pulse is feverish 
and the urine deep red. True membranous croup is not near so frequent 
as most persons imagine ; most cases of croup would remain without any 
danger if the proper treatment was at once pursued. 

ALLOPATHIC TREATMENT. 

Laryngitis witli spasms of the larynx, (Spasmodic, Catarrhal or False 
Croup) is the form of Croup which is most common with children who are 
said to be "subject to croup." As the attack generally occurs suddenly, 
and is quite alarming in its symptoms, it is very important that the parent 
should know what is to be done. If the little patient is put into a warm 
bath at the temperature of 100° the great probability is that the spasm of 
the larynx, and the difficulty of breathing will soon cease. The bath 
should continue from ten to twenty minutes, or until the full relaxing 
effect is produced. The patient, if four or five years old should then have 
a dose of twenty drops to three fourths of a teaspoonful of Paregoric with 
half a teaspoonful of Syrup of Ipecacuauha, and placed in a warm bed. 
The throat should be then well rubbed with Turpentine, or a Liniment 
composed of Aqua Ammonia one part, Olive Oil two parts, mix and add 
one part of Turpentine. The severe smarting (counter irritation), of the 
application will prove most servicable. 

if the spasm is not relieved by the warm bath an emetic should be 
given. The Syrup of Ipecacuauha is very suitable in doses of a teaspoon- 
ful from ten to twenty minutes apart until vomiting occurs, or the par- 
oxysm ceases. In very robust children the Hive Syrup is admissible for 
this purpose in doses of fifteen to thirty drops every fifteen minutes, 
but on account of the extreme and continual depressing effect of the 
Tartar Emetic it contains should be given only to the strongest children. 
Twenty grains of Powder of Ipecacaunha may be put in two or three ta- 
blespoonsful of warm water and a teaspoonful given ata dose. Blood- 
root given with Ipecacuanha has proved serviceable with both catarrhal 
and true croup, in the hands of Dr. Ransom of Burlington, Iowa. The 
following is a suitable formula: Take of Powdered Ipecacuanha a dram, 
Powdered Bloodroot a scruple ; mix, and divide into three powders. Put 
one powder in a wineglass of warm water and give one or two teaspoons- 
ful, or one dram each of the Fluid Extract of Ipecacuanha and Tincture 
of Bloodroot, may be given in doses of five or six drops every ten or twen- 
ty minutes in Syrup or sweetened water. The dose of the emetic should 
be repeated until vomiting occurs or the paroxysm ceases. If neither 
result can be produced by these means, a teaspoonful of Powdered Alum 
may be given, mixed with syrup or honey, to produce vomiting 1 , which 



406 OUR FAMILY PHYSICIAN. 

will relieve the difficult breathing. The use of Ether by the mouth and 
inhalations would be prudent at the hands of a physician, and is useful ; 
the same may be said of Chloroform. 

As soon as the sickness of the stomach has subsided, unless the bow- 
els are well open, a saline cathartic should be given, as, a teaspoonful or 
two of Rochelle Salts in Lemonade or from five to ten grains of Calomel. 
If the emetic lias been given at night the cathartic can generally be 
given the next morning. 

A poultice, a flannel wet with a saturated solution of Gum Camphor 
in Olive Oil or Belladonna Ointment, may be applied to the neck after 
thorough rubbing with the Turpentine Irritating Liniment. 

During the day the patient should have an anodyne sufficiently often 
to relieve the cough, as two parts of Paregoric and one part Tincture of 
Hyoscyamus may be given in doses of twenty to forty drops to children 
old enough to run out of doors. 

The Tincture of Belladonna may be given instead of Hyoscyamus 
in doses of two to ten drops. The anodyne and a hot foot bath should be 
given at night. 

The following is a suitable mixture for an anodyne to be administered 
through the day : Take of Paregoric half an ounce, Syrup of Ipecacuanha 
half an ounce, Tincture of Hyoscyamus two drams, water and simple 
syrup each three drams ; to this may be added a dram of Citrate of Pot- 
ash previously dissolved in the water. Half a teaspoonful may be given 
from two to four hours apart to a child two or three years old, a teaspoon- 
ful to older children. 

If the fever and pulse should run high, a quarter or a half of a drop 
of Tincture of Aconite may be given without reference to other remedies 
every half hour until an impression is made on the fever ; then at in- 
tervals of two or three hours, as, take of Tincture of Aconite a dram, 
Syrup three drams; mix. 
Dose: One or two drops. 

If the child is weakly a grain of Quinine (in pill or powder) should 
be given three or four times a day and a teaspoonful of a solution of half 
a dram of Pyrophosphate of Iron in four ounces of simple syrup. 

The child should be confined to the bed during the acute stage, and 
after this passes, should be kept in the room for a few days and then 
gradually accustomed to the open air by going out for a short time only 
in the middle of the day. 

As a preventive of this annoying trouble, children of all ages should 
be clothed in flannel during the later autumn, winter and spring. The 
dress should be high in the neck, the sleeves long and warm. The legs 
and feet should also be warmly dressed with woolen stockings and 
drawers. Then, if warmly clad and the feet kept dry and warm, out of 
door life will be beneficial. In weakly children tonics of Quinine and 
Iron will prove serviceable. The sugar-coated pill and Pyrophosphate of 
Iron recommended above will be found appropriate given three times a 
day. 

It is needless to say that a recurrence of the paroxysms of difficult 
breathing occurring at any time in the course of the disease, demands the 
repetition of the hot bath or emetics, or both. 



CROtfP. 



40? 



True Croup— inflammation of the larynx with exudation (false mem- 
brane),— the most dangerous of all the forms of Laryngitis— is not as a rule, 
marked in the beginning of the disease with such alarming symptoms as 
accompanies the various forms of false croup, yet upon its early recog- 
nition, and prompt measures of treatment, depends the degree of success 
which will follow our efforts. 

In order, if possible, to render the distinction between false and true 
croup, the following table is inserted, which is compiled from various 
authorities. 



Simple laryngitis with spasm or 
false croup. 

Begins with nasel catarrh, or cold 
and hoarse cough, or with a sudden 
attack at night with suffocation. 
The throat is natural or slightly 
reddened. 



After the paroxysm the child 
seems well or nearly so, the fever 
disappears or diminishes greatly. 
Voice is nearly natural, never whis- 
pering. 



If a paroxysm returns, it is during 
the following night, but not as se- 
vere ; the hoarseness disappears and 
the cough becomes loose. 

Seldom lasts more than three 
days. 

Seldom destroys life. 



Laryngitis with Exudation or true 
croup. 

When epidemic, begins as an in- 
flammation with exudation of false 
membrane. When not occurring 
epidemic the invasion is more grad- 
ual, with a slight hoarseness one 
or two days. There is fever, hoarse- 
ness increases, the cough is hoarse, 
muffled, crammed. 

Generally there is exudation in 
the throat, and later paroxysms of 
suffocation. 

Fever continues ; breathing is dif- 
ficult, labored and each act greatly 
prolonged; cough hoarse and smoth- 
ered ; voice hoarse and whispering. 

The difficulty of breathing and 
suffocation increases ; the cough and 
voice are smothered or gone alto- 
gether; the stridulous (harsh sound) 
of breathing continues. 

Seldom lasts less than five or six 
days. The hoarseness lasts several 
weeks. 

Proves fatal in the majority of 
cases. 



So that if a case recovers, and no false membrane has been discovered 
in the expectorated matter the case was almost positively not one ortrue 
croup. 

The child should be confined in bed. The food should be digestible 
and nutritious, such as milk, strong beef tea (made by putting a pound of 
finely minced, lean beef into a pint of cold water, and slowly raising the 
temperature to 160° F., and maintaining it there for four hours-a little 
water may be supplied from time to time, to supply loss by evaporation) 
or essence, raw eggs beaten with sugar and water or milk. Starchy food 
may be allowed in limited amount. 

In this disease the writer believes that local applications hold^the first 
rank, and the best of all local means is the constant inhalation qt steam. 
This end is accomplished the best by maintaining the room at a temperature 



408 OUR FAMILY PHYSICIAN 

of 85° or 90°, and fill the air with steam from kettles of boiling water. The 
breathing of this warm, moist air has the best effect upon the local inflam- 
mation, relieves the spasm of the larynx, and facilitates the ease of breath- 
ing and also contributes to the separation of the false membrane by 
allaying inflammation and hastening separation. A kettle may be made 
of tin with a spout so fixed that sitting on a stand at the side of the bed 
a jet of steam can be thrown apross the patient's face. By this means 
the moisture inhaled can be greatly increased. This kettle can be heated 
by a spirit lamp. A simply constructed kettle for this purpose was inven- 
ted and sold in New York at $3,00. It is cailecl Rouchette's croup kettle, 
but any tinner can make one which will answer the same purpose. The 
inhalation of steam should be continued through the whole course of the 
disease. The freedom from spasm and other difliculty of breathing while 
this warm, moist air is inhaled, greatly decreases the need of emetics 
which will be spoken of hereafter. 

Counter irritation to the neck over the larynx should be thoroughly 
made with Turpentine, or the Liniment of Amonia and Turpentine direc- 
ted for false croup, or Tincture of Iodine applied twice a day, after which 
Belladonna Ointment containing a scruple or half a dram of Camphor to 
the ounce, should be freely applied to the neck, and then cover with a flax- 
seed poultice. The Camphor can be more easily incorporated in the Oint- 
ment by dissolving it with a little Ether. In the case of some very strong 
children, cold applied to the neck over the larynx and windpipe is more 
effective in the earliest part of the disease. A piece of pork should be 
applied to the sides of the neck to keep it from getting cold, and a napkin 
rung out of ice water or containing a lump of ice, should be laid over the 
neck, and then covered with a dry towel to prevent wetting the patient's 
clothes and bed. 

The best known solvent for the false membrane is Lime Water. It is 
best applied from time to time by means of an atomizer or spray appar- 
atus, and should be used warm. The air of the room may be purified 
every hour or two, slacking a lump of quick lime in the room. 

The other most useful applications which may be applied to the inflam- 
ed surface, are: Lactic Acid, Nitrate of Silver, Tincture Muriate of Iron, 
Tannin and Alum. Three and a half drams of Lactic Acid to ten drams 
of Distilled Water, may be used with spray apparatus. 

Bromine may be used as directed in Diphtheria. Half a dram of 
Carbolic Acid to four ounces of water may be applied w T ith an atomizer. 
It is, doubtless, especially useful after suppuration, and separation of the 
false membrane has begun. 

Nitrate of Silver, if used, should be applied to the patches of false 
membrane only, but in strong solution by a physician. 

Tannin, in Glycerine (one or two drams to the ounce), may be ap- 
plied, with a large camel's hair brush, to the orifice of the larynx, with 
the aid of a laryngial mirror. 

Tincture of Iron, one or two drams to the ounce of Distilled Water, 
und Alum; in saturated solution, may be applied by a spray apparatus. 
Of these, the writer considers them all inferior to Lime Water. 

In the treatment of croup, emetics hold an important place. They 
aid in expelling the false membrane when it becomes detached. They 



CROTJP. 409 

should be given at once, when the labored, smothered breathing indicate 
the presence of false membrane in the larynx. Many physicians pre- 
scribe an emetic in the beginning of the disease, believing its tendency is 
to prevent the development of false membrane, and hasten its separation 
If the patient is strong, an emetic of Ipecacuanha may be given at once 
Mix a teaspoonful of Ipecac in a half a glass of water, and give from a 
dessertspoonful to a tablespoonful every fifteen minutes, until vomiting 
takes place. Bloodroot, to one-third the amount of the Ipecacuanha, may 
be given in the same mixture. The efficiency of the Ipecac emetic is in- 
creased by giving, at the same time, a teaspoonful of powdered Alum. 

In cases of feeble children, the Sub-Sulphate (Yellow Sulphate) of 
Mercury is the best emetic, and after the disease has progressed for a 
time, as it causes the least exhaustion of any of the emetics. Three to 
five grains, rubbed up with sugar, may be placed on the base of the tongue 
and swallowed with a little water. If vomiting does not occur, the dose 
should be repeated at the end of fifteen minutes. Professor Barker, of New 
York, prescribes this remedy immediately when called to a case of croup, 
and claims not to have lost a case since he began this treatment. 

Alum, powdered, given in doses of a teaspoonful in syrup or honey, 
with or without a teaspoonful of Syrup of Ipecacuanha, repeated every 
fifteen minutes until vomiting occurs, is a serviceable emetic. 

One or two grains of Sulphate of Copper, given in powder, with two 
or three grains of Ipecacuanha, given every ten minutes, until vomiting 
occurs, is, after the Yellow Sulphate of Mercury, probably the best emetic 
in true croup. After vomiting has been produced by Sulphate of Cop- 
per, many German physicians claim it has a specific effect upon croup, 
which may be obtained by giving it in doses of a quarter of a grain every 
two hours. 

While it is true that in the majority of cases which have recovered, 
emetics have formed a prominent part of the treatment, the writer be- 
lieves they have been beneficial only by removing, during the act of vom- 
iting, the false membrane that was already detached or separable, and 
not by any specific effect. Hence, in his opinion, the indication for their 
use is the difficult breathing. They should be given from time to time, 
to accomplish this purpose, three or four times in the twenty-four hours. 
In extreme cases, every three or four hours. 

In order to sustain the strength of the patient, some nourishing and 
quickly-digestible food should be given immediately after the action of 
an emetic. 

Mercury is thought, by many physicians, to diminish the inflamma- 
tion and exudation of false membrane. This opinion is held by Prof. H. 
C. Wood, in his work on therapeutics, second edition, when the patient 
is robust and the general symptoms active, and no time should be lost in 
bringing the patient under its influence. From half a grain to a grain, 
may be given every two or three hours, or three grains with three grains 
of Dover's Powder may be given two or three times a day, until the pa- 
tient is mercurialized (salivated). The writer is skeptical as to the bene- 
fit from this practice, but in so dangerous a disease, if the good which 
may come from it is ever so small, the voice of any one ought not to be 



410 OtTR FAMILY PHYSICIAN. 

raised against it. It is not used in the writer's practice. Alkalies are 
more serviceable. 

In the use of alkalies the following formula may be used : Take of 
Chlorate of Potash two drams, Citrate of Potash two drams, Tincture 
Muriate of Iron a dram, Simple Syrup two ounces, water sufficient to 
make four ounces. Mix. 

Dose : One or two teaspoonsful every four hours. 

A dram and a half of the Muriate of Ammonia may be used instead 
of the Citrate of Potash, or two or three grains may be given separately 
in water. This treatment should be continued night and day until the 
cough becomes loose or treatment is abandoned on account of the helpless- 
ness of the case. 

Anodynes are generally required in this disease. The most useful is 
Opium, but on account of the tendency of the disease to destroy life by 
suffocation, much caution should be used in its employment. It is best 
to give it alone, or add it to other medicines as they are given, that it may 
be discontinued at any time, which should be done on the appearance of 
asphyxia ! symptoms of suffocation). 

The Deodorized Laudanum in doses of four or five drops, or three 
grains of Dover's Powder, sufficient to maintain such an impression as 
will relieve excitement and spasm. Paregoric may be used for this pur- 
pose. In some cases the Bromide of Potassium with a little Hydrate 
of Chloral acts better. Take of Bromide of Potassium two drams, Hy- 
drate of Chloral half a dram, Syrup of Tolu half an ounce, Water an 
ounce and a half. 

Dose: A teaspoonful three or four hours apart until spasmodic symp- 
toms cease. 

If spasmodic action is marked, it can be given every half hour until 
relieved. To those who have never resorted to it the little call for ano- 
dynes when the patient is kept in a warm room, filled with vapor, will be 
surprising. 

When all remedies are proving unavailing and the difficult breathing 
increases and marches on to suffocation, the operation of tracheotomy 
(opening into the windpipe) should be resorted to by the medical attend- 
ant as offering the only hope for recovery. The friends ought not to 
object. After this operation the treatment is simply to keep the patient 
in the warm moist atmosphere. Keep the tracheotomy tube clean and 
support the powers of life by nourishing food. The other danger is from 
the disease traveling down the windpipe and causing death from suffoca- 
tion or from the development of bronchitis or pneumonia. The steady 
continuance of the moist air at 90° of temperature is the best preventive. 
Should they occur (broncho-pneumonia) the chest should be wrapped in 
an oiled silk jacket and the skin of the chest frequently rubbed with tur- 
pentine or the ammonia and turpentine liniment before recommended 
for the throat. Should the patient recover, the tracheotomy tube may 
have to be worn for months or until the larynx is clear of obstruc- 
tion. 

At any time during the disease, if the patient becomes enfeebled, 
stimulants may have to be given in addition to nourishment, as, a tea or 



CONGESTION OF THE LUNGS. 411 

dessertspoonful of brandy in milk, beef tea or egg. Wine whey may 
be given if preferred . 

In the paragraph on emetics Tartar Emetic (and Hive Syrup), were 
not mentioned because deemed unnecessary, as having no special benefit 
on the disease and frequently doing harm, and sometimes even causing 
death by its prostrating effect, when given at a time when danger was ap 
parently not immediate . 

HOMOEOPATHIC TREATMENT. 

Aconite is the remedy in the first stage when there is high fever, dry 
hot skin, and great restlessness. On attempting to swallow, the child cries 
as if from soreness and pain in the throat. Loud breathing during expir- 
ation but not during inspiration. 

Hepar sul. — Croup with loose, i*attliny, choking cough ; the air pas- 
sages appear clogged with mucus. The child cannot bear to be uncovered 
and coughs whenever any part of the body is uncovered enough to get 
cold. Great drowsiness and profuse sweat. 

Iodine. — Soreness and pain in the throat and chest, which the child 
manifests by grasping the parts with its hand. Pry, short, hacking cough 
with difficulty of breathing. Membraneous Group with wheezing, sawing 
respiration. Face pale and cold, voice deep, rough, and hoarse. 

Kali bichronicum in true membraneous croup. The disease ap- 
proaches gradually; at first there is slight dyspnoea (short breathing) 
with hoarse, croupy cough ; as it progresses the difficulty of breathing 
increases and the air, as it passes in, sounds as if it were passing through a 
metallic tube. Hoarse, dry, barking cough ; tonsils and throat red, swollen, 
and covered with a membrane; head inclined backwards; violent 
wheezing and rattling in the windpipe, heard at a distance. This is one 
of the very best remedies known, in true croup ; use crude, finely powdered. 

SPONGiAin non-membraneous croup, where there is a rough, crowing 
sound to the cough. Slow, loud, wheezing and sawing respiration, or 
suffocative fits with inability to breathe, except with the head thrown 
backwards. Discharge from the nose or sneezing, or dribbling of saliva 
from the mouth. 

Dose: Any of these remedies need to be repeated rapidly during the 
most critical part of the attack, say a dose every thirty minutes to 
two hours. 



CHAPTER XXL 



DISEASES OF THE LUNGS. 



CONGESTION OF THE LUNGS. 



Symptoms. The symptoms of congestion of the lungs vary greatly, 
according to the condition of the lungs and the degree of congestion. 
The lower grades of acute congestion only cause a sensation of oppression 



412 OUR FAMILY PHYSICIAN. 

with shorter and more hurried breathing, at times passing away rapidly, 
at other times more slowly, or having remissions, but being otherwise 
painless. In the higher grades the breathing suddenly becomes oppress- 
ed to an extraordinary degree, so that the patient seems on the point of 
suffocation. The respiration is hurried, superficial, noisy ; the pulse in- 
creases in frequency and fullness, the face looks flushed. Most commonly 
these symptoms are associated with a desire to cough, and the frothy 
sputa are tinged with blood. There is no pain if the lungs are otherwise 
sound, whereas consumptive persons experience a great deal of pain. In 
the highest grades of congestion the dyspncea (difficult breathing) increas- 
es so rapidly and the congestion becomes so great that the patients die of 
asphyxia, sometimes so suddenly that an accident of this kind has been 
termed apoplexy of the lungs. 

The lesser grades of the affection generally terminate sooner or later 
in complete recovery. 

Passive congestion has almost the same symptoms as the active form, 
great oppression of breathing, red face, accelerated action of the heart. 

The prognosis in acute congestion is almost always favorable; con- 
gestions caused by violent emotions are the least promising. A frequent 
repetition of the attacks is always a very bad sign ; they show that either 
the heart is intensely diseased, or else that consumption is their exciting 
cause. 

ALLOPATHIC VIEWS. 

The treatment of Acute Congestion of the lungs does not differ in the 
first place, if it be general, from that given further on in this chapter for 
the invasion of Acute Bronchitis ; or if the Congestion be limited to one 
(or more) lobes of the lung, the treatment will be the same as that of 
Pneumonia during the stage of invasion. Should the disease not end at 
once the subsequent treatment will be that for Bronchitis or Pneumonia, 
whichever the affection proves to be. If the congestion produces hemor- 
rhage, the treatment given for hemorrhage from the lungs should be 
used . 

Cold may be applied for the relief of acute congestion in the same 
way as is hereafter directed in hemorrhage from the lungs . 

A passive congestion of the lungs may arise from any cause which 
obstructs the return of blood through the pulmonary veins to the heart. 
In Asthma or Emphysema of the lung (dilation of the air cells of the 
lung) imperfect oxygi nation of the lung causes passive congestion in the 
pulmonary circulation. A diseased condition of the mitral orifice of the 
heart, which obstructs the flow of blood or allows the blood to regurgitate 
from the left auricle into the right ventricle, is another cause. Tumors 
pressing on the pulmonary veins may be another cause. In other instan- 
ces the whole veinous system will become congested and the skin livid. 
Dropsy will occur in the case of heart disease or an obstructive tumor. 
The treatment will have reference to the relief of the disease causing the 
obstruction. 

It should be born in mind that the congestion is in an entirely differ- 
ent part of the circulation in acute congestion of the lungs which is in 
the nutrient circulation from the bronchial arteries and in passive con- 



CONGESTION OF THE LUNGS. 418 



gestion which is from obstruction to the return flow of blood which 
passes through the lungs for the purpose of being purified . 

HOMOEOPATHIC TREATMENT. 

The main remedy for all active congestions of the lungs is undoubt- 
edly Aconite. Aconite is particularly appropriate in congestion de- 
pending upon heart affections, or indicating and accompanying con- 
sumption ; such individuals have a delicate skin, bright complexion and 
sanguine temperaments. If the disease was caused by a fit of anger, or 
vehement chagrin, or mortification, Aconite is indicated so much more 
fully. 

Dose: Six pills in a teaspoonful of water, every hour to three hours. 

Belladonna has likewise many symptoms pointing to pulmonary 
congestion, but it is not so easy to determine the conditions for which 
Belladonna is indicated ; they likewise occur less frequently. Belladon- 
na is preferable, if not only the lungs, but likewise the brain is involved 
in the congestion, and it is less depending upon disease of the heart than 
upon some other affection. Leading symptoms distinguished from those 
of Aconite are: dark redness of the face, bluish redness of the lips, glist- 
ening eye ; anguish and restlessness ; a constant, dry, hacking cough, or 
else a spasmodic and dry cough. 

Done: As for Ac. 

Nux-vomica is an excellent remedy for certain kinds of pulmonary 
congestion, if the following conditions prevail: The attack is occasioned 
by sedentary habits, excessive mental efforts, the use of coffee, ardent 
spirits, in the case of sanguine, robust individuals who are free from dis- 
ease of the heart ; after a copious meal, in the night. The symptoms re- 
semble those of Belladonna more than they do those of Aconite. 

Dost : As for Ac. 

Digitalis purpurea is, inappropriate in an isolated attack, but is, 
on the other hand, indicated if the congestions occur very frequently or 
evidently point to tuberculosis. In such affections, however, there is 
every reason why the medicine should be given very cautiously. It is 
not absolutely necessary for the heart to be the starting-point of the dis- 
ease, for uncomplicated, tubercular congestions of the lungs are likewise 
most easily relieved by Digitalis. 

Dose : As for Ac. 

Bryonia is the next best remedy to this latter drug. In very acute 
cases which may become dangerous to life by the premature supervention 
of an acute oedema of the lungs, no time should be lost unnecessarily by 
awaiting the effect of the first named three remedies ; if they act at all, 
they will show their curative influence after the very first dose. If they 
do not afford speedy relief, Phosphorus should at once be used; or, in case 
of heart affections, Arsenicum. 

Dose : Six pills every two hours. 



414 OUR FAMILY PHYSICIAN. 

SPITTING OF BLOOD. 
DISCHARGE OF BLOOD FROM THE LUNGS. 

RUPTURE OF A BLOOD-VESSEL. 

Symptoms.— Expectoration of blood, in greater or less quantity, in- 
duced by coughing, attended by symptoms more or less severe. 

Various Forms. — This disease discovers itself in three varieties : 
first, by an effusion of blood from the mucous lining of the air-tubes; 
secondly, by congestion of the lungs ; and, thirdly, by the rupture of a 
blood-vessel in the tubular cavity of the lungs, during the course of Con- 
sumption. It is, however, proposed to deal generally with the subject, 
and to point out the different remedies found useful in the treatment, 
according to the symptoms present. 

Distinctive Characteristics. — We must be careful not to confound 
this disease with affections of the mouth or gums, or the occurrence of 
discharge of blood from the nose escaping through the posterior opening 
of the nostrils, and being returned by the mouth. When the blood pro- 
ceeds from the chest, it is almost invariably attended with a sensation as 
if it came from a deep-seated source, is warm, generally tastes sweet, and 
there is, frequently, a simultaneous burning and painful sensation in the 
chest. 

Precautions to be observed.— When the attack is imminent and 
is preceded by well-known premonitory symptoms, the patient should 
refrain from loud or prolonged speaking, calling, singing, blowing wind 
instruments, violent exercise of the arm, running, ascending stairs, or, 
in short, from anything calculated to increase the respiratory action, or 
otherwise to fatigue the chest. 

Issue and Results. — When spitting of blood occurs in a robust and 
healthy person of sound constitution, it is not very dangerous; but 
when it attacks slender and delicate persons, it is more serious and diffi- 
cult of removal. It is, however, chiefly when the patient has had a 
succession of severe attacks, and the blood is discharged in a large quan- 
tity, that the case may be considered dangerous. 

Symptoms. — The disease may present itself without any marked pains 
or difficulty of breathing, and pass off with no return of the attack; or 
be preceded by dry cough, oppression, or tightness at the chest, shivering 
coldness of the extremities, great lassitude, and high pulse— and be ac- 
companied by hacking or husky and distressing cough, anxiety, quick 
pulse, pale and livid countenance — cease, and then return in a few hours, 
and be followed by difficulty of respiration and cough: in still more 
severe cases, when a marked tendency to Consumption exists, the anxiety, 
oppression at the chest, and febrile symptoms are more severe, pure blood, 
if coughed up, and the paroxysms frequently return. 

RUPTURE OF A BLOOD-VESSEL. 

[The rupture of a blood-vessel is a rare occurrence, although it some- 
times occurs in consumption. When, however, a blood-vessel of any 
consequence, included in a tuberculous excavation, does give way, the 
result is generally fatal.] 

Causes. — Indulgence in spirituous beverages, overheating the body 



SPITTING OF BLOOD. 415 

by immoderate exertion, or too great external heat ; blowing wind-instru- 
ments; contusion of the chest or back; falls; injury of the lungs; 
breathing a vitiated atmosphere, or vapors charged with acrid substances ; 
colds or coughs ; violent mental emotions ; diseased state of the lungs, 
whether as the immediate result of inflammation or during the progress 
of actual consumption ; a general scrofulous habit ; suppressed menstrual, 
hemorrhoidal, or other discharges ; or repelled cutaneous eruptions. 

ALLOPATHIC TREATMENT. 

In hemorrhage from the lungs quiet in bed is to be insisted on, the 
head and shoulders should be raised, the food cool, drinks should be cold, 
and small pieces of ice may be frequently taken into the mouth, the voice 
is not to be used. Food should be simple and nutritious. Liquids are 
preferable to solids, as milk, raw eggs beaten up with sugar and water, and 
beef tea. 

Regarding treatment by medicines the remedies which are constantly 
on hand, and are appropriate are Turpentine, Alum, Sugar of Lead and 
Ice. Ten to twenty drops of Turpentine may be given every hour. One 
or two teaspoonsful of Glycerine flavored with three or four drops of Oil 
of Gaultheria will almost completely cover the taste of Turpentine — it 
may be given on sugar, Sugar of Lead may be given in doses of two to 
five grains two to four hours apart. Two grains of Alum may be given 
with an equal quantity of sugar every two hours. In case there is pain 
small doses of Opium should be given at the same intervals as long as re- 
quired; as half a grain of Opium, five grains of Dovers towders, or ten 
drops of Laudanum. In applying cold to the chest, large linen clothes may 
be wrung out of ice water, and wrapped around the chest, or what 
is better, cold may be applied to the chest and back by means of 
ice-bags. It is unnecessary to resort to this, unless the bleeding is 
severe, especially, if the patient is in good strength. Tight bandaging of 
a limb at its junction with the body, will be serviceable by preventing the 
return circulation. 

Other remedies which are most important are Ergot, Ipecacuanha, 
Digitalis, Gallic Acid, Subsulphate of Iron. 

Ergot may be given in connection with other remedies in doses of one 
or two teaspoonsful of the powder or Fluid Extract as often as every half 
hour if required. The following is a good mixture: Take of Fluid Ex- 
tract of Ergot three ounces, Fluid Fx tract of Ipecacuauha, and Deoderized 
Tincture of Opium each half an ounce, mix, and give a teaspoonful every 
half hour or hour, or take of Fluid Extract of Ergot an ounce, Fluid Ex- 
tract of Ipecacuauha, Fluid Extract of Digitalis each half an ounce, mix 
and give from thirty drops to a teaspoonful as is required. 

It will be observed in the use of Ipecacuanha, in frequently repeated 
doses, for hemorrhage, that when vomiting occurs the bleeding ceases. 
Digitalis is especially serviceable when a little bleeding occurs constantly 
with the expectoration, with an occasional mouthful of blood. Gallic 
Acid, in doses of ten grains with ten drops of Aromatic Sulphuric Acid 
in a wineglass of water, is a valuable internal astringent in cases of hem- 
orrhage. This dose may be repeated every two hours. The Solution of 



416 OUR FAMILY PHYSICIAN. 

Sub-Sulphate of Iron, in doses of twenty drops in Glycerine, have proved 
effectual . 

Astringent inhalations are a very useful form of medication, given 
from an atomizer or spray apparatus. The following solutions may be 
used for atomizing : Tannin twenty grains to the ounce of Distilled Wa- 
ter ; Alum in saturated solution ; and the solution of the Sub-Sulphate of 
Iron from ten drops to half a dram, in an ounce of Distilled Water. 

Persons who have hemorrhage from the lungs may be saved a great 
deal of unnecessary alarm by a knowledge of the fact that the trouble, of 
itself, very seldom leads to serious results. Aside from the fact that it is 
a symptom of tuberculous or some serious disease, no uneasiness need be 
felt. 

HOMOEOPATHIC TREATMENT. 

In by far the greater number of cases the discharge or spitting of 
blood soon ceases of its own accord; the most important object, therefore, 
is to seek to cure the complaint when the hemorrhage has ceased, and 
thereby to prevent its return, or to check the development of organic dis- 
ease of the lungs (that is, disease attended with alteration of structure.) 

Pulsatilla, Cocculus, Sepia, Sulphur. — One or more of the last 
three of these remedies will sometimes be required, successively, after 
the previous employment of Pulsatilla, when this remedy is insufficient 
to restore the regularity of the periodical discharges, and the spitting of 
blood is associated with suppression of the menses. 

Pulsatilla is, however, the medicine which is most appropriate 
wherewithal to commence treatment, in the majority of cases arising from 
suppression of the monthly discharge in females or of a hemorrhoidal 
flux in either sex (particularly when the individual is of leuco-phlegmatic 
temperament), and also in other instances characterized by the following 
symptoms: expectoration of dark, clotted blood, attended with shivering, 
especially towards evening, or at night, and great anxiety ; pain in the 
lower part of the chest; feeling of flaccidity in the region of the stomach, 
and weakness. 

Dose: Six pills in a teaspbonful of water night, morning and noon, 
for a week ; then pause four days, after which the course may be 
resumed as before, if necessary, and soon, until change. 

Refer also to the articles on "Green Sickness" and "Suppression of 
the Menses." 

Bryonia is a good remedy in doses where the expectoration of blood, 
which is often in a coagulated state, is excited by a tickling cough ; and 
where there is oppression at the chest, with frequent necessity to take a 
deep inspiration ; anxiety and irascibility. 

Dose: In every respect as directed for Pulsatilla. 

Nux-vomic a is adapted to individuals of an irritable temper, in 
whom this affection owes its origin to a hemorrhoidal suppression, a fit 
of passion, or exposure to cold. It is further indicated by dry cough, 
which causes headache, with excessive tickling in the chest, and exacer- 
bation of the symptoms towards morning. 

Dose: Four pills in a teaspoonful of water, night and morning, for a 
week, then pause four days, after which repeat the same course if 
yrt requisite, and so on until permanent relief or change ensues. 



SPITTING OF BLOOD- 417 

Rhus.— When the blood expectorated is of a bright-red, the mind 
much agitated, and the patient irritable and rendered worse after the 
slightest vexation or contradiction. 

Dose: In all respects as directed for Nux- vomica. 

Arnica -Montana is principally useful in cases arising from external 
injury, such as a severe blow on the chest, or from lifting a heavy weight, 
or any other exertion, even blowing wind instruments ; but also in almost 
all cases where the stethoscope detects effusion of blood into the air-cells, 
attended with a sensation of constriction and burning in the chest, pain 
as from contusion in the back and shoulder-blades, and difficulty of 
breathing. Moreover, profuse expectoration of dark-colored blood or 
clots, brought up without much exertion, or bright, frothy blood, mixed 
with mucus and clots ; sensation of tickling behind the breast-bone ; 
general heat, great weakness, and fainting. 

Dose: Of a solution of eight globules to three tablespoonsful of 
water, give a teaspoonful every hour, until six doses have been 
given, and then every six hours until manifest improvement or 
change. 

TREATMENT OF VERY SEVERE CASES. 

Aconitum is often found most serviceable in warding off an attack, 
by the great power which it possesses in controlling the circulation, and 
is indicated, previous to the paroxysm, by the premonitory symptoms of 
shivering, with accelerated pulse, palpitation of the heart, a sensation of 
ebullition of blood in the chest, with burning and fullness in the same 
region ; paleness and expression of anxiety in the free ; great anguish 
and anxiety, aggravated by lying down ; or during the attack, when the 
expectoration is profuse, coming on in gushes, and excited by a slight, 
dry cough. 

Dose : Four pills in a teaspoonful of water, repeated at intervals of 
two hours, until manifest change. 

Ipecacuanha is required when a taste of blood remains in 
the mouth a few hours after the employment of Aconite has been com- 
menced, and there is frequent cough, with nausea, weakness, and expect- 
oration streaked with blood. In some instances in which neither this 
remedy nor Arsenicum avails singly to subdue the symptoms, the altern- 
ate administration of both has been resorted to with admirable results. 

Dose : If singly, six pills in a teaspoonful of water, repeated at inter- 
vals of an hour, until change. If in alternation with Arsenicum a 
solution of eight pills of each, separately, to four teaspoonsful 'of 
water, administered by teaspoonsful every half hour in rotation, 
until manifest improvement or change. 

Arsenicum becomes necessary when the anxiety, anguish, and palpi- 
tation of the heart increase, notwithstanding the previous administra- 
tion of Aconite or Ipecacuanha (or both); and when, in addition, we find 
extreme restlessness, and general, dry, burning heat. 

Dose : If singly, four pills in a teaspoonful of water every hour. If in 
alternation with Ipecacuanha, as directed for that medicine, above. 

Sulphur, followed by the subsequent administration of Arnica, is of 
essential service in cases in which the Spitting of Blood recurs, after hav- 

27 



418 OUR FAMILY PHYSICIAN. 

ing previously yielded (with the associated symptoms) to the action of the 
foregoing medicines. 

Dose : Three pills of Sulphur in a teaspoonful of water, repeated in 
three hours, and followed by a pause of six hours, and then by the 
consecutive administration of similar doses of Arnica every three 
hours, until manifest improvement or change results. 

China is one of our best remedies in restoring the vital energies of 
the patient, after considerable loss of fluids, whether blood or other secre- 
tions ; it is, therefore, particularly efficacious after a severe attack of this 
affection ; but it is also indicated during its course, when the spitting of 
blood takes place after violent cough, or when there is a continual taste of 
blood in the mouth, or when we find shivering alternately with access of 
heat, frequent and short-lived perspirations, tremor, and confusion of vis- 
ion, with a sensation of vacuity or lightness in the head, weakness, and 
desire to remain constantly recumbent. 

Dose : If against actual discharge of blood, give six pills in a tea- 
spoonful of water, every hour, until change. If as a restorative 
agent after an acute attack, give four pills in a tablespoonful of 
water, night and morning, until manifest improvement or change. 

Ferrum-metallicum may be exhibited with advantage after China, 
in severe cases, and when the fourth dose of the last named medicine has 
been productive only of partial effect ; or may be preferred if the expec- 
toration follow a slight cough, and is scanty, but consists of pure bright- 
red blood, attended with pain between the shoulder-blades, with inability 
to remain long in a sitting posture ; the patient feels the concomitant 
symptoms relieved by movement, but is speedily fatigued, especially by 
conversation. 

Dose: If against actual discharge of blood, six pills ; if as- a restora- 
tive remedy, four globules, as directed for China. 



ACUTE BRONCHITIS. 

INFLAMMATION OF THE MUCOUS MEMBRANE OF THE BRONCHIAL TUBES. 

History. Acute bronchitis is one of the most frequent diseases of 
the human kind generally. It is not generally a dangerous disease when 
attacking middle-aged persons; it is on the contrary very dangerous to chil- 
dren and old people, and therefore constitutes one of the most important 
diseases of these two periods of human existence. It is undeniable that 
the first years of childhood are peculiarly predisposed to this disease. A 
predisposition of this kind likewise exists among persons of a more ad- 
vanced age, and may almost always be attributed to the following circum- 
stances: An effeminate mode of living, without adequate exercise in the 
open air, and not admitting of a free and easy respiration; constitutional 
diseases, even such as do not emaciate and debilitate the system, more es- 
pecially scrofula and consumptive, irritability of the mucus membrane in 
consequence of frequent attacks of bronchitis; acute and chronic diseases 
of the lungs. 

The exciting causes cannot well be traced with positive certainty. A 



ACUTE BRONCHITIS. 4i9 

cold arid consequent suppression of the perspiration is undoubtedly one of 
the most ordinary causes, but not quite as common as is generally sup- 
posed. The atmosphere doubtless exerts a powerful influence not only in 
consequence of rapid changes in the temperature, but principally through' 
the changes in atmospheric electricity, and, as modern investigations seem 
to have confirmed, thro ugh consequent changes in the amount of ozone in 
the atmosphere. This becomes so much more probable, if we observe that 
a large number of cases of bronchitis are not so much caused by a damp 
and cold, as by a dry and cold wind, such as prevails in our region of country 
when the wind Mows from the northwest and north. If the temperature 
of the wind were the main cause of the trouble, an east wind would cause 
bronchitis most easily, which is certainly not the case. An epidemic 
bronchitis spreading over a large tract of country and being even consid- 
ered contagious, the so-called influenza or grippe, depends upon conditions 
which we designate as miasmatic, but of the true nature of which we are 
as yet ignorant. Secondary bronchitis develops itself secondarily in per- 
sons afflicted with heart disease, congestion of the lungs or during the 
presence of acute exanthems (measles, scarlet fever, etc), or various in- 
tensely acute constitutional diseases. 

The lighter form of bronchitis, generally designated as bronchi- 
al catarrh, frequently sets in without any fever; at any rate generally 
it is scarcely perceptible ; sometimes no fever at all is present or the fever 
is at most indicated by a succession of creeping chills. This form of bron- 
chitis scarcely ever exists isolatedly, but is almost always attended with 
catarrh of the nose and larynx. After experiencing a feeling of malaise 
for several hours, and a marked sensation of languor, the patients are at- 
tacked with a dry and spasmodic cough attended with a raw or sore feeling 
in the chest; at the same time the breathing is somewhat oppressed and 
there is no expectoration at the outset of the disease. The appetite is less, 
but not gone, the tongue is not always coated; the patients are able to re- 
main up, but feel drowsy and often complain of violent headache. Very 
often the cough remains dry for a long time, but more frequently a ten- 
acious, greenish-yellow scanty expectoration commences on the second 
day. which it is very difficult to hawk up. At the end of three to nine 
days, very rarely at a later period, and then only if the patients neglect 
themselves, the expectoration becomes more copious, whiter, lumpy, and 
is^raised more easily, the normal feeling of health is restored, and, while 
the cough is gradually decreasing, the disease passes off. The attack seems 
so slight, that many patients go about as usual, but, by pursuing this course, 
expose themselves to relapses which are very apt to take place and beget a 
tendency towards the inflammatory form of bronchitis, or else orig- 
inate the consequences that will be more fully described in a subsequent 
paragraph. 

INFLAMMATORY OR ACUTE BRONCHITIS. 

This form of bronchitis which is marked by much more violent phe- 
nomena, is not by any means a purely simple form of bronchitis of a 
higher degree of intensity. It does not. ordinarily, result from an exist- 
ing catarrh of the upper respiratory organs, unless the catarrh is sudden- 
ly and violently increased by severe neglect ; but most generally it occurs 



120 OUR FAMILY PHYSICIAN 

as a primary disease. It generally commences with a violent chill, which 
is distinguished from the chill that initiates acute inflammations, by the 
circumstance that it is not followed by as high an increase of tempera- 
ture, and that there is a frequent recurrence of the chill, especially on 
motion. The patient feels very weary and languid, complains most gen- 
erally of a violent headache, exhibits frequent changes of complexion, 
experiences a rheumatic drawing in the limbs and great restlessness, and 
is scarcely ever capable of remaining out of bed. Very soon these gen- 
eral symptoms, which do not point out more particularly the locality of 
the disease, are followed by a burning, sore pain in the chest under the 
sternum at every deep inspiration, which is felt more severely when 
coughing. The cough sets in at the same time as the pain is felt ; it is 
more or less violent, sometimes spasmodic, at first dry but not hoarse, but 
very soon accompanied by the above-described expectoration. There is 
no dyspnoea, properly speaking, but the breathing is more labored, less 
full, and hence somewhat more hurried.* The pulse is accelerated, but it 
is only in the severe grades of the disease that it exceeds one hundred 
pulsations. In this form of bronchitis, the digestive organs are always 
involved, the appetite is entirely gone, the bowels are constipated, there 
is seldom any vomiting. 

Even in simple bronchitis, when not complicated with tubercles, the 
expectoration is easily tinged with blood, whereas raising a quantity of 
pure blood is a rare occurrence and always points to a more dangerous 
and more deep-seated constitutional disease. All the phenomena, espe- 
cially the cough, exacerbated in the evening and about midnight. The 
further course of the disease is governed by a variety of circumstances. 
The importance of bronchitis of any degree in the case of tuberculous 
consumptive patients; will be more fully inquired into when we come to 
treat of consumption. 

In favorable cases, uncomplicated forms of bronchitis terminate in 
four or five days, or exceptionally at an earlier period, in simple bronchi- 
al catarrh. The general symptoms moderate in intensity, the fever abates 
almost entirely, the expectoration becomes more profuse, more fluid, of a 
whitish-gray color, and is more easily raised by the cough which is now 
much less painful. The patients do not often feel well again before the 
tenth day. If the course of the disease is less favorable, its different 
phases are either more protracted, or else other morbid conditions become 
associated with it. In the former case, the dry, spasmodic, distressing 
cough may last beyond the seventh or even to the fourteenth day, after 
which the period of a more profuse secretion of mucus lasts equally long. 
Although this longer duration of the disease shows, as a rule, that it is of 
a secondary nature, yet a purely primary form of bronchitis may run an 
equally long course, an occurrence peculiar to old age. 

The patient's age exerts a greatly modifying influence over the course 
of the disease, as well as over its danger to life. Among old people, or 
only somewhat advanced in age, the danger is quite considerable, and 
seems to depend more particularly upon the increased liability of the 
bronchial mucous lining to swell, upon the profuse quantity of the secre- 
tion at the same time as the respiratory process becomes feebler, and upon 
the consequently increased danger of oedema of the lungs. 



ACUTE BRONCHITIS. 421 

Hence the bronchitis of old people differs greatly from that which we 
have described in the preceding paragraphs. The disease originates in 
the same manner, only the fever symptoms seem to be less violent. The 
pulse soon becomes smaller and weaker, the skin becomes moist and cool, 
the tongue dry and brown, and the senses are powerfully affected by the 
disease : sopor, delirim and grasping at flocks, setting in. In this man- 
ner the patient may succumb to the disease in a few days, the increase of 
the mucous rales (rattle) and the decrease and final and total cessation of 
the expectoration constituting the most ominous signs of approaching 
dissolution. 

One of the most common terminations of bronchitis is chronic bron- 
chial catarrh which succeeds the acute form the more rarely, the younger 
and healthier the individual. 

Having described the other forms of bronchitis, we here devote a 
few lines to a description of infantile bronchitis , which, as regards its 
course and importance, differs most essentially from the corresponding 
bronchitis of adults. 

An inflammation of the larger bronchial tubes, be it slight or severe, 
has almost the same phenomena in the case of children as in that of 
adults, except that the fever is much more violent and the breathing is in 
almost every case interfered with very considerably, at an early period. 
The importance of this process, in the case of children, is much greater 
than in that of adults, for the reason that in the former it is apt to spread 
to the smaller bronchial tubes, after which the children who at first gave 
no cause for alarm, suddenly appear attacked by a dangerous disease. 

The symptomatic development generally takes place as follows : Af- 
ter the children have had for some days a simple catarrh, attended with 
severe fever, the breathing becomes more hurried and, progressively, 
more oppressed, and the children become more and more restless and anx- 
ious. The respiration, during inspirations as well as expirations, now 
becomes wheezing, more especially during an inspiration. The cough 
continues to increase in vehemence, without anything being expectorated ; 
or, if anything is raised, it is only with great difficulty a small quanti- 
ty of mucus which is swallowed again as soon as raised. The general or- 
ganism, in such a severe disease, is of course correspondingly affected. 
The difficulty of breathing now increases from hour to hour, and soon 
reaches a degree of intensity that is in no respect inferior to the worst 
attack of croup, and becomes still more distressing in consequence of the 
unceasing efforts on the part of the children to obtain relief by coughing. 
The pulse becomes frequent and small, the skin on the extremities and 
head is covered with perspiration, the face is pallid or livid, becomes blu- 
ish during an attack of cough, the anxiety and restlessness reach the 
highest degree of intensity. If, at this stage of the disease, there is no 
improvement by an increase of the expectoration and a relief from the 
difficulty of breathing, the disease presents the same picture as in the 
last stage of croup, only the hissing sound caused by the stricture of the 
glottis is wanting. The children become calmer, pallid and cool, they 
are lying in a state of unconsciousness or sopor, the respiration becomes 
very superficial, the paroxysms of cough abate more and more, and the 



422 OUR FAMILY PHYSICIAN. 

children die comatose. This fatal termination sometimes takes place in 
the first week of the disease, less frequently after] the fourteenth day. 

Recovery always takes place slowly, the liability to relapses is very 
great ; the strength does not easily return, and the cough sometimes con- 
tinues for many weeks. The diagnosis is only difficult in the case of very 
small children ; here the characteristic- cough is almost always entirely 
absent, in general the reaction against the disease is either slight or non- 
apparent. The prognosis is the more doubtful the younger the 
patient. That dentition complicates the prognosis, cannot be taken 
for granted. The greater liability to the disease, at this period, is proba- 
bly owing to the increased susceptibilities of the infantile organism. 

ALLOPATHIC TREATMENT. 

A common catarrh or cold affecting the bronchial tubes, is known to 
physicians as Acute Bronchitis. It frequently begins as a coryza (catarrh 
or cold in the head) and may often be cut short by a full opiate and a dia- 
phoretic (medicines which produce sweating). A remedy which fulfills 
these indications the best is the Dover's Powder (Compound Powder of 
Ipecacuanha.) It may be given in doses of ten to fifteen grains at bed- 
time. Twenty or thirty drops of Laudanum, a quarter of a grain of mor- 
phine, or half a grain of Codia may be given instead. The proper time 
to take this remedy is before going to bed. It should be accompanied 
with a hot foot bath, and a copious drink of ginger tea. The next morn- 
ing a free cathartic should be given as a Seidlitz Powder, or a tablespoon- 
ful of Rochelle Salts in lemonade, or a tablespoonful of Citrate of Mag- 
nesia, or a tablespoonful of Epsom Salts. (The disagreeable taste of 
Epsom Salts is removed by boiling with one-third of its bulk of roasted 
coffee in an earthen vessel for a couple of minutes, then let it draw a few 
minutes and strain.) This plan of treatment is effectual in stopping or 
lessening the effects of a cold. 

If the disease becomes established, it will yield more readily if the pa- 
tient remains in bed to secure uniform warmth and moisture of the 
skin. 

In severe cases the room should be charged with steam in the manner 
described for croup. 

If there is much pain or soreness of the chest, a mustard plaster or a 
liniment of one part of Aqua Ammonia, two parts Olive Oil and one part 
Spirits Turpentine, will be found useful. Spirits Turpentine alone or 
with an equal part Spirits Camphor may be used for this purpose with 
equal benefit. 

Three to ten drops of the Fluid Extract, or teaspoonful doses of the 
Syrup of Ipecacuanha, or ten drops to half a teaspoon ml of Hive Syrup, 
can be given at such intervals through the day, as will keep the skin 
slightly moist. Morphine in doses of a twelfth to an eighth of a grain, 
or Paregoric in doses of a teaspoon 1'ul, may he given three or four times or 
oftener during the day to relieve cough. 

I liti.l a mixture of equal parts of Paregoric, Tincture of ilyoscyamus 
and Fluid Extract of Wild Cherry Hark, in doses of one or two teaspoons- 
till, an exceedingly efficacious remedy for the relief of cough in all forms 



' ACUTE BRONCHITIS, 423 

of Bronchitis ; if the Fluid Extract of Wild Cherry Bark has been de- 
prived of astringency as is done by Chapman, Green & Co., of Chicago, 
the remedy is an agreeable one to take. 

In case there is fever with the attack, or much secretion of mucus, 
Aconite may be used with the best effect and is not incompatible with 
other treatment which may be needed. The Tincture of Aconite may be 
given in doses of half a drop or a drop every half hour, until an impres- 
sion is made on the fever movement and then continue in doses of a drop 
every hour or two or three hours. In the continued use of the Aconite, 
if the bronchial secretion is very profuse, the Tincture of Belladonna 
may be given with it as follows : Take of Tinctqre of Aconite a dram, 
Tincture of Belladonna two drams ; mix. 

Dose : Three or four drops from one to three hours apart. 

If the inflammation linger and appear disposed to become chronic, 
Quinine should be given in doses of two or three grains three times a day. 
If the patient is pale and feeble, fifteen or twenty drops of the Tincture 
Muriate of Iron should be given with a dessertspoonful of a saturated 
solution of Chlorate of Potash in syrup enough to make a pleasant mix- 
ture, after each meal. The diet should be nutritious. 

Warm clpthing, hearty food, and life in the open air are the best 
preventives against "taking cold." 

Some points in the treatment of Acute Bronchitis in young children 
require special consideration . 

Young children do not expectorate (throw the phlegm off from the 
bronchial tubes) and suffocation may be caused from its accumulation. 
This may be supplied in the act of vomiting. An occasional emetic 
should therefore be given. Teaspoonful doses of the syrup of Ipecacuanha a 

The emetic should be repeated every day or oftener, or when the 
breathing becomes impeded by the accumulation of phlegm. After vom- 
iting is produced no nauseant medicines should be given until vomiting 
is again required. A warm bath should be given at the commencement 
of the disease. This, with an emetic in the first twelve hours, may cut 
the attack short. 

The chest should be wrapped with a flannel saturated with Camphor 
Oil (Olive Oil containing twenty or thirty grains of Gum Camphor to the 
ounce) and this covered with muslin. If this oil does not redden the 
skin, a little Turpentine may be added until it does; or a thin poultice 
made of flax-seed meal, containing one-sixteenth part of pulverized mus- 
tard may be applied to the chest and covered with oiled muslin. Or 
one or two grains of powdered Ipecac may be given in water and 
repeated every fifteen minutes until vomiting occurs; Alum may be 
given with the Ipecac in doses of a teaspoonful if vomiting does not 
soon produce an emesis. 

The bowels should be moved regularly, and if this does not occur 
naturally a laxative should be given. Castor Oil with an equal quantity 
of Glycerine flavored with a couple of drops Oil of Gaultheria or Cinna- 
mon to each dose may be used for this purpose in doses of one or two 
teaspoonsful. 



424 OUR FAMILY PHYSICIAN. 

For constitutional treatment the following formula may be used: 
Take of Syrup of Squills two drams, Acetate of Potash half a dram, 
Syrup of Tolu, and Anise water, each seven drams. Mix, and give a 
child of six months or a year, a teaspoonful every three or four hours. 
Twenty or thirty drops of Tincture of Bloodroot may be added to this 
formula. If the kidneys or skin are not acting freely twenty or thirty 
drops of Spirits Mendireces may be given at the same time or separ- 
ately. 

Opiates ought not to be given with any freedom, but if there is much 
cough or restlessness it should be relieved with from fifteen to thirty 
drops of the mixture of Paregoric, Hyoscyamus and Wild Cherry Bark, 
as spoken of in the treatment of adults, at such intervals as is required; it 
may be given in the syrup above written . 

If there is much fever and the child is two years old or over, eight to 
twelve drops of Tincture of Aconite root may be also added to the above 
syrup mixture. 

The patient should be allowed the breast freely and have in addition, 
if that is insufficient, creamy milk, juice of lean meat, or strong beef 
tea. 

The object of treatment is to supply the lack of expectoration by the 
proper use of emetics, to support the powers of life by nutritious food, and 
diminish the congestion of the bronchial mucous membrane by warm 
and mildly irritating applications and by diaphoretics, laxatives, and 
last and least anodynes. 

The treatment of Capillary Bronchitis, i e. in the small bronchial tubes, 
does not differ essentially from the treatment of ordinary Bronchitis, 
except that as the disease is infinitely more grave, much more attention 
must be given to supporting the strength of the patient, and, in children, 
relieving the lungs of mucus, by the use of emetics. 

When the fever runs high Aconite should be given as before directed. 
In capillary bronchitis Snakeroot, Carbonate of Ammonia and Iodide of 
Potassium seems especially useful. 

Take of Fluid Extract of Snakeroot an ounce, Carbonate of Ammo- 
nia a dram, Iodide of Potassium a dram and a half, Syrup of Tolu and 
Water each an ounce and a half. Mix. 

Dose: A teaspoonful for a child and a tablespoonful for an adult 
three or four hours apart. 

HOMOEOPATHIC TREATMENT. 
Aconitum. Marked indications are, hot, dry skin, with strong, hard, 
and accelerated pulse; roughness of the voice; short, dry, and frequent 
cough, excited by tickling in the throat and chest; obstructed respiration, 
wheezing or sonorous noise in the chest; anxiety; restlessness, headache, 
and thirst, with occasional, scanty expectoration of a sticky phlegm. 

Dose: Of a solution of six pills to two tablespoonsfu] of water, give a 
teaspoonful, repeated at intervals of an hour, until the indicative 
symptoms are allayed. 

Bryonla is of great service, in a large number or cases of bronchitis, 
at the commencemenl <>r the attack, and should be administered two hours 



ACUTE BRONCHITIS. 425 

after the third dose of Aconitum, in the event of the unmodified continu- 
ance of the fever-symptoms, — the following indications being present: 
laborious, rapid, and anxious breathing, with constant inclinations to make 
a deep inspiration; hoarseness; headache; dry cough, attended with a 
burning, pricking pain, extending from the throat to the middle of the 
breast-bone; or cough, day and night, with scanty and difficult expectora- 
tion of viscid, white or yellow-colored phlegm, in some instances tinged 
with blood; wheezing; dryness of the mouth and lips; hot, dry skin, or dry- 
ness of the skin during the day, and copious perspiration at night; exces- 
sive thirst. When a pain as if arising from the effects of a bruise, is ex- 
perienced under the breast-bone, with aching and sensation as if the con- 
tents of the cranium would be forced through the forehead, after each fit 
of coughing, or When the breathing is impeded by shootings in the chest, 
and the affection threatens to become complicated with pleurisy, this rem- 
edy is still more particularly called for. 

Dose: A solution of six pills, as directed for Aconitum. 

Spongia is often of great service after the previous administration of 
Aconite, when there still remains a considerable degree of inflammation in 
the air-tubes, especially the larger, with wheezing or sonorous noise in the 
chest; and also at a more advanced stage of the disease, when rattling of 
mucus is distinctly audible; hollow, dry cough day and night, but worse 
towards evening; or cough with scanty, viscid, ropy expectoration; heat in 
the chest ; burning, tickling irritation in the top of the windpipe ; quick, 
anxious, laborious respiration; inability to breathe unless the head is 
thrown backwards ; hoarseness. 

Dose : Of a solution of six pills to two table spoonsful of water, give a 
teaspoonf ul every two hours. 

Belladonna. This remedy is useful when there is severe headache, 
materially aggravated by coughing; flushed face; oppression of the chest, 
and constriction, as if bound, with loud wheezing and rattling of mucus in 
the air-tubes; short, anxious, and rapid breathing, dry, fatiguing cough, es- 
pecially at night, which is endeavored to be suppressed on account of the 
pains which it creates ; heat of the skin, and thirst ; soreness of the throat. 
Belladonna is often exceedingly efficacious in children, particularly in 
those insidious cases which commence with a slight wheezing, and then 
suddenly become aggravated to such a degree as to threaten suffocation ; 
the heat of the skin being at the same time considerable, and the pulse ex- 
cessively rapid, and sometimes even intermittent. 

Dose: Of a solution of six pills to two tablespoonsful of water, give a 
teasponful every three hours. 

Mercurius. This remedy may occasionally be found useful in the 
second or secretive stage, when the symptoms of bronchitis are accom- 
panied by excessive perspiration ; when the cough is fatiguing, worse in 
the evening and at night, and excited by a tickling irritation, or sensation 
of dryness in the chest, with quick, short, oppressed breathing, and louder 
breathing than ordinary ; hoarseness ; cold in the head, with watery, acrid 
discharge; swelling of the nose. 

Dose : As for Belladonna. 

Phosphorus. Thin important remedy is frequently of great utility in 



426 OUR FAMILY PHYSICIAN 

bronchitis, when the more inflammatory symptoms have been subdued 
by Aconite, but the breathing continues much oppressed, accompanied 
with great anxiety, and heat in the chest; dry cough, excited by tickling 
in the throat or chest, aggravated by talking or laughing, and followed 
by expectoration of stringy phlegm of a saltish taste. Further, when the 
disease has been neglected, or when, from the symptoms which present 
themselves at the commencement, we have reason to dread complication, 
or an extension of the inflammation to the substance of the lungs, there 
will be additional reason for administering Phosphorus. 

Dose: Four pills in a teaspoonful of water every four hours, until 

distinct change. 
Pulsatilla. This remedy is often required in the second or secre- 
tive stage to complete the cure, after the previous exhibition of Aconi- 
tum, when the acute inflammatory symptoms have been subdued, and 
the expectoration has become thicker and more copious. It may, howev- 
er, be prescribed before or after any of the medicines we have named, 
especially when the disease occurs in persons of mild disposition, or lym- 
phatic constitution, and the symptoms are as follow: breathing short, 
accelerated, and impeded, attended with rattling of phlegm, heat in the 
chest, and anxiety; hoarseness; shaking cough, worse towards evening, 
at night, or in the morning, accompanied with considerable expectora- 
tion of tenacious, or thick, yellowish phlegm, sometimes mixed with 
blood ; cold in the head, with copious discharge of thick, discolored 
phlegm. 

Dose: Of a solution of six pills to two tablespoonsful of water, give a 
teaspoonful every two hours, until improvement, or change. If im- 
provement occur, the intervals should be extended to six' hours, and 
the administration thus continued, until the subsidence of* the symp- 
toms. 

BRONCHITIS IN CHILDREN. 

Chamomile a is often a most useful remedy after the previous exhi- 
bition of Aconitum in cases occurring amongst. .children, when a slight de- 
gree of whistling or sonorous noise in the chest still remains; dry cough, 
worse at night, occurring even during sleep. (See also Belladonna.) 

Dose: Four pills in a teaspoonful of water, given every three hours. 

Ipecacuanha is also a very serviceable remedy for children, when 
there is wheezing or rattling in the chest, and when on coughing they are 
almost suffocated by the excessive secretion of phlegm, and become livid 
in the face; shortness of breath and perspiration on the forehead after 
each fit of coughing. 

Dose : Same as Chamomilla. 

Arsenicum should be given two hours after the third dose of Ipe- 
cacuanha, if the latter remedy lias only been productive of partial 
benefit, and is indeed to be selected in preference to Ipecac, if the 
following indications occur: the pulse very quick, feeble, and irregular, and 
the patient reduced to a state of extreme debility ami collapse, the 
breathing obstructed almost to suffocation and attended with &w7iee2ing 
and whistliny noise in the chest, cough and hoarseness. 

Done- Of a solution of eight globules, to four teaspoons ful of water, 
give a teaspoonful (or two globules dry on the tongue), at intervals 
of five, ten. fifteen, and twenty minutes, and so on, adding live min- 
utes to the length of each succeeding interval. 



CHRONIC BRONCHITIS. 427 

CHRONIC BRONCHITIS. 

CHRONIC PULMONARY OR BRONCHIAL CATARRH . 

In the majority of cases chronic bronchitis owes its existence to one 
or more attacks of acute bronchitis out of which it arises by gradual de- 
velopment. Even as thus arising as a secondary disease, the affection is 
exceedingly frequent, but this frequency is still more increased by the cir- 
cumstance that it accompanies most of the material changes of structure 
in the lungs, particularly consumption, and that it likewise occurs as a 
complication of diseases of other organs. The latter occurs more particu- 
larly in diseases of organs that obstruct the return of the blood from the 
lungs, such as heart disease and affection of the liver. As a primary dis- 
ease, chronic bronchitis is more particularly met with among persons who 
are upwards of forty-five years old ; every chronic pulmonary catarrh of 
young people excites a well-founded suspicion that it emanates from some 
other pulmonary disease as its source. Men are much more frequently 
afflicted with chronic bronchitis than women; children are seldom at- 
tacked. In northern climates, chronic pulmonary catarrh becomes much 
more frequent; in the countries with a damp and cold climate it is almost 
endemic; it likewise prevails among individuals whose business confines 
them to damp and cold places. Persons who have to inhale a good deal of 
dust during their w T ork, such as 'stone-cutters, millers, and sculptors, are 
likewise exposed to frequent attacks of chronic bronchitis. Smoking is 
likewise a frequent cause of this disease. The use of tobacco causes 
chronic catarrh of the bronchial lining membrane much more frequently 
than one imagines, without any acute attack having preceded the chronic 
form. 

Considering our mode of living, and when affecting persons beyond 
the age of fifty, the milder cases of chronic bronchial catarrh do not pre- 
sent any marked symptoms. The parties cough a little, most generally in 
the morning, and after that they expectorate some, but assimulation is not 
affected by the disease, nor is the respiratory process interfered with, and 
the condition sometimes remains unchanged for years. The more violent 
cases, on the contrary, cause constant and most commonly increasing- 
trouble . 

After the termination of an acute bronchial cartarrh — for chronic 
catarrh seldom sets in gradually without any preliminary acute stage,— 
cough and expectoration remain and continue with slight variations until 
made worse again by another accute attack. The cough is marked by two 
essentially distinct features. If the bronchial secretion is scanty, tena- 
cious and firmly adhering, the paroxysms of cough occur less frequently, 
but in such a case the cough is most severely spasmodic and not unfre- 
quently leads to gagging and vomiting. The paroxysms occur nmst fre- 
quently at night, less commonly in the day-time. After violent exertions, 
some of the above-described mucus is expelled; sometimes a little mucus, 
is now hawked up till some time after the cough . If the secretion is more 
copious, the cough gets in chiefiy in the morning-hours or after the use of 
warm food; it may continue for a long time, but is not spasmodic, for afr 
ter a few energetic spells of cough, the mucus is detatched and expector-. 
ated. .. 



428 OTJR FAMILY PHYSICIAN. 

Sooner or later the cough becomes associated with more or less violent 
oppression of breathing, which may even creep along without being per- 
ceived, and corresponds with the increasing thickening of the bronchial 
mucous membrane, a diminuation of its elasticity and the copious quantity 
of the secretion. At first this oppression is only perceived by the patients 
when making an effort, during a rapid walk, going up hill; soon, however, 
it is felt even during an ordinary walk, even during rest, and causes a great 
deal of annoyance. In the higher grades of the disease, the patients are 
threatened during the paroxysm of cough with danger of suffocation; 
even between the paroxysms the nature of the existing affection is re- 
vealed at first sight by the elevated thorax and consequent shortening of 
the neck. The most intense pain, however, is endured by the patients if 
an accute aggravation of the disease takes place. Under such circumstan. 
ces they exhibit such a picture of distress, that it seems as though they 
could not possibly live longer than twenty-four hours. These acute ex- 
acerbations occur almost certainly once at least every spring ana fall, 
even if the patients have not knowingly been exposed or have not even 
left their room. 

In the beginning the general organism is not affected by the complaint, 
even tolerably severe forms of this disease are borne for a long time with- 
out any perceptible detriment. Very seldom, and only if the secretion is 
very profuse, emanciation gradually supervenes, in spite of which the pa- 
tients may live, however, for many years. The greatest danger is occa- 
sioned by the influence exerted by the impended respiration over the cir- 
culation. The functions of the heart become abnormal; the deficiency of 
blood in the lungs and its imperfect aeration either cause passive conges- 
tion of the liver, and a corresponding chronic intestinal catarrh, or disturb- 
ances in the functions of the spleen or kidneys, or passive congestion of 
the brain with its inherent dangers, so that it is not without reason that a 
raised thorax and short neck are designated as an apoplectic habit. 

If the catarrh has become an inveterate disease, it is apt to last to the 
end of life ; but that such a noble organ as the lungs should be capable of 
bearing for so long a time, even a severe degree of an apparently danger- 
ous disease, is indeed remarkable. It is not marasmus, wasting of flesh; 
the patient need dread, but the constant succession of acute attacks 
which indeed are rarely immediately fatal ; most patients die of this dis- 
ease amid symptoms of general dropsy. If an acute attack assumes the 
form of capillary bronchitis or pneumonia, the lives of such patients are 
indeed in extreme peril. 

In recent cases, the prognosis is not altogether unfavorable so far as 
a cure is concerned; life is very seldom endangered by such a disease* 
The chances, of course, depend upon what structural changes have taken 
place, and to what extent. The worst omen is heart-disease, which almost 
always terminates in dropsy in a very short time. 

ALLOPATHIC TREATMENT. 

In Chronic Bronchitis the general health demands attention in the 

first place. To this cud the die! should be good and nutritious but plain ; 
meat, milk, <\ltl!<«, fowl, li^lt. and I'arinacious food will be required. As a 
rule alcoholic stimulants are not i<» be used. 1 d < «seof treble persons Quin- 



CHKOXIC BRONCHITIS. 42» 

ine and Iron should be given. The Quinine may be given in pills, and 
the Muriate Tincture of Iron (the preparation which I prefer) in doses of 
fifteen or twenty drops, largely diluted in sweetened water three times a 
day. Cod Liver Oil may be called for, and when there is much secretion 
the Hypophosphites or Phosphates are serviceable in supporting the pa- 
tient. If the Compound Syrups are used which contain Iron, the 
Muriate Tincture of Iron need not be given. Take of the Compound 
Syrup of Hypophosphites (containing Iron) three and a half ounces, Di- 
lute Phosphoric Acid half and ounce ; mix. 

Dose : A teaspoon ful three times a day. 

Out of door life is often to be insisted on and sometimes a change of 
climate is not only beneficial, but necessary, to effect a cure. The surface 
of the body is to be kept warm and the skin active. Frequent warm 
baths should be taken, though cool baths are not to be prohibited, if the 
reaction after them is good and they prove beneficial. Special attention 
should be given to the clothing. In cold climates woolen or silk under- 
clothing should be worn and the other clothing sufficiently heavy to 
avoid chilliness. A vest and drawers of chamois or buckskin, worn im- 
mediately over the underclothing, affords the required protection and 
avoids the necessity of an inconvenient weight of clothes in cold weather. 
This simple device secures a uniform temperature and activity of the skin, 
which will to a degree relieve the bronchial mucous membrane. Counter 
irritation is many times a successful means of securing the same result. 
For this purpose the use of Croton Oil, or a liniment of equal parts of 
Croton Oil, Turpentine, and Olive Oil, to maintain a slight erup+ion over 
the chest, is often very appropriate. Tartar Emetic Ointment (one part 
of Tartar Emetic to five of Lard) is a suitable preparation. A " warming 
plaster " is often worn with benefit. 

Some medicines often exert a curative influence. The Iodide of Po- 
tassium or Ammonium with Fowler's Solution of the Arsenite of Potash 
as in the following : Take of Iodide of Ammonia or Potassium five 
drams, Fowler's Solution a dram and a half, Simple Syrup four ounces, 
Spirits Peppermint half a dram. Mix. 

Dose: One or two teaspoonsful in water three times a day after 
eating. If the patient needs Iron a dram of the Pyrophosphate 
may be added to the mixture. 

Muriate of Ammonia is considered by many physicians a valuable 
remedy in this disease. Licquorice disguises the taste. It may be given 
as follows : Take of Muriate of Ammonia two drams, Extract of Liquor- 
ice two drams, Syrup of Tolu four ounces. Mix. 

Dose: A teaspoonful in water four to six times a day. 

Copaiba often exerts a wonderfully curative effect. It may be given 
in doses of fifteen or twenty drops three or four times a day. It may be 
yiven on sugar or in Aromatic Mucilage, as : Take of Copaiba. Balsam 
Tolu and Powdered Acacia each an ounce, Aromatic Sulphuric Acid half 
a dram, Peppermint Water six ounces. Mix. 

Dose : A tablespoonful three or four times a day. 

The remedy is so unpleasant that few take it willingly. Gelatine Cap- 



430 OUft FAMILY PHYSICIAN. 

sules of Copaiba, as sold in the drug stores is the most convenient form 
for many to take the remedy. 

Chlorate of Potash in saturated solution given in doses of a teaspoon- 
ful to a tablespoonful three or four times a day is often curative. The 
taste is pleasant if mixed with Syrup. When Iron is required the Mur- 
iate Tincture can be given in this solution . 

A form of medication which is often useful in cases with profuse 
secretion, and is adopted largely by quacks, is inhalation. Steam is the 
simplest and often one of the best. A solution of Morphine one-half to 
one grain to the ounce of water, Extract of Belladonna in the same pro- 
portions. Extract of Hyoseyanius four to five grains to the ounce and inhaled 
from an atomizer or spray producer, wonderfully relieve the cough and 
irritation of the bronchial tubes. 

Astringent solutions may be used in this way. Tannin from one to 
twenty grains to the ounce, Alum from five grains to the ounce, to a 
saturated solution. Morphine can be added to the solution in the strength 
of one-quarter to one grain, to the ounce if local anodyne effect is desired. 
►Sugar of Lead in solution three to ten grains to the ounce are among the 
indications appropriate to inhale from the atomizer or spray apparatus. 

Should the expectoration be fetid Carbolic Acid— the spray of a solu- 
tion of Carbolic Acid one to four grains to the ounce, Sulphurous Acid 
one to four drams to the ounce — may be used. The vapor of Carbolate of 
Todine (half an ounce of Tincture of Iodine, Iodide of Potassium fifteen 
grains, Carbolic Acid one dram) produced by warming the bottle with 
the hand may be inhaled with advantage. The solution should be weak 
to begin with and its strength gradually increased as is required. 

For anodyne remedies to relieve the cough, if anything is necessary, 
the preference should be given to Hyoscyamus and Belladonna to the 
exclusion of Opium, because of the latter deranging the digestion, and 
the danger from the indefinitely continued use of the drug establishing 
the opium habit. Tincture of Hyoscyamus in doses of a teaspoon ful or 
Tincture of Belladonna in doses of ten or fifteen drops may be given as 
often as is required to relieve cough. The mixture of Paregoric, Hyoscy- 
amus and Wild Cherry recommended for Acute Bronchitis may be 
appropriately used. 

The use of Bromide of Potassium, or Ammonium and Chloral Hy- 
drate, is frequently very serviceable in relieving the cough, either alone or 
given in connection with other anodyne medicines, but most benefit will 
follow its use when the cough is of a spasmodic character. Take of Bro- 
mide of Potassium half an ounce, Chloral Hydrate two drams, Syrup of 
Tolu two ounces, Water to make the mixture six ounces. 

Dose : A tablespoonful three or four hours apart. 

HOMOEOPATHIC TREATMENT. 

SuiiPHUR is, in the majority of cases, one of the principal remedies for 
the treatment of Chronic Bronchitis. The particular symptoms which 
serve to indicate its employment, are as follows: dry, racking cough, with 
spasmodic tightness of the chest, sometimes aggravated by the recumbent 



CHRONIC BRONCHITIS. 431 

position, and not unfrequently attended with nausea or even vomiting; 
accumulation of phlegm in the air-tubes, and scraping sensation in the 
throat ; sensation of soreness at the chest ; chronic hoarseness, and even 
loss of voice ; aggravation of the generality of the symptoms in raw. damp, 
cold weather: dry cough at night; or cough with considerable expectora- 
tion of thick, whitish or yellowish phlegm, chiefly in the day time; attacks 
of suffocative sensation and oppression of breath; rattling of phlegm on 
the chest, and occasional or even frequent palpitation of the heart ; pains 
in the head and chest during fits of coughing: mistiness of sight, and sen- 
sation of darting; fullness in the head. 

Dose : Six pills in a tablespoonful of water, every morning the first 
thing (fasting), for a week then pause four days, after which the 
course may, if necessary, be resumed as before, and so on. 

Calcarea-carb. is more distinctly indicated when the patient is sub- 
ject, from time to time, to depression of spirits, characterized by exceeding 
anxiety respecting his or her health, and attended with great languor 
(often to a distressing degree) ; stitches, and occasional pains in the chest 
and in the sides; tickling sensation in the throat, accompanied or followed 
by dry, violent cough ; the last-named symptoms occur especially at night, 
when in a recumbent position, or even during sleep, or in the evening; 
prolonged and obstinate hoarseness, to which the patient is much subject, 
and whicli is constantly induced by changes of weather ; accumulation of 
adhesive phlegm in the air-tubes, and rattling of phlegm on the chest ; 
sometimes moist cough, with expectoration of offensive phlegm (thick and 
yellowish). 

Dose : Six pills, as directed for Sulphur. 

Carbo-veg. is more particularly indicated by repeated fits of spasmo- 
dic cough during the day, and in the evening; pains as of soreness in the 
upper part of the windpipe, or sensation of tickling and roughness in the 
same part ; prolonged and intractable hoarseness and roughness of voice, 
aggravated by talking, or by raw, cold, damp weather, and occurring more 
particularly in the morning or towards night ; rheumatic pains in the chest 
and limbs; cough with considerable expectoration of greenish phlegm. 

Dose : Six pills in a teaspoonf ul of water, morning and evening. 

Pulsatilla. This medicine is more particularly appropriate when 
the following symptoms and conditions occur: dry cough, which subse- 
quently becomes moist, and is then characterized by very considerable ex- 
pectoration of saltish or bitterish phlegm, or of phlegm tinged with blood, 
or of a yellowish or whitish appearance; soreness of the palate and throat; 
frequent attacks of chilliness without thirst ; yellowish, greenish, or offen- 
sive discharge from the nose ; hoarseness, or even loss of voice ; cough 
with much expectoration, and with pain on the chest ; racking cough ex- 
acerbated at night and in a recumbent position, and accompanied with 
rattling of phlegm, nausea (or even vomiting), and sensation of being stifled, 
feeling of soreness or contusion about the belly in the act of coughing. 

Dose : Six pills in a teaspoonf ui of water, night and morning. 

Sepia is usually of eminent service in such inveterate cases of chronic 
bronchitis as are characterized by — cough attended with or followed by 
abundant expectoration of greenish-yellow, matter-like, or even bloody 



432 OUR FAMILY PHYSICIAN. 

phlegm of putrid or saltish taste, occurring' chiefly in the morning and 
towards night, and accompanied with a sensation of weakness and sore- 
ness about the chest; or sometimes dry. spasmodic cough, attended with 
nausea and resulting in the vomiting of bilious matters,— the cough occur- 
ring particularly at night, and being further characterized by difficulty of 
breathing or shortness of breath. 

Dose : Four pills in a teaspoonf ul of water, night, and morning, for a 
week, then pause four days, resuming the course after this interval, 
if necessaiy, as before, and so on. 

Causticum is also a medicine of much importance in the treatment of 
this disease, and is more particularly indicated by: aching pains in the 
limbs, bones in the face and jaws, and in the throat and head, associated 
with a violent, racking cough, of which the fits occur particularly at night; 
feebleness of voice ; hoarseness, or even loss of voice; lacerated and pain- 
ful sensations in the chest and throat; faltering or feebleness of the lower 
extremities; rattling of phlegm; watery discharge from the nostrils ac- 
companied with headache; flushing of heat at night, attended with palpi 
tation of the heart; chill during every motion; sometimes nausea, and 
even vomiting of food with dainty or deficient appetite. The open air pro- 
vokes or aggravates the symptoms. 

Dose: Three pills in a teaspoonf ul of water, morning and evening. 

Arsenicum is a valuable remedy in severe cases, characterized by 
great debility and languor, particularly if the subjoined symptoms occur: 
violent, dry cough, accompanied with shortness of breath, or even with at- 
tacks of apparent suffocation in the evening or at night, and provoked by 
cold drinks, or by the least exposure to cold air; or moist cough, with ac- 
cumulation of very adhesive phlegm in the ramifications of the windpipe, 
which is hawked or coughed up with great difficulty ; and general aggra- 
vation of the symptoms at night or after eating. 

Dose : Four pills in a teaspoonf ul of water, three times a day, until 
the symptoms become less violent; and then at night and morning. 



INFLUENZA. 

EPIDEMIC CATARRH. 

We apply the name influenza to every bronchitis invading a large sur- 
face of country, and involving with marked symptoms of illness the 
whole organism, more especially the nervous system, attacking a number 
of individuals in the same epidemic with very similar symptons, although 
these may differ ever so much in different epidemics. 

Influenza is generally preceded by a preliminary stage where the local 
symptoms of catarrh of the respiratory organs are still wanting, or are 
but imperfectly developed, whereas the patient complains very much of 
an extreme langour, with nervous excitement, sleeplessness and loss of 
appetite, without or with only slight fever. As the fever increases, the 
local symptoms become generally more marked and more intense. At 
times, a coryza is the only prominent symptom, at other times the mucous 
lining, from the nose to the finest bronchial divisions, is inflamed. At the 



INFLUENZA. 433 

same time a violent and constant headache is complained of, which is com- 
monly located in the forehead, and is marked by all the peculiarties that 
so commonly characterize the headache in an incipient typhus. This head- 
ache is accompanied by rheumatic pains in many parts of the muscular 
system, accompanied by a degree of debility that almost amounts to pa- 
ralysis. After a gradual, very seldom sudden increase, the disease reaches 
its full height. The catarrh is at times violent, at other times very slight. 
The fever is intense, but so plainly remittent that the remissions some- 
times appear like intermissions. The debility is excessive. The head- 
ache is agonizing, and is either complicated with sopor, or with violent de- 
lirium. The digestion is entirely prostrated ; the tongue is thickly coated 
white or yellow, at times it exhibits a sickly redness with disposition to 
dryness ; nausea and even diarrhoea are often present ; the bowels are con- 
fined, diarrhoea is less frequent. The symptoms exacerbate in the even- 
ing and at night, the patient being very much disturbed by the cough 
which aggravates the headache a great deal. Thus the more violent at- 
tacks of influenza simulate an acute typhus, milder cases a so-called ner- 
vous gastric fever. Death may take place in the second week amid symp- 
toms of general exhaustion ; sometimes it takes place at a later period in 
consequence of the peculiar secondary diseases which frequently break 
out as sequelae of influenza. 

In the case of sound, robust individuals, the disease mostly terminates 
its course in a fortnight, but always leaving an extreme weakness which 
may last for weeks. In the case of old people the danger is always great, 
and recovery takes place very slowly. An abatement of the fever is al- 
ways the surest sign of an improvement. The disease very often leaves 
very threatening results, such as diseases of the lungs, stomach and liver. 

Thus we see that the prognosis in influenza is uncertain, even if the 
disease sets in favorably at first, and the patient had been in the habitual 
enjoyment of good health. If the individual had pulmonary disease, or 
in the case of old persons, a fatal termination is not uncommon. The pe- 
culiar nature of the actually existing epidemic may likewise exert a great 
influence ; whereas, one epidemic scarcely destroys a single life, another 
epidemic, on the contrary, claims a great many victims. 

ALLOPATHIC TREATMENT. 

In Epidemic Bronchitis or Influenza, in addition to the treatment 
given for ordinary Bronchitis, tonic doses of Quinine, two or three grains 
three times a day, should be given . If the patient is feeble, Tincture 
Muriate of Iron is needed, in doses of ten to twenty drops in sweetened 
water, after each meal. The writer is of the opinion that Fowler's Solu- 
tion, in doses of five to ten drops, and the Iodide of Potassium in doses 
of fifteen or twenty grains, three times a day, is beneficial ; they can be 
given in syrup and water with sarsaparilla and peppermint. 

HOMCEOPATHIC TREATMENT. 

INCIPIENT STAGE. 

Camphor (saturated tincture). This medicine, when employed upon 
the earliest manifestation of symptoms of Influenza (or of Common Cold 
28 



434 OUR FAMILY PHYSICIAN. 

during the prevalence of Influenza), characterized by chilliness, shiver- 
ing, and general sensation of uneasiness, will frequently prove effectual 
in arresting the further development of the disease. In a more advanced 
stage, moreover, Camphor is equally indicated, and is often of great ser- 
vice, when laborious, asthmatic breathing, accumulation of phlegm in the 
air-tubes, and cold, dry skin occur as predominant symptoms. 

Dose : One drop of the saturated tincture on a small lump of fine 
loaf-sugar, repeated at intervals of one hour. 

Ntjx-vomica. This remedy has also repeatedly proven of great effi- 
cacy in the first stage of influenza ; and, frequently, when timely admin- 
istered, in the cases in which it is indicated, prevents the development of 
the disease. The symptoms which point out the fitness of Nux-v. are 
chiefl y as follow : obstruction of the nose ; hoarse hollow cough, excited 
by tickling in the throat, and attended with severe headache ; confusion 
in the head, giddiness ; want of appetite, disgust at food, acid taste, or 
vomiting of bitter or acid matter ; thirst ; pain as from a bruise under 
the short ribs ; aching pain in the lower part of the back ; constipation ; 
pain in the chest as if from excoriation ; alternate heats and chills ; gen- 
eral aching and prostration ; sleeplessness, nocturnal excitement, and 
restlessness ; pains in the face and teeth. 

Dose: Six pills in a teaspoonful of water, three times a day. 

INFLAMMATORY STAGE. 

Aconitum is indicated for children when the disorder assumes 
an inflammatory character, with quickness, hardness, and fullness of 
pulse, dry, hot skin, and short, harsh, shaking cough. 

Do.se : Of a solution of six pills to two tablespoonsful of water, give 
a teaspoonful every three hours, until fever symptoms abate. 

Arsenicum. The following are the characteristic indications for 
the employment of this important remedy: heaviness and rheumatic 
pain in the head ; profuse, watery and corrosioe discharge from the nose, 
causing a disagreeable burning sensation in the nostrils ; violent 
sneezing; shivering and shudderings, with severe pains in the limbs; 
oppression of the chest; difficulty of breathing; thirst; anxiety; rest- 
lessness; great prostration of strengtii, with aggravation of suf- 
ferings at night, or after a meal ; inflammation of the eyes, with sensibil- 
ity to light. These symptoms may be attended with a deep, dry, 
fatiguing cough, worse in the evening, at night, or after drinking; or 
with sensations of dryness and burning, with mucus in the throat, 
which is difficult to detach. 

Dos< .- Two pills in a teaspoonful of water, every two hours, until the 
symptoms are moderated, and then every six hours. 

MERCURIUS. — This remedy is indicated by the following symptoms: 
chilliness, followed by profuse perspiration, unattended by mitigation of 
suffering; severe cold in the head, with copious, acrid, watery discharge; 
fever, with general heat ; great weakness, relaxed bowels, headache ; 
i>'ii ns in the head, face, teeth, and chest; sore throat; swelling of the 
glands beneath the car; violent, shaking cough, at first dry, but subse- 
quently moist, with copious secretion of phlegm — the paroxysms of 



WHOOPING-COUGH. 435 

coughing being commonly excited by irritation in the throat and chest ; 
aching in the bones, and slimy, bilious diarrhoea, attended with strain- 
ing. 

Dose : As for Aconite. 

Phosphorus has been found exceedingly useful when there was 
excessive irritation in the windpipe and its ramifications, bordering on 
inflammation, with alteration of the voice, and pain during speech. 

Dose : Six pills in a teaspoonful of water, every three hours. 

Bryonia has proved of great service in relieving the violent, pressive 
aching, bursting, frontal headache, dry, hot skin, with or without fever, 
and cough, both day and night, with scanty or copious, easily loosened, 
white or yellow-colored phlegm ; or when the cough produced pain in 
the upper part of the belly, and caused a pain, as if arising from the 
effects of a blow, beneath the breast -bone or under the short ribs. It has 
further been found of great efficacy when the liver was tumefied, painful 
to the touch, or on coughing, or taking a full inspiration ; also when vom- 
iting was liable to take place after coughing. 

Dose : Of a solution of eight pills to four teaspoonsful of water, give 
a teaspoonful every four hours. 

Opium has, in some cases, been successfully employed, when other 
remedies had failed, against distressing, dry cough, or cough with diffi- 
culty in expectorating the phlegm which has been detached, the parox- 
ysms of which were always followed by yawning. 

Dose : Six pills in a teaspoonful of water, every four hours. 



WHOOPING-COUGH. 

TUSSIS CONVULSIVA, PERTUSSIS. 

Whooping-cough is an epidemic disease which sometimes occurs in 
the form of very extensive, and sometimes circumscribed epidemics, in 
which latter case the few cases of whooping-cough might be called local. 
So far the real cause of the epidemic has not yet been determined. A con 
nection with other epidemic affections, especially measles, and likewise 
with smallpox and scarlatina cannot well be denied. Whooping-cough fre- 
quently precedes or succeedes epidemics of the last-named diseases, and in 
rare cases accompanies them. 

In the majority of cases whooping-cough commences as an ordinary 
catarrh of the nose or of the larynx, trachea and bronchial tubes. This 
introductory catarrh which does not, properly speaking, form a component 
part of whooping-cough, may break out in all degrees of severity and ex- 
tent without this circumstance justifying a conclusion regarding the ap- 
proaching attack. Hence the most proper course would be to regard this 
preliminary catarrh as connected with the epidemic only in so far as it 
furnishes a soil or a susceptible spot upon which the whooping-cough 
miasm can be grafted, and in which it can germinate. This is shown by 
the cases where the whooping-cough breaks out without being ushered in 



436 OUR FAMILY PHYSICIAN. 

by a simply catarrhal stage, or where a simple catarrh exists for weeks 
before it is converted into whooping-cough. At any one period of 
this first stage, in a few days or even after the lapse of weeks either 
a harmlessly-sounding cough sets in or else an actually-existing cough 
becomes more severe, and sooner or later assumes a paroxysmal 
character which constitutes it whooping-cough . After this form of cough 
has reached its full development, the simple cough ceases entirely ; only 
in a few instances violent paroxysms and simple turns of cough occur 
mingled together. A single paroxysm has the following characteristic 
symptoms: The children who had hitherto been bright and cheerful, 
shortly before the setting in of the paroxysm, become restless and anx- 
ious, or, if old enough, they complain of titillation in the larynx or un- 
der the breast bone, or of oppression of breathing ; it is very seldom the 
case that a violent cough sets in without any preliminary symptoms, 
which, after a short lapse of time, is succeeded by a wheezing and labored 
inspiration taking turns with the single paroxysms without admitting of 
a full respiration, for the reason that all the respiratory muscles and par- 
ticularly the glottis are affected by the spasm. While the exertion to 
cough is constantly increasing and the spasm of the glottis is gradually 
abating, the children finally succeed in raising or vomiting up a more or 
less considerable quantity of a tenacious, white mucus, which terminates 
the attack. During the attack the children express great anguish and 
restlessness ; in consequence of the impeded breathing, the face and 
tongue become blue-red, the eyes weep, a watery mucus is discharged 
from the nose, even blood is spit up sometimes and flows from the nose 
to the terror of the parents. The vomiting either brings up mere mucus 
or the contents of the stomach. Involuntary discharge of stool and urine 
is a rare occurrence if the children are otherwise robust. After the ter- 
mination of the paroxysm the children continue for some time in a state 
of confusion and languor, after which they play again as if nothing had 
happened. Only in the case of feeble or very small children the parox- 
ysms are succeeded by real attacks of eclampsia, or else by a state of sopor 
or even complete catalepsy. Under such circumstances the intermissions 
are not free from morbid symptoms, whereas vigorous children seem per- 
fectly sound between the paroxysms. 

These paroxysms sometimes set in quite frequently, and at other 
times at more protracted intervals. Generally their frequency increases 
up to a certain point where the affection remains stationary for sometime, 
after which it gradually decreases in violence. In the space of twenty- 
four hours the children may have upwards of thirty paroxysms of cough ; 
they occur more frequently in the night, and at this time likewise last 
longer and are more intense. A paroxysm lasts seldom longer than three 
minutes; if the parents assert that the paroxysms last longer, they are 
deceived by the anxiety which the mother particularly experiences, to 
whom a minute may possibly seem a quarter of an hour. The paroxysm 
is excited by talking, eating, screaming, or by violent exercise, likewise 
by a violent lit of passion ; the cough may likewise occur without any ap- 
parent cause, for instance, during sleep. 

The constitutional state of the little patients is variously affected by 
the cough, even if there are no complications. Strong children bear this 



WHOOPING-COUGH. 437 

cough for months, without losing flesh, or without their general well- 
being being interfered with . It may, however, be accepted as a rule that 
if whooping-cough lasts longer than four weeks, children begin to lose 
their strength and flesh, and that this loss goes on increasingly in propor- 
tion as the cough lasts longer. Sickly and very small children are speed- 
ily and threateningly affected by the cough, even if none of the foregoing 
complications are present. The children grow pale and languid, they 
loose their appetite, but are not often attacked with diarrhoea. 

The course of the disease is generally for several months ; but when 
we come to speak of the treatment, we shall show that this period is con- 
siderably abbreviated in homoeopathic hands. 

Of particular importance are the complications and sequelae of 
whooping-cough, which alone constitute the dangerous features of this 
disease. 

The most frequent of these complications are inflammatory affections 
of the lungs. The catarrh of the respiratory passages, which was incon- 
siderable at first, invades the more delicate ramifications of the air- pass- 
ages more and more until a more or less intense bronchitis sets in, which 
easily assumes the capillary form, and becomes readily associated with 
pneumonia. The presence of such a pneumonia is suspected if the bron- 
chitis steadily increases in intensity, and the intervals between the parox- 
ysms are no longer free from hacking cough and a constantly increasing 
shortness of breath,- -but the signs of this untoward change do not set in 
until the cough has lasted for days, and even weeks. In such a case, the 
little patient does not entirely recover from the attacks, he grows languid 
and feverish, has a short and dry cough, he does not wish to rise from 
bed, the pulse is hurried, the respiration becomes more and more incom- 
plete, more hurried ; he feels drowsy and tosses about. If these symp- 
toms manifest themselves in the later course of the disease, they always 
augur danger, and very commonly lead to a fatal termination. 

Brain diseases are scarcely ever caused by the direct action of whoop- 
ing cough ; existing diseases of this kind may become fatally aggravated 
by the cough. The convulsions which often attack little children during 
the course of whooping-cough, are more correctly attributed to the influ- 
ence of whooping-cough over the whole nervous system, and, on this ac- 
count, may become lasting. The apperantly violent congestions of the 
head during the paroxysms are of very little importance to the brain of a 
perfectly healthy child, but they prognosticate trouble, if the brain was 
diseased before the cough set in. 

Acute heart disease is seldom one of the complications of whooping- 
cough. On the other hand, the development of consumptive pulmonary 
affections is a very common thing. Usually, however, these affections ex- 
isted before the cough set in, although many cases occur where the cough 
occasions the disposition of the tubercular matter in individuals predis- 
posed to this disease. 

Beside the complications, the frequently occurring sequelae may prove 
very dangerous to the patients. Among them we distinguish chronic 
bronchial catarrh, deterioration of single parts of the lungs, with conse- 
quent malformation of the thorax, pulmonary consumption, heart-disease, 
although the last-named rarely, ^and then involving mostly the right side of 



438 OUR FAMILY PHYSICIAN. 

the heart; spasms, occasionally mental derangement, and lastly hernia, 
which is of comparatively frequent occurrence. If the disease lasts a long 
time, complete marasmus is not an unfrequent occurrence ; it is not attend- 
ed with other morbid conditions, and seems to result from the exhausted con- 
dition of the nervous system caused by the excessive paroxysms of cough. 
The prognosis is always uncertain. Although the cough does not en- 
danger the lives of healthy children, nevertheless, the supervention of one 
of the above mentioned complications at any period during the course of 
the disease may occasion death, or a life-long infirmity; thus it happens 
th t we often see vigorous and healthy children come out of an attack of 
epidemic whooping-cough like wretched invalids. 

ALLOPATHIC TREATMENT. 

In the treatment of Whooping-cough, it is to be borne in mind that the 
most careful attention to the hygienic management of the case, will save 
from the complications which constitute the chief danger from the dis- 
ease. But with this attention, many cases require no further treatment. 
The clothing should be warm, and flannel should be worn next to the skin 
at all seasons except summer. The child must be kept indoors during wet 
weather. The food should be plain and digestible, but nutritious. 

In the beginning of the disease, the treatment should be the same as 
that given for an essential catarrh in the same situation. The same direc- 
tions are appropriate for the continuing catarrh. 

Of the remedies especially appropriate in this disease, is Bella- 
donna. It is markedly serviceable in the spasmodic stage, and if 
there is much bronchial secretion, but can be given at any time. The rule 
I have followed is the one given by Trousseau, viz : to begin with a single 
dose at night, much smaller than will probably be required the next night, 
two doses were given the third night, three and so on regularly increasing 
in arithimetical progression until the cough and spasm is markedly re- 
lieved (or excssive dryness of the throat, and dilitation of the pupils from 
Belladonna, become so severe as to be impossible to continue), The dose 
which is found to relieve the cough should be given each night for a week. 
Then the dose may be lessened in the same manner as it was increased 
back to the first dose, but if the cough increases, the size of the dose is to 
be increased. The medicine should be given about a week after the spas- 
modic cough has ceased. Trousseau began by giving to young children a pill of 
one tenth of a grain of Extract of Belladonna, or one fifth of a grain for a child 
four years old, increased as above directed. As Atropine is the only form 
which is of uniform strength, it is doubtless the best form for this use. 

Take of Sulphate of Atropine one fifth of agrain dissolved in an ounce of 
Distilled water. The dose is two to four drops taken at bedtime, and gradu- 
ally increase the dose as is here directed. The Tincture is a suitable prepara- 
tion, beginning with three drops for a child of two years. The Mono Brom. 
ate of Camphor, the Bromide of Ammonium probably rank next in value. 
Of the Mono Bromated Camphor may be given in doses of three to live 
grains in Syrup of Tolu, and Mucilage four times a day. 

Three to ten grains of the Bromide of Ammonium, or Potassium may 
be given in Syrup of Toru and Mucilage three or four times a day. 

When the Bromides are given, a dose of Chloral five to ten grains in 



WHOOPING-COUGH. 489 

Syrup and water At night will generally give a prolonged, and quiet sleep. 
The two may be prescribed in one mixture. Take of Bromide of Amoni- 
um two drains, Chloral Hydrate half a dram, Syrup of Tolu half an ounce* 
water an ounce and a half. Mix and give a teaspoonf ul four times a day. 
In case spasm of the glottis occurs (upper opening of windpipe), the mix- 
ture may be given every half hour. 

It is claimed that the local effect upon the throat, of a solution of 
Quinine in water acidulated (with Hydrochloric Acid) sufficiently to effect 
a complete solution. It is used by inhalations of the solution in spray or 
atmozing, and taken internally in the usual full doses, one to five grains* 
given every three or four hours. The writer has seen tie disease yield 
with wonderful rapidity to this treatment in conjunction with the Bella- 
donna treatment. The inhalation of steam will often be beneficial. The 
vapor of Carbolate of Iodine (Tinct. Iodine, four drams Iodide of Potas- 
sium fifteen drains, Carbolic Acid a dram), or Bromium inhaled by drop- 
ping upon hot water is often beneficial in severe cases. The medicated 
steam may be conducted to the mouth by an inverted glass funnel or one 
made out of stiff paper. 

The inhalation of Oliphiant Gas (burning gas) has proved beneficial. 
In case of excessive long-continued bronchial secretion the above inhala- 
tions will prove of value. The inhalation recommended for chronic 
bronchitis may also be used. 

Some of the other internal remedies deserve mention as proving 
serviceable in domestic practice and in the hands of physicians. Carbon- 
ate of Potash (Saleratus) of one or two grains three times a day to a child 
a year old. It may be given with Cochineal as follows : Take of Carbon- 
ate of Potash half a dram, Cochineal ten grains, White Sugar two drams, 
soft water four ounces. Mix". 

Dose : One or two teaspoonsful three times a day. 

Alum is often serviceable in doses of one to six grains according to 
age. Take of Alum a dram, Syrup of Ginger, Syrup of Acacia, and soft 
water each an ounce. Mix. 

Dose : One or two teaspoonsful three times a day or oftener. 

Sulphur is often useful in doses of from two to five grains in milk or 
molasses two or three times a day. 

Lung Fever (Pneumonia) is the most dangerous complication. Its 
management requires especial care. Stimulant applications to the chest, 
a thin poultice of sixteen parts flaxseed and one part fine mustard covered 
with an oiled muslin jacket should be used, or the chest wrapped in flan- 
nel thoroughly wet with a saturated solution of Camphor Gum in Olive 
Oil. Anodyne and tonic remedies will be required as in pneumonia 
occurring under other circumstances. Especial attention should be given 
to the latter, and to supporting the system with nourishment. 

Spasms will be best met by warm baths and the Bromide and Chloral 
mixture before given. 

HOMCEOPATHIC TREATMENT. 

FIRST OR FEBRILE STAGE. 

In the incipient, fevery, irritative, or catarrhal stage of the cough, the 
most appropriate remedies are to be found amongst those which we have 



440 OUR FAMILY PHYSICIAN 

already pointed out in the treatment of common Cough,. and must be se- 
lected according to the indications there given and administered in the same 
manner, unless otherwise specified. By a careful selection of these reme- 
dies, it is frequently possible to check the disorder in the first stage. The 
following, however, according to the special indications mentioned, are 
particularly appropriate. 

Aconitum is appropriate in many instances for initiatory treatment, 
inasmuch as there is generally a considerable degree of fever present. 
As soon, however, as the febrile symptoms have somewhat subsided under 
the employment of Aconite, which in the generality of cases will occur 
within a few hours after the first dose or two, and appropriate selection 
should be made from amongst the following medicines. It should not be 
omitted, that Aconite will frequently be required from time to time, as an 
intermediary remedy, whenever marked febrile or inflammatory symp- 
toms are present, always returning to such other medicines as are most 
prominently indicated, as soon as the symptoms which especially indicate 
Aconite have been moderated. 

Dose : Six pills in a teaspoonful of water, repeated, when requisite, at 
intervals of three hours. 

Pulsatilla is appropriate when the symptoms are as follow : cough 
loose, and accompanied with a flow of tears, weakness of the eyes, sneez- 
ing, thick, discolored discharge from the nostrils, slight hoarseness, and 
inclination to vomit after coughing ; occasional diarrhoea, especially at 
night. 

Dose : Six pills as for Aconite. 

Mercurius is indicated by hoarseness, watery discharge from the 
nose, with soreness of the nostrils; dry fatiguing cough, generally occur- 
ing in two successive fits. 

Dose : Four pills in a teaspoonful of water, immediately after the fits 
of coughing (but not more frequently than every hour.) 

Belladonna is one of the most important remedies in the catarrhal 
stage of whooping-cough, when there is dry, hollow, or harsh and bark- 
ing nocturnal cough which becomes materially aggravated at night. This 
medicine is also particularly well adapted to the sore throat, which is not 
an unfrequent concomitant, at the commencement of the affection. 

Dose : Three pills as for Mercurius. 

Nux-vomica is of great service when the cough approaches the sec- 
ond stage. It is indicated by the following symptoms : dry, fatiguing 
cough, attended with vomiting, and occurring particularly from about 
midnight until morning ;— the paroxysms so protracted and violent as to 
produce apparent danger of suffocation, with blueness of the face, and, oc- 
casionally, bleeding from the mouth and nose. 

Dose: As for Mercurius. 

Ipecacuanha is, like Nux-vomica, of great value when the cough is 
attended with danger of suffocation, and each inspiration appears to ex- 
cite a fresh fit of coughing. It is further indicated when the fits are 
attended with spasmodic stiffness of the body and blueness of the face, 
great anxiety and accumulation of phlegm in the chest. 

Dose: Of a solution of ten pills to three tablespoonsful of water, give 
a teaspoonful every three hours. 



PNEUMONIA. 441 

SECOND OR CONVULSIVE STAGE. 

Drosera is one of the principal remedies in the treatment of the 
disease, when it has reached this stage ; and in cases where the constitu- 
tion has not been enfeebled by the transmission of hereditary weakness 
or other causes, it will speedily declare its beneficial effects, and materi- 
ally shorten this trying and painful period of the disorder. The particu- 
lar indications for the use of this medicine are : violent paroxysms of 
cough, occurring in such rapid succession, as to threaten suffocation, and 
attended with the characteristic shrill sound during inspiration, and 
sometimes fever ; after each fit of coughing, vomiting of food, or of stringy 
mucus ; relief on moving about ; no fever ; or, if there be fever, it con- 
sists of regular paroxysms of chilliness and heat ; thirst after the cold fit; 
warm perspiration, sometimes only at night. 

Pose : Of a solution of eight pills to two tablespoonsful of water, give 
a teaspoonful after every severe fit of coughing. 

Veratrum-album is indicated when the child has become reduced 
in strength and emaciated; or when it suffers from cold sweats, particu- 
larly on the forehead, with excessive thirst, involuntary emission of urine, 
vomiting, and other symptoms common to this stage ; also pain in the 
chest and towards the groin ; low fever, with small, weak, and accelera- 
ted pulse ; much thirst ; aversion to conversation . 

Do.se : As for Drosera. 

Carbo-vegetabilis (Charcoal) is frequently useful in bringing this 
stage of the affection to an early and successful termination, after the pre- 
vious use of Veratrum or Drosera, or both of these important remedies par- 
ticularly when, notwithstanding the decrease of cough, the tendency to 
vomit still remains. 

Cuprum-aceticum . — This remedy is found most useful in the nervous 
stage, particularly when convulsions with loss of consciousness ensue after 
each paroxysm. Also when we find vomiting after the attacks, rattling of 
mucus in the chest, and wheezing at all times. In almost all cases a 
marked benefit has followed the employment of this remedy ; sometimes 
it has been found sufficient of itself to cut short the disease, and, in 
others, has so far modified it, that other remedies, which had before 
seemed to fail, have, after its exhibition, acted with the most marked 
effect and completed the cure. 

Dose : Of a solution of twelve pills to three tablespoonsful of water 
give a teaspoonful every half hour. 



PNEUMONIA. 

INFLAMMATION OF THE LUNGS. 

On account of its frequency and the importance of the affected organ, 
Pneumonia is one of the most important diseases. Pneumonia may occur 
at any age, but attacks more especially individuals between the ages of 
twenty and forty years, very rarely children in the first years of infancy. 
No constitution is exempt from the liability to an attack; if a robust and 



442 OUR FAMILY PHYSICIAN. 

plethoric constitution is generally regarded as more susceptible, it is, most 
probably, because robust men are more frequently exposed to the exciting 
causes of pneumonia. This circumstance is most likely the reason why 
men are so much more frequently attacked than women; the occupations 
pursued by men expose them more fully and more frequently than women 
to the deleterious influences productive of pneumonia. Infants at the 
breast, and children who have not yet passed through the first period of 
dentition, are seldom attacked with croupous pneumonia. The nature of 
the country does not seem to exert any palpable influence; for pneumo- 
nias occur in a level country as well as on mountains, in sunny districts as 
well as in exposed places. The seasons, on the contrary, exert a decided 
influence. Our statistical tables show to a demonstration that the transi- 
tion from cold to warm seasons is the most fruitful source of pneumonia; 
the transition from warm to cold seasons is less productive of this disease, 
winter still less and summer least of any. Mechanical injuries, more es- 
pecially a violent blow or kick, may likewise give rise to pneumonia; nox- 
ious agents acting directly upon the lungs, such as irritating gases, excess- 
ive cold or heat, may likewise excite the disease. 

Symptoms. As yet we are not acquainted with any disease which, in 
the absence of any particular complications, runs its course in such fixed 
and stable forms as pneumonia, and adheres as fixedly as this disease to 
definite critical days. 

Pneumonia begins almost without an exception with a chill which is 
usually very severe and is in many respects of great importance. It is 
from this chill that we date the comencment of the disease and by it we 
determine the critical days. The chill which is sometimes of very long 
duration and is immediately succeeded by, but never alternates with fever, 
is in no other disease of such a peculiar nature. As soon as the chill sets in, 
the muscular strength vanishes so that the paiient finds it almost impos- 
sible to stand erect. 

As soon as the chill, which almost always lasts several hours, and 
scarcely ever only a few minutes, is over, a violent, dry fever-heat sets in, 
and the pulse becomes more or less accelerated, fuller and more tense, but 
very seldom exceeds the number of 100 beats. The temperature is always 
raised a few degrees. The face, which, during the chill, has an almost 
cadaverous appearance, now becomes flushed, sometimes only on one 
side; the cheeks are bright-red, the eyes injected, and very commonly 
some headache is felt, and the patient generally feels thirsty, but is very 
seldom disposed to vomit. The appetite is at once gone, and owing to 
the intense fever, all the secretions are suspended. The patient feels more 
exhausted than he really is. This condition which is as yet free from all 
local symptoms, may last longer than twenty-four hours, but in such a 
case the local symptoms appear at an earlier period ; in rare cases they 
precede the chill. The patient complains of unceasing stitching pains 
which he generally points out with tolerable accuracy as existing at the 
affected spot, very seldom far removed from it; they are aggravated by 
every unusual exertion of the respiratory organs, especially by coughing 
and they sometimes increase to a high degree of intensity. The pain 
usually sets in associated with a short and at first dry cough, the respira- 
tory movements are much less full and more frequent in number. The 



PNEUMONIA. 443 

breathing is not only painful and accelerated on this account, but the 
violent fever likewise occasions an increased desire for breath which can- 
not be gratified, and causes great restlessness and anxiety and a marked 
activity of all the other respiratory movements. These exertions are 
generally so striking that pneumonia can be recognized from this very 
fact, more especially from the flapping of the alae nosi during an inspira- 
tion. Vocalization is of course altered, feebler and shorter, and frequent- 
ly interrupted. 

Soon after the cough has begun to set in, the patient begins to expect- 
orate ; this expectoration is important as a diagnostic sign. It is scanty, 
very tenacious, and usually intimately mixed with blood from the com- 
mencement, which imparts to it the color of rust, or brick-dust ; this 
color is scarcely ever absent in the case of young, robust individuals. At 
this stage the physical symptoms have so far advanced that they render 
the diagnosis perfectly certain. During the first days the fever gradually 
increases, showing but slight morning remissions. Considering the high 
degree of temperature, the pulse is not so very frequent, scarcely ever 
exceeding 120 beats ; gradually the fullness of the pulse decreases consider- 
ably. 

The end of the inflammatory stage generally designates the period 
when a change takes place in the symptoms. The infiltration is seldom 
completed on the third day, sometimes not till the seventh, even still 
later. After this, the pains almost cease, the breathing becomes more 
tranquil, the fever is apparently less, the pulse remains unchanged, the 
constitutional synrptoms do not mend very perceptibly. The local as 
well as the general symptoms may remain unchanged in intensity, until 
a change takes place in the disease. Such a change seldom takes place 
before the fifth day. This critical change is very often preceded by the 
breaking out of hepes labialis (cold blisters) which almost always author- 
izes the expectation of a-favorable turn. Previous to the critical change, 
the intensity of the symptoms either rises to a great height by a gradual 
increase, or else it is often the case that after two to four quiet days a 
violent fever again rages for twelve to eighteen hours, after which the 
disease decreases very suddenly. Convalescence takes place so rapidly 
that on the fourteenth day every trace of the disease has generally dis- 
appeared. As we shall see presently, the mode of treatment exerts a 
great influence in this respect. 

Pneumonia does not alter the shape of the throax, or so little that no 
stress need be laid upon this symptom; nor are the intercostal spaces 
altered any more than the general capacity of the throax. Very com- 
monly, however, a more distinct vibration of the thoracic wall, corres- 
ponding to the diseased portion of the lungs, is perceived when the pa- 
tien t is talking. The most important positive signs are yielded by 
percuss ion which informs us with tolerable certainty whether a larger 
portion of the lungs is infiltrated or not. We speak, of course, of croup- 
ous pneumonia, for it is this alone that causes the infiltration of a consid- 
erable portion of the lungs, most commonly of a whole lobe. In the 
incipient stage of pneumonia, the sound either remains unchanged, or is 
only changed very slightly ; hence, immediately after the occurrence of 
the chill, no changes can be discovered. But in proportion as the hyper- 



444 OUR FAMILY PHYSICIAN. 

aemia increases, the percussion-sound becomes niore tympanitic, some- 
times to such an extent that one might be led to believe, a piece of intes- 
tine had been struck. Hence the tympanitic sound is really characteristic 
in pneumonia, and is only less marked, if the thoracic walls are very 
thick, or if the diseased portion of the lungs is separated from the thoracic 
wall by a normal layer of pulmonary parenchyma. In croupous pneu- 
monia, this is very seldom the case. The more complete the infiltration, 
the more completely the air escapes from the lungs, and the more empty 
the sound becomes unless a layer, from which the air has not yet escaped, 
lies over the diseased portion of lungs. On the sides of this normal layer 
the dullness often first changes to the tympanitic and further on to the 
normal sound, the tympanitic sound is sometimes heard even in the non- 
affected portion of the lungs, most likely owing to the accompanying 
hyperemia. A change in the infiltration is revealed by percussion if res- 
olution takes place, in which case the tympanitic sound most commonly 
returns for a short time, and soon after gives way to the full sound . The 
results of ausculation are equally valuable as diagnostic signs. At the 
commencement of pneumonia, the normal respiratory murmur is very 
often quite feeble, much less frequently increased. As soon as the infil- 
tration begins to set in, and the air is still able to circulate in the inflamed 
portion of the lungs, we perceive, especially during an expiration, the 
crepitation that is so rarely absent that it can almost be regarded as char- 
acteristic in pneumonia. 

In the case of children, the invasion of the disease is often marked 
by convulsions, such as may occur in other acute affections ; in the case 
of adults, spasmodic symptoms are seldom witnessed. A very severe in- 
testinal catarrah sometimes constitutes the stage of invasion. In such a 
case the vomiting only lasts until the infiltration is completed, whereas 
the diarrhoea often continues throughout the whole course of the disease. 
In the case of children, as well as of old people, very seldom in the case 
of adults, pneumonia throughout its whole course is sometimes accompa- 
nied by such prominent cerebral symptoms that a physical exploration 
alone is capable of establishing the diagnosis upon a perfectly reliable 
basis, for even the cough in such cases is often wanting. 

The patients sometimes remain unconscious during the whole course 
of the disease, which need not run a prolonged course on this account. 
Cerebral derangements of a lighter grade, a light delirium, mostly of a 
merry nature, sleeplessness or sopor, are very common occurrences. These 
happen most frequently in the case of drunkards. The tongue does not 
exhibit any regularly-occurring changes ;— at times it is quite clean,— 
sometimes very much coated, at times humid, at other times quite 
dry. The last-mentioned appearance is not very promising, it is especially 
ominous if the balance of the symptoms impart to the affection a dubious 
character. The appearance of a slight icterus (jaundice) after the comple- 
tion of the infiltration is very common, nor is it of any particular impor- 
tance; but if icterus sets in together with symptoms of catarrh of the 
stomach and bowels, it always indicates an unwelcome complication which 
threatens to delay the course of the disease. As a rule the skin remains 
pretty dry during the whole course of the disease; profuse or exhausting 
sweats occur much less frequently. 



PNEUMONIA. 445 

The symptoms specially appertaining to the lungs, vary considerably. 
The cough, which is usually not very violent and occurs in single short 
turns, may assume a spasmodic character when, on account of the increase 
of pain, it becomes a source of great distress to the patient. It rarely is 
entirely wanting, or is quite dry. It is particularly old people who some- 
times do not cough at all. The frequency of the respirations is sometimes 
but inconsiderably increased, and it is the insufficient depth of the inspir- 
ations that reveals the character of the disease. The pain varies more 
than any other symptom ; in the case of old people it is generally very 
slight; in their case the admixture of blood in the sputa is generally mis- 
sing. 

In the case of young and vigorous individuals the resolution of the in- 
filtration generally takes the place very rapidly, sometimes in a single day. 
Thus we find that the fever decreases on the ninth day, and that the pa- 
tient generally feels a little better; but there is no sudden decrease of all 
the abnormal phenomena, no immediate, but a scarcely perceptible, drag- 
ging commencement of convalescence. We seldom notice this condition 
of things in the case of robust men ; it occurs quite easily among weakly 
persons and after an exhausting method of treatment. Sometimes, after 
convalescence has begun, an exacerbation with progressing infiltration 
sets in, in which case the fever is very apt to assume an asthenic character 
and the appearance of typhus, yet the course of the disease need not neces- 
sarily be very much protracted or unfavorable. But almost without an 
exception, important complications exist in such cases; such a form of 
pneumonia is very seldom the result of epidemic influences, but most gen- 
erally of an exhausting treatment. 

Experience has shown that the seat of pneumonia is of great impor- 
tance as regards the probability of a normal termination. As a rule pneu- 
monia of the right side is much more favorable than that of the left, 
pneumonia of a lower lobe lighter than that of an upper one, which is apt 
not to terminate in resolution and to assume a tubercular form. Inflam- 
mations of the left upper lobe are especially obstinate and deviating from 
the normal course; they occur the least frequently. 

ALLOPATHIC TREATMENT. 

In the beginning of a case of Pneumonia, a saline purge, as one or two 
teaspoonsful of Epsom Salts, (boiled for a couple of minutes with one- 
third its bulk of roasted coffee in an earthen dish, and allowed to draw a 
few minutes to disguise the taste,) the same quantity of Citrate of Mag- 
nesia, or Rochelle Salts, or a couple Seidlitz Powders, and its operation 
followed by a full dose of Opium in some form as the quarter grain sugar 
coated pills of Morphine, the grain pills of Opium or Cordia, ten grains of 
Dover's Powder, or twenty-five or thirty drops of Laudanum : the opiate 
continued at such intervals as will relieve the pain, restlessness or vigi- 
lance of the patient, with hot fomentations, hot poultices, or hot Turpen- 
tine stupes applied to the chest, will meet the requirements of the case. 

The patient should be kept in a warm room of 65° to 70° F. 

The air should be moistened with steam. 

There is no better treatment for the control of deep seated inflamma- 
tions than the use of Opium in the doses above indicated. The writer 



446 OUR FAMILY PHYSICIAN. 

has frequently seen a marked decline in the frequency of the pulse and 
breathings (resperations) with comfort and refreshing sleep follow the use 
of full doses of Opium, not only in the early stage of the disease; but to 
accompany its continued use to the extent of relieving pain or restless- 
ness throughout the course of the disease. The writer very seldom sees 
the need of any further sedative treatment. This treatment has the ad- 
vantage of not being harmful. It in no way delays resolution. If the 
patient does not expectorate thoroughly, and mucus accumulates in the 
bronchial tubes, opium ought not be given in full doses. Doses about half 
the size of those named above, are appropriate under such circumstances. 

From the beginning, to the end of the disease, great benefit will be de- 
rived from hot fomentation. The hot, wet pack is one of the most service- 
able. A large towel, wrung out of hot water, is folded and laid on the 
affected side: the whole chest is then wrapped in a large towel or bandage. 
The covering should be thick, to retain the heat. Previous to applying 
the hot pack, it is doubtless, advantageous to apply a hot Turpentine 
stupe. A flannel is wrung out of hot water, dipped in hot turpentine, ap- 
plied to the chest, and thickly covered to retain the heat. When consider- 
able smarting has been produced, the stupe may be replaced by a hot, wet 
pack, or a hot poultice. Lay hot poultices, covering the affected side and 
front part of the chest, or the whole chest. They should be frequently re- 
peated. Linseed meal is the best substance from which to make a poul- 
tice. The stupe may be used twice a day. In case a poultice is used, suf- 
ficient mustard may be mixed with the flaxseed meal, (one or two ounces 
to the pound,) to make the poultice sufficiently irritating, without the use 
of the stupes. 

The amount of blood drawn to the surface from the internal organs, 
by these hot dressings, is simply immense. One of the best, and most 
easily managed dressings for the chest is a flannel jacket, covered with an 
oiled muslin one. This is the dressing used in Bellevue Hospital, N. Y. 
This protects against cold, and secures all the benefits of a poultice. The 
repeated application of the Tincture of Iodine, is an effectual application. 
Blisters are harmful in the first stage, and after the fever subsides, when 
absorbtion has begun, they have no advantage over the application of the 
Tincture of Iodine. 

If the fever and pulse continue to run high, either the Tincture of 
Aconite or Veratrum Viride may be given, according to the following di- 
rections : 

Many physicians place great esteem upon the use of Veratrum Viride 
in the treatment of pneumonia. This opinion was extravagantly expressed 
by the gentleman with whom the writer first read medicine, Dr. A. K. 
Fifield, of Canneaut, Ohio : "Veratrum Viride is the sheet anchor in 
the treatment of pneumonia." There is no doubt of its power to so re- 
duce the force of the current of blood that in the early (beginning) stage 
of the disease, in strong subjects in full health, and so lessening the 
amount of blood circulating in the lung, that important service maybe 
rendered. But as soon as the lobe of the lung affected becomes solidified 
its usefulm 38 must cease. It is too powerful a remedy to be given with- 
out the guidance of a physician. The dose of the Fluid Extract is one to 
three drops, and of the Tincture (U. S. J*.) is from two to six drops. If 



PNEUMONIA. 447 

used, the dose should be small at first, and frequently repeated, one to two 
hours apart. The dose can be increased until the rapidity of the pulse 
and highth of fever are materially lessened. 

The Tincture of Aconite is serviceable in the same way and is pre- 
ferred by many practitioners. It is more especially useful in the ineipi- 
ency of the disease, but can be continued with greater advantage until 
the fever ceases to rise when the remedy is omitted. It may be given in 
doses of a half drop to a drop, every half hour, until an impression is 
made on the fever movement, and then continued in doses of a drop every 
hour or two. This in itself is very effectual treatment. Some physicians 
are so confident in its efficacy as to assert that no other treatment is re- 
quired up to the period of crisis, but other measures of treatment are not 
incompatible with it. 

There is no doubt, in some cases of very strong, vigorous patients, 
when the constitutional symptoms are very violent, of the benefit of 
bleeding, if practiced during the stage of congestion ; this is within the 
first twenty-four hours, generally. Many circumstances prevent its prac- 
tice then, as a rule. Only the most robust can be benefited even then. 
After the disease is fairly established in any case, bleeding can only 
weaken. All the sedative and revulsive effect required, can be secured 
by the cathartic, Opium and hot applications, with, perhaps, the use of 
Aconite, or Veratrum Viride. 

The use of Mercury or Tartar Emetic, according to the plan of some, 
is not called for, as they have no special influence over the disease. 

One of the principal objects in treatment, after exudation has taken 
place, is to support the strength of the patient, by means of nourishment, 
tonic remedies, and stimulants. The majority of cases which prove fatal 
do so from failure of the powers of life before resolution can take place. 
It is, therefore, important that supporting measures should not be delayed 
beyond the time when it is evident that the patient has pneumonia. 

In patients who are feeble to begin with, this supporting treatment is 
all the more necessary early in the disease. It is just as important to sup- 
port the strength of the patient in this disease as it is with continued 
fever or any other disease. In warm climates, this part of the treatment 
is even more important than in cold or temperate climates, as in them 
patients are less able to sustain the disease. Animal essences (consisting 
of the juice of finely-chopped lean meat extracted by heating in a loosly- 
corked bottle set in a kettle of water j, strong beef tea (made by taking a 
pound of finely-minced lean beef in a pint of cold water, gradually raised 
to a temperature of 160° and maintained at that point for four hours, 
when it is to be strained and seasoned for use. During the steeping, a 
little water can be added from time to time to. supply the loss by evapo- 
ration). Milk, egg beaten with a teaspoonful of sugar and mixed with a 
little water, or milk, and starchy articles of food, as bread, rice, gruel, etc., 
will form a suitable variety. The taste of the patient can be, generally, 
followed with safety. Tender beefsteak, broiled rare, is not inadmissible 
in many instances ; tender fowl and game may often be allowed. Nour- 
ishment should be given four times in the twenty-four hours in all cases. 
The patient ought to have nourishment in the night, and, if very ill, it 
should be given from two to four hours apart, night and day. 



448 OUR FAMILY PHYSICIAN 

Of tonic remedies, Quinine is to be preferred. It is not needed in 
mild cases, but should be given in doses of one to three grains three or 
four times in the twenty-four hours, when prostration of the vital pow- 
ers is likely to occur. It may be given throughout the course of the dis- 
ease. In cases occurring with intermittent fever, Quinine should be given 
in large doses, as directed for intermittent or remittent fever, until the 
periodical paroxysms are arrested. The high fever is not an objection to 
its immediate use. In malarious localities, it is possible to prevent the 
development of these malarial complications by the use of tonic doses of 
Quinine. 

Alcoholic stimulants are often a necessary of the supporting treat- 
ment of this disease as an aid to digestion. Two or three teaspoonsful of 
Brandy or Whisky, may be given with the milk, beef tea or essence, or 
gruel, every time it is given. Their use should be resorted to whenever 
any degree of prostration occurs, or insufficient nourishment is taken. 

The late Prof. Hughes Bennett, of Edinburg, directed the use of stim- 
ulants, as soon as the pulse became soft, to the amount of from four to 
eight ounces of wine a day. Out of one hundred and twenty-nine cases 
treated in the Royal Infirmary, of Edinburg, treated by Prof. Bennett, 
one hundred and twenty-five recovered, and of these, eighty-five took 
wine or spirits in quantities varying from three ounces upward to, in one 
case, twelve ounces. Sometimes very large quantities of spirits are re- 
quired. After convalescence is well established, their use should be dis- 
continued. | 

In chronic pneumonia, tonics of Quinine and Iron, as three grains of 
the Citrate in syrup, three times a day. Cream or Cod Liver Oil may be 
required. Anodynes should be given to palliate the cough and distress. 
The cough mixture of Paregoric, Hyoscyamus and Wild Cherry Bark, 
directed in the treatment of acute bronchitis, is often sufficient, but 
stronger preparations may be used if necessary. Counter-irritation, by 
applying Tincture of Iodine over the affected side, is useful. Suppura- 
ting measures comprise all that can be done to prolong life. 

In the treatment of pneumonia in young children, the same princi- 
ples prevail as are given for adults. A teaspoonful of Rochelle Salts^or 
Citrate of Magnesia, should be given to move the bowels. They should 
be kept open by the occasional use of the same remedy. 

For the relief of pain, cough and restlessness, Opium should be given 
in just sufficient amount to relieve these symptoms. The most eligible 
are : Paregoric, Laudanum, particularly the Deodorized Laudanum and 
Dover's Powders, in doses suitable to the age. Under six months, five to 
ten drops of Paregoric; half a drop to a drop of Laudanum; one-fourth 
to half a grain of Dover's Powder, given from two to four times in the 
twenty-four hours. Over the age of six months, up to two years, these 
doses may be doubled. A somewhat larger dose may be given to a child 
of three or four, and for one five or six years old, the dose may be three 
times as large as for six months. The opiate is often more serviceable if 
Tincture of Hyoscyamus in doses the same as of Paregoric or Tincture of 
Belladonna in the same doses as of Laudanum, is given with it. 

In older children, with excessive fever and a bounding pulse, the 



PNEUMONIA. 449 

Tincture of Aconite may be given in doses of half a drop to a drop two or 
three hours apart. Its continued use will depend on the amount of im- 
pression on the fever and pulse. It should not be continued after the 
fever is down or the pulse down to one hundred per minute, or if given 
in only half the former doses. Then if the fever rises again it can be 
given more frequently. The following is a suitable mixture : Take of 
Tincture of Aconite Root sixteen drops, Syrup of Ipecac two drams, Syr- 
up of Tolu to make four ounces. Mix. Half a teaspoonful can be given 
every two or three hours, to a child five years old. 

From one to three grains of Citrate of Potash may be given about 
four hours apart, in syrup or in other mixtures, to stimulate the kidneys 
and skin. Spirits Mendiresus in doses of half a teaspoonful to a tea- 
spoonful and a half, given in the same way, is suitable for the same 
purpose. 

The supporting treatment should be the same as for adults and should 
be begun early. Strict attention to nourishment should be given from 
the beginning, from two to four hours apart. The dose of Quinine for a 
tonic is from half a grain to a grain. The dose of Brandy or Whisky, 
given in the food, is from half a teaspoonful to a teaspoonful every two or 
three hours. Infants at the breast will be sufficiently nourished by the 
breast. With them the stimulant should be given in sweetened water. 

The same plan of counter-irritation as with adults should be followed 
— giving preference to a thin poultice made of flaxseed meal, with one- 
sixteenth part of mustard, kept constantly on the chest, covered with a 
jacket of oiled muslin. Flannel wet with Olive Oil, containing as much 
Camphor as it will dissolve, wrapped about the chest and covered with 
oiled muslin, is a convenient and suitable application. The Oil can be 
made more irritating, if it does not redden the skin, by the addition of a 
little Turpentine. 

Turpentine, Tincture of Iodine, or Mustard poultices, may be used 
if preferred, but the chest should be covered by oiled muslin what- 
ever plan of counter-irritation is followed. 

Complicated Cases. Symptoms. In severe cases, inflammation of 
the lungs is often found combined with pleurisy, in which case the pains 
of the chest are intense, and mostly of an acute, shoothing character. An- 
other and still more frequent complication is formed with bronchitis. 

Issue and Results. When the disease comes rapidly to a favorable 
termination, some striking evacuation generally attends it, such as a very 
free and abundant expectoration of thick, white or yellow matter, often 
slightly streaked with blood; or a profuse and general sweat; diarrhoea; 
a prof use discharge of urine, with a copious sediment; or a flow of blood 
from the nose. 

If inflammation of the lungs be not checked in the earlier stages, the 
lung is altered in structure ; and the face becomes patched with red, and 
sometimes livid, the vessels of the neck swollen and turgid, and the pulse 
weak and irregular. 

In the advanced or suppurative stage of the disorder, the expectoration 
becomes purulent or converted into a brown, serous fluid, and slight shiv- 

29 



450 OUR FAMILY PHYSICIAN. 

erings generally supervene ; the pain or sense of fullness and tightness 
becomes abated, and the patient is commonly enabled to lie on the affected 
side without much inconvenience ; but the pulse becomes weak and thready, 
and the strength commonly sinks rapidly : a fatal result is, however, some- 
times, even then, avoided by proper homoeopathic treatment. 
HOMOEOPATHIC TREATMENT. 
The great danger attendant upon this disease renders the assistance of 
professional experience, when that can be obtained, absolutely indispen- 
sible. But to provide, in some measure, for the contingencies in which 
such aid cannot be secured, the following directions are subjoined, to en- 
able even unprofessional persons to entertain some hope of insuring a suc- 
cessful issue. 

Aconite. In the stage of simple inflammatory congestion, with se- 
vere inflammatory fever, whether or not accompanied or followed by 
violent shooting pains in the chest, this remedy is unquestionably of great 
service. 

Dose : If singly, of a solution of six globules to two tablesoonsf ul of 
water, give a teaspoonful every hour, until the pulse becomes re- 
duced in volume and frequency, or the skin moist, or covered with 
profuse perspiration,— upon which the intervals may be extended to 
two hours, and the administration thus continued. 

Bryonia is frequently the best remedy to follow Aconite, when the 
more severe febrile symptoms have been lowered by the medicine, or, more 
especially, when such symptoms as the following predominate: cough with 
expectoration of stringy or tenacious phlegm of a brick-dust color, oppres- 
sion and acute shooting pains in the chest; orrhuematic pains in the chest 
and extremities, with aggravation on movement ; foul, dry, tongue, con- 
stipation, and other indications of derangement of the stomach. When 
the pain in the chest is excessive, and of a shooting, cutting, or pricking 
character, the membrane which invests the lungs is generally involved, 
and the case thereby complicated with pleurisy. In such cases the alter- 
nate use of Bryonia, with such other medicine as may further embrace 
some of the symptoms, is sometimes necessary, or, at all events, conducive 
to more speedy recovery. 

Dose : In every respect as directed for Aconitum. 

Belladonna is, generally required before (or even after) Bryonia, 
when the fever returns after having been apparently subdued by Aconitum, 
and the difficulty of breathing, and pain, or feeling of uneasiness in the 
chest, continue; the expectoration tinged with blood, and difficult to bring 
up; the cheeks flushed, lips and tongue dry and parched, the skin hot, and 
the thirst incessant; the pulse hard, quick, and full; the sleep disturbed 
by frightful dreams and delirium. In young, robust subject, Aconitum 
and Belladonna may be exhibited in rapid alternation, with the most sat- 
isfactory results during the first stage. 

In such cases, indeed, the further progress of the disease is not unfre- 
quently arrested, or at all events, such a degree of improvement is effected 
that any remaining symptoms, such as some degree of oppression, and 
expectoration of viscid phlegm, readily yield to the administration of 
Bryonia. 

Dose: As for Aconite. 



ASTHMA. 461 



Phosphorus. This remedy has been employed with striking success 
in almost every stage of the disease in question, under whatever form it 
presented itself, and even when the disease had already attained a some- 
what advanced stage. Much fever, with hard, full pulse, cough, and blood- 
stained expecoration, are the salient general indications for Phosphorus. 
It is also more or less necessary in all cases occurring in consumptive 
habits. 

Dose : If singly, of a solution of six pills to two tablespoonsf ul of 
water, give a teaspoonful every three hours. 

ADDITIONAL PARTICULARS.— SERIOUS CASES. 

Antimoniu3I-tartaricum is frequently of service when the oppres- 
sion at the chest and anxiety continue to increase, and the pulse becomes 
small, weak, and irregular ; or, moreover, either when there is no expect- 
oration, or when the expectoration is not tinged with blood, and occurs 
chiefly at night ; or, again, when difficulty of breathing, anxiety, and 
other dependent symptoms are always temporarily relieved after expect- 
orating. 

Dose : Of a solution of six pills to two tablespoonsful of water, give a 
teaspoonful, first at intervals of a quarter of an hour, and then of 
half an hour, and so on, extending the intervals to three hours, as 
improvement gradually ensues. When the urgent symptoms have 
subsided, consider the general aspect of the symptoms, and suspend 
or continue treatment accordingly . 

Sulphur is a medicine of great service when a relapse threatens to 
succeed the improvement previously effected by other treatment; and in 
repeated courses, upon the accession of convalescence, to restore the vigor 
and equilibrium of the system, and to neutralize the remaining suscepti- 
bility to affections of the same organs. 

Dose : If against an impending relapse, three pills in a teaspoonful of 
water every three hours, until the progressive improvement, previ- 
ously manifested, becomes apparent. If as an after-remedy, against 
the remaining susceptibility of the lungs, give six pills in a table- 
spoonful of water, every morning, the first thing (fasting) for a 
week. 



ASTHMA. 



A disease characterized by an extreme difficulty of respiration (breath- 
ing) which is worse at certain seasons of the year and particular periods 
of the day, being generally worse at night. The difficulty of breathing is 
increased by violent emotions, damp atmosphere, excess of any kind, 
strong exercise, running, walking briskly, or ascending a flight of stairs. 
It is also more laborious in a horizontal position, and hence more distress 
is felt at night when in bed. The warmth of the bed also has a strong 
influence on the disease, by assisting in the causes that fill up the air- 
passages, and hence causing paroxysms to be more frequent during the 
night than the day. 



452 OUR FAMILY PHYSICIAN. 

The patient seeks relief by sitting upright in bed, or bending the 
body forward and endeavoring to expand the chest mechanically by 
every possible means. Old persons are more liable to the disease than 
young. 

It is now believed that spasmodic asthma is caused by a spasm of the 
muscular fibres encircling the bronchial tubes, especially the small 
branches. The existence of these fibres is placed beyond a doubt by mi- 
croscopic examinations. In common Asthma the lining membrane of 
the air passages is more or less affected, as in chronic bronchitis, but the 
affection of the mucous membrane extends further down into the lungs, 
the air cells are more obstructed, and the conformation of the chest itself 
is often somewhat contracted and defective. The action of the diaphragm 
is imperfect, as well as that of the walls of the chest, and hence it is that 
from want or enervation and free action in these parts, the disease is com" 
monly deemed nervous, as distinguished from chronic bronchitis which 
affects the bronchial mucous membrane chiefly. In Spasmodic Asthma 
the nerves are still more deeply implicated ; their action seems defective 
in the respiratory organs, as stammering shows imperfect nervous 
action in the organs of speech; and in both cases the difficulty is 
increased by physical or moral excitement. Chronic Asthma seldom 
shortens life where patients carefully avoid all violent emotions, exer- 
cise, and excess, although spasmodic paroxysms may endanger life at 
any time, if these precautions are neglected. Attacks of Spasmodic Asth- 
ma generally occur during the first sleep, soon after midnight when sleep 
is most sound, or early in the morning. 

The patient suddenly awakes with a sense of suffocation, tightness 
of the chest and difficulty of breathing ; the respiration is wheezing and 
laborious, the shoulders are raised and every effort made to enlarge the 
chest. The pulse is usually quick, weak, and irregular, the lower extrem- 
ities cold. When cough and expectoration come on or can be brought on 
the patient is relieved. The spasm may continue half an hour or more 
and even three or four hours. Asthma is often complicated with diseases 
of the heart, or with chronic bronchitis, acting as a source of permanent 
congestion, predisposing the parts to be more easily thrown into a state of 
sjDasm. 

The most common consequences or concomitants of the disease are 
chronic inflammation and dilation of the broncha. Emphysema (a swel- 
ling produced by air or gas) oedema (tumefaction) of the lungs, spitting of 
blood, tubercular deposits, larger girth and widening of the cavities of the 
heart, collection of liquid into the sack containing the heart, into the 
pleura, and sometimes congestions and effusions in the head causing apo- 
plexy. 

ALLOPATHIC TREATMENT. 

For the relief from a paroxysm of Asthma a great variety of remedies 
have been tried by the patient and frequently he knows what will suc- 
ceed most promptly, so thai often his experience is the best guide. 

The narcotics which arc best adapted for immediate relief are Mor- 
phine and Belladonna. A hypodermic injection of a quarter to a third of 



ASTHMA. 453 

a grain of Morphine (always by a physician) is one of the surest known 
means for cutting short a paroxysm. 

Atropine may be injected in doses of a sixtieth of a grain and is prob- 
ably the next best method for procuring relief. 

These two remedies may be combined with advantage. A slower 
and unsatisfactory way is to give these remedies by the mouth. A 
third to half a grain of Morphine and twenty to thirty drops of the 
Tincture of Belladonna are the doses. 

Inhalations resorted to are Stramonium, Belladonna, Tobacco, Opium, 
Nitrate of Potash (Saltpetre), Arsenic and anaesthetics. Stramonium or 
Belladonna leaves are smoked from a common pipe with benefit, or 
dipped in a strong solution of Saltpetre and dried, they may be burned in 
a close room and the fumes breathed until relief is obtained. Cigarettes 
made by the following formula (of Trousseau) are excellent, the patient 
smoking them when the paroxysm occurs and breathing the fumes until 
relief follows : Take of Belladonna five grains, Stramonium and Hyoscy- 
amus each three grains, Extract of Opium one-third of a grain, Cherry- 
Laurel Water a sufficient quantity to moisten the leaves. Moisten the leaves 
of Belladonna Stramonium and Hyoscyamusin the Cherry-Laurel Water, 
having dissolved in it the Extract of Opium, dry and make into a cigar 
ette. Two to four of these cigarettes may be smoked during the day. To 
persons who do not smoke the smoking of one or two cigars will frequent- 
ly bring relief. 

The following formula is a tried and useful one, and has been long 
and successfully employed in the Pennsylvania Hospital. Paper prepared 
as follows and rolled into cigarettes can be smoked two or three times a 
day until relief is afforded or giddiness follows : (It is called Compound 
Arsenical Paper.) Take of Belladonna leaves ninety-six grains, Hyoscy- 
amus and Stramonium leaves each forty-eight grains, Extract of Opium 
four grains, Tobacco eighty grains, Water a pint. Mix, and make a solu- 
tion ; then add Nitrate of Potash (Saltpetre) one hundred and forty grains, 
Arsenite of Potash three hundred and twenty grains. Saturate white, 
thin, blotting paper with this solution and when dry it is ready for use. 
It can then be rolled into cigarettes and smoked. Either Chloroform 
and Nitrite of Amyl given by inhalation, by a physician, will frequently 
arrest a paroxysm. 

Burning nitre paper in the room and allowing the patient to inhale 
the fumes, is frequently successful in arresting the paroxysm or producing 
relief. The paper is made by dipping white blotting paper in a saturated 
solution of Saltpetre and drying. 

Certain remedies which produce nausea will arrest a paroxysm • 
One of the best of these is Lobelia, one or two teaspoonsful of the Tinc- 
ture may be given every half hour until nausea is produced. Other Eme- 
tics may be used ; in this way the sickness of the stomach relaxes the 
spasm and the patient breathes freely. 

Anti-spasmodics, such as Assafoetida, Skunk Cabbage, and Skull Cap, 
will sometimes relieve the spasm causing the difficult breathing. Brom- 
ide of Potassium in doses of fifteen or twenty grains with half as much 



454 OUR FAMILY PHYSICIAN. 

Iodide of Potassium, given every half hour or hour, will sometimes cut 
the attack short. 

In the interval between the attacks, attention should be given to the 
general health by the use of tonics, as may be required, regular habits of 
life, the regular use of sponge or shower bath, regulating the diet to over- 
come dyspepsia, relieving constipation. TVhen digestion is poor, one or 
two teaspoonsful doses of Liquid Pepsin, prepared by Sheffer's formula, 
taken at meal times, will be beneficial. Sometimes five or ten drops of 
Dilute Hydrochloric Acid, may be added to each dose, with benefit. 

Nearly all cases of Asthma depend upon a co-existing bronchitis, and 
upon the cure of that depends the cure of the Asthma. The most 
effectual measure to produce this is a change of climate, (even 
changing the sleeping apartment from one room to another has been 
known to accomplish it). The most popular climate now for asthmatic 
patients to resort to is that of the Rocky Mountains — especially Colorado. 
This climate proves beneficial in a large number of instances. 

Commencing to change the residence, a locality chosen should in the 
first place be one which possessed just the opposite characters as the for- 
mer one, as from the city to country, or from country to the city. If the 
patient lived in a moist air, a locality with a dry one should be first tried 
— and vica verse ; from a low region to a high one, or the opposite, etc. 
Sufficient has been said to guide in the selection of a change of residence. 
If the patient does not improve under the treatment resorted to, a change 
of climate should be insisted on. 

A remedy which proves successful in a large number of instances is 
Iodide of Potassium. It should be continued for a long time, in doses of 
five, ten, fifteen or twenty grains, three times a day. The smallest dose 
should be commenced with. It can be given with tonic remedies, should 
they be needed. This is one of the remedies which is sometimes given to 
relieve an attack of asthma. For this purpose, it should be given in doses 
of fifteen, twenty or thirty grains, every two, three or four hours, accord- 
ing to the severity of the seizure. It is one of the most reliable remedies. 
In the so-called " hay asthma," or summer catarrh, the Iodide of Potas- 
sium, combined with Arsenic, gives good results : Take of Iodide of Po- 
tassium an ounce, Fowler's Solution a dram, water four ounces. Mix, 
and give a teaspoonful every four hours. 

When Arsenical Cigarettes are not smoked, Arsenic may be given in 
doses of one to three drops, after eating. The two remedies, Iodide of 
Potassium and Arsenic, have accomplished the greatest number of cures. 

For the relief of bronchitis, the various means recommended for 
bronchitis may be resorted to. 

HOMOEOPATHIC TREAMENT. 

The treatment has to aim at the relief of the present paroxysm and 
at the curing of the disease. When the attack is accompanied by conges-, 
tion of the head in fleshy individuals, and in women and children of a 
peevish, illnatured tendency, where the attack usually occurs in the 
evening, sensation of dust in the lungs, better when binding the head 



HICCUP. 455 

back and when holding the breath. Face and eyes red, head hot, sleepi- 
ness — but cannot sleep, Belladonna will prove itself a good remedy. 

If the attack was brought on by mental excitement : Aconite. If 
children are troubled with asthmatic breathing while teething, and at 
the same time are very peevish, nothing pleasing them, want to be carried 
all the time: Cham. 

If the breathing is anxious, short and oppressed, with much labor and 
greatly increased difficulty on ascending a flight of stairs, attacks of 
suffocation especially at night or in the evening in bed attended with 
great restlessness and fear of death, extreme thirst, drinking often but 
a little at a time ; cannot lie for fear of suffocation and wants to be in a 
warm room, you will find Arsenicum the best remedy. 

Ipecac for Spasmodic Asthma with violent contractions in the throat 
and chest. Rattling noise in the bronchial tubes during an inspiration. 
Suffocation threatens from contraction in the throat and chest, worse 
from the least motion. Nausea with a feeling of empitness about the 
stomach. 



SINGULTUS, HICCUP. 



This is owing to a spasmodic contraction of the diaphragm, during 
which the air is drawn in through the contracted glottis with a shrill and 
short sound. 

The hiccup either originates in the nervous centers, as during a gen- 
erally increased irritability or Neuralgia, especially in the case of hysteric 
and hypochondriac patients ; or when accompanying cerebral (brain) dis- 
eases, such as cerebral anaemia consequent upon long-lasting, exhausting 
diseases, or upon considerable losses of blood and other animal fluids, as 
well as upon violent psychical (mental) impressions, such as fright, an_ 
ger, etc. 

Or else, it is simply a reflex-phenomenon, as during diseases of the 
pleura and pericardium. 

Consensual singultus may occur during diseases of the stomach, liver, 
pharynx, intestinal canal, etc. 

In the case of children it often occurs in consequence of a cold, or acid 
stomach. 

Singultus occurring during cerebral anaemia (bloodlessness of the brain) 
consequent upon chronic diseases, such as cancer, Bright's disease, tuber- 
culosis (consumption,) etc., or upon exhausting diseases, such as typhus, 
cholera, or upon pleuritis with profuse exudation; likewise upon exhaust- 
ing diarrhoea, is always a very dangerous symptom that may continue for 
days, and finally increase to convulsions. 

HOMCEOPATHIC TREATMENT. 

A passing hiccup is scarcely ever noticed ; only if it lasts too long and 
becomes too severe, medical treatment may have to be resorted to. 

In cases of simple hiccup it may be arrested by stopping the breathing 
for some time, or by drinking a little cold water, bv fi: 



456 otrn family physician. 

upon a certain object, such as: holding a key in one's hand, by a syste- 
matic crossing of the ringers of both hands; by a sudden surprise, or such 
domestic remedies as eating a little sugar, magnesia, ice, etc. 

Infants who have taken cold, have to be warmed, after which they 
should be put to the breast; if their stomachs are acid, we give them Cal- 
car 6, or Nux. vom. 6; if they are affected with intestinal catarrh, we give 
them Chamomilla 3, or Rheum 3. A domestic remedy that is frequently 
made use of, is calcined Magnesia, as much as will cover the point of a 
knife morning and evening. In one case, where not one of these remedies 
would help, a teaspoonful of recently prepared lime-water removed 
the spasm . 

As external remedies practitioners recommend: laying grated horse- 
radish upon the epigastrium, dropping ether upon the pit of the stomach, 
painting this region with the oil of chloroform, one drachm to two 
drachms of almond-oil, and in desperate cases the inhalation of ether or 
chloroform. 



• ■» ♦ •» 



CHAPTER XXII, 



DISEASES OF THE PLEURA. 



PLEURITIS, PLEURISY. 

INFLAMMATION OF THE PLEURA. 

Inflammatory affections of the pleura are not by any means rare oc- 
currences ; yea, the frequent adhesions of the lungs to the thorax reveal- 
ed by post-mortem examinations, show that pleuritic affections are not 
only very frequent, but that they run their course unobserved. The more 
trifling inflammatory phenomena are without any practical value, nor do 
they ever constitute an object of treatment ; for this reason we here treat 
only of the more acute forms of pleurisy with copious exudation. 

Pleurisies of this character are scarcely ever really primary diseases; 
in the majority of cases they are of a secondary nature. The history of 
primary pleuritis is somewhat obscure, unless the disease is caused by 
some direct and mechanically acting agency. A most frequent cause is 
said to be a violent cold ; but the case is here, as in pneumonia, the con- 
nection is taken for granted rather than proven. The more frequent oc- 
currence of pleuritis, during peculiar states of the weather, justifies the 
conclusion that atmospheric conditions exert a decided influence upon 
the origin of this disease. To designate such inflammations as rheumatic 
is in so far justifiable to some extent, at least, as acute rheumatisms occur 
epidemically at the same time. 

On the other hand, pleuritis as a complication or secondary affection, 



PLEURISY. 457 

is exceedingly frequent. All inflammatory pulmonary affections, even 
hyperemia of more than ordinary extent, if occurring near the surface 
of the lungs, develop pleuritis which is generally confined to a very lim- 
ited space, but may likewise be very extensive and violent. Inflamma- 
tory affections of the heart may lead to pleuritis. Acute rheumatism and 
peritonitis, and likewise acute exanthemata, easily result in the develop- 
ment of pleuritis. Among chronic affections, the following may occasion 
the disease : Pulmonary consumption, pulmonary abscess, suppuration 
of the vertebra and ribs, Bright's disease. The occurrence of pleuritis 
during the stage of convalescence in severe acute affections, in pyaemia 
and generally in diseases characterized by marked signs of a septic con- 
dition of the blood, is a remarkable fact which does not admit of any 
further explanation. Like peritonitis, so pleuritis is superinduced in its 
worst and most extensive form by the intrusion of foreign substances into 
the pleural cavity, most commonly by the effusion of pus from a superfi- 
cial cavern, or from a suppurating bone. 

Symptoms. It is absolutely impossible to draw a permanently and 
universally true picture of pleuritis ; the symptoms characterizing an at- 
tack of pleuritis, vary greatly in intensity as well as extent; many symp- 
toms are sometimes entirely wanting, whereas in other cases they are 
most prominently present. However, inasmuch as the symptomatic dif- 
ferences of pleuritis are mostly depending upon the quality of the exuda- 
tion, we subjoin a superficial sketch of these differences and shall discuss 
essential details in subsequent paragraphs. 

The plastic exudation exists seldom as an idiopathic affection ; it gen- 
erally accompanies other diseases, more particularly pneumonia. Inas- 
much, however, as it is scarcely ever, even when existing as an idiopathic 
disease, accompanied by violent fever, we may suppose, that even where 
it exists as a complication, it does not contribute much to an increase of 
the fever. On the other hand it is precisely this form that causes the 
most violent pain which is very much increased by every somewhat more 
expansive movement of the thorax and of the body generally, more partic- 
ularly by coughing, and which very frequently renders even percussion 
painful. After the lapse of at most a week the pain disappears again 
entirely; but the physicial signs, of which we shall treat by and by, some- 
times remain for some time after. 

Like all other more extensive inflammatory processes, it almost always 
sets in with a severe chill followed by considerable increase of the pulse 
and temperature, attended with headache, intense thirst, loss of appetite, 
and almost immediately an intense pain in the inflamed region of the 
pleura, The pain generally decreases in proportion as the effusion in- 
creases in quantity. As the exudation increases the breathing of course 
becomes shorter, and a distressing cough sometimes sets in, with a thin 
expectoration which is tinged with blood, but is not to be regarded as a 
sign that pneumonia or bronchitis has supervened, but most commonly 
depends upon no other cause than the congestion of the non-affected part, 
which congestion is a necessary consequence of the pressure caused by the 
exudation, and for this reason does not show itself at the outset of the 
disease, but only in its subsequent course. In favorable cases the termina- 
tion in recovery may commence with the second week, and may lead to a 



458 OUR FAMILY PHYSICIAN. 

complete restoration of health ; or else, the process of reabsorption takes 
place very slowly, imperfectly, and the patients remain for a long time in 
a sickly, lentescent condition, where they are threatened with renewed 
attacks and exacerbations . 

The third form, empyema, often develops itself, as was stated above, 
from the second form. That pus is forming, may be inferred from the cir- 
cumstance that the fever does not abate; on the contrary, that in the sub- 
sequent course of the disease, and without any increase of the exudation, 
the fever increases in violence, mingled with chills, or assuming the char- 
acter of an hectic fever, with a constantly increasing prostration of 
strength. If the purulent exudation is a consequence of pyaemia, of a 
septic state or a general dissolution of the blood, the exudation may origin- 
ate and run its course without pain; it only aggravates the previously 
exciting morbid phenomena. The course of the disease depends essentially 
upon the fact whether the exudation is re-absorbed or enclosed within a 
sack, or finally, whether it escapes from the cavity, and in what direction. 

The fourth form, where the exudation is chiefly serous, usually im- 
parts to pleuritis a sub-acute or even chronic character. This form is very 
insidious, because it so often develops itself very gradually and without pain, 
and even commences without fever which does not generally supervene 
until at a later period. At first the patients only complain of lassitude, 
they lose their appetite, have a sickly appearance. Gradually the respir- 
ation becomes more oppressed and labored, but not by any means to a 
degree that might lead the patients to suspect the presence of a pulmonary 
disease. The quantity of the exudation occasions a displacement of the 
thoracic and abdominal organs. Recovery from such attacks always 
takes place slowly ; it is only exceptionally that absorption takes place 
very rapidly amid a profuse flow of urine. 

Among the symptoms of pleuritis there is not one that could be 
pointed out as characteristic of the disease. It is true that in most cases 
of acute pleuritis we have the peculiar pain, but it varies exceedingly in 
character and intensity. At times the pain is simply a sensation of 
tenseness and constriction ; at other times the pain is a seated, localized 
stitching pain; at other times again the pain is spread over the whole 
side of the thorax, and is of a tearing or burning kind. Not unfrequent- 
ly there is no pain at all ; this happens more particularly in most insidi- 
ous cases. In genuine pleurisy there is very seldom any cough, especially 
at the commencement of the disease ; if cough sets in at a later period, it 
may be occasioned by simple hyperemia, or by pneumonic infiltration. 
At all events it causes the patient a good deal of distress, increases his 
pain to an extraordinary degree and complicates the course of the disease, 
since every additional obstacle must necessarily, in view of the existing 
shortness of breath, imply an additional amount of danger. The symp- 
toms presented by other organs cannot be determined beforehand. Most 
generally it is the action of the heart, especially that of the right heart, 
which is altered ; if any considerable amount of exudation is present, the 
beats of the heart become irregular, stronger and more rapid, the more so 
the more the heart is pushed out of its place by the effused fluid. A dis- 
placement of the liver is attended with pressure in the right side, and 
slight aymptoms of jaundice. Neither the intestinal canal nor the kid- 



PLEURISY 459 

neys are involved in all cases. The brain becomes slightly engorged, if 
the effusion is copious and the circulation is interfered with. The position 
of the patients deserves particular notice, more especially as contrasted 
with their position in pneumonia. Pleuritic patients almost always 
lie on the painless and unaffected side, whereas, if the effusion is not 
attended with pain, they prefer lying on the diseased side. Very seldom 
the patient wants to lie on his back ; if he does, the trunk has to be ele- 
vated a good deal . 

All these objective as well as subjective symptoms, which we have 
described, are not sufficient to establish a reliable diagnosis. If a reliable 
diagnosis is at all possible, it will have to be based upon the results of a 
physical exploration, which is even more important in this disease than 
in pneumonia, for the reason that pleurisy often remains such a latent 
disease that the objective phenomena alone can shed light upon its exis- 
tence and true character. This examination can only be made by a phy- 
sician. 

ALLOPATHIC TREATMENT. 

The indications for treatment, in the first place, are to subdue the in- 
flammation and to relieve the pain. For this purpose, full doses of Opi- 
um is the most useful and effective treatment, which not only relieves 
the pain completely, but lessens the congestion very materially. 

The hypodermic injection of Morphine in doses sufficient to produce 
its sedative influence, a third to half a grain, by the physician, is the best 
method for its administration. If given by the mouth, from a grain and 
a half to two grains of Opium, thirty to forty drops of Laudanum, fif- 
teen or twenty grains of Dover's Powder, may be given every two hours, 
until the pain is relieved, and repeated at intervals sufficiently often to 
relieve the pain. After the pain is relieved, doses half the size above 
named will probably be sufficient, but the pain must be relieved. 

Morphine may be given, by the mouth, in doses of a third to half a 
grain, and repeated every hour until the pain is relieved, after which the 
dose should not exceed a fourth of a grain, repeated often enough to relieve 
the pain. 

For continued use, if the preparations of Opium produce unpleasant 
symptoms, probably Atropine in doses of one-sixtieth of a grain, given 
with the Opium, will obviate the difficulty ; or Codia may be used in- 
stead of Opium or Morphine in the same doses as that of Opium. 

A full dose of Quinine (fifteen or twenty grains) at the very begin- 
ning, is said to suppress the inflammation. It is more effectual if Opium 
be given with it as above directed. 

The cold wet pack, applied to the side, diminishes the inflammation 
and relieves the pain. A large towel is wrung out of cold water, folded 
and placed over the affected side. Then wrap the chest tightly with a 
long, broad bandage, or towel, which was previously had in readiness 
and fastened. 

Oftentimes the hot wet pack is more servicable and is to be preferred, 
the feelings of the patient being a safe and reliable guide. It is applied 



460 OUR FAMILY PHYSICIAN* 

in the same way, the towel being wrung out of water as hot as can be 
borne. 

Hot linseed-meal poultices applied to the affected side, will answer 
the same purpose. 

Some physicians prefer a large mustard plaster over the affected side ; 
or Turpentine steepes, in the method described in the treatment of Pneu- 
monia. The application of Tincture of Iodine may be made to the af- 
fected side, and is a serviceable form of counter-irritation. 

A large blister, over the affected side, is always applied by some good 
practitioners, but they do not seem to possess any advantage over the use of 
heat either by the pack or poultices, and appear to be harmful by adding 
to the irritation from which the nervous and circulatory systems are suf- 
fering. When the disease has begun to decline, a blister is useful, by as- 
sisting in the removal of the products of inflammation, but then has no 
advantage over the repeated applications of Tincture of Iodine. 

Like pneumonia, in cases of robust persons with high fever and a 
strong, incompressible pulse, and the pain is very severe, a blood-letting, 
in the very beginning of the disease, will prove serviceable and often be 
followed by quick relief. The amount of blood taken should be from 
twelve to sixteen ounces. A feeble, or only moderately strong person, 
ought not to be bled. 

After the pain has been relieved for several hours by the use of Opi- 
um, the revulsive effect of a free saline cathartic is required. For this 
purpose, one or two tablespoonsful of Epsom Salts is the most efficient. 
If boiled with one-third its bulk of roasted coffee for a couple of minutes, 
in an earthen vessel, and then allowed to draw for a few minutes, the 
taste will be covered. Other salines may be given, but with less effect, 
as the Solution of the Citrate of Magnesia, Rochelle Salts or Seidlitz 
Powders. The bowels should be kept open by the use of moderate doses 
of the saline cathartics. For this purpose the latter ones are as appro- 
priate. If the fever and pulse continue to run high, after the influ- 
ence of the Opium is produced, a drop of the Tincture of 
Aconite should be given every half hour until an impression 
is made on the fever movement and then continued in one-drop 
doses of one hour to two hours apart, according to the degree of fever and 
the force of the pulse. The opium should be continued in doses of suffi- 
cient size and with such frequency as would relieve the pain. 

The use of Veratrum Viride is preferred by some practitioners as a 
sedative for the pulse and fever. While it is very powerful it seems to the 
writer that the Aconite is to be preferred. Neither of them should be 
prescribed except by a physician, and then they are only called for, as a 
rule, in persons of robust constitution. In giving Veratrum Viride, the 
Fluid Extract should be used in doses of one to three drops, or the Tinc- 
ture, in doses of two to six drops, repeated every hour until the pulse is 
slowed and then repeated two hours apart to continue the required impres- 
sion upon the pulse. 

This treatment should continue as long as there is pain and fever, 
and should be maintained just in proportion to the prominence of these 



PLEURISY. 461 

symptoms, but should be discontinued when they disappear. Counter- 
irritation will be appropriate, as will be shown. 

Great reliance is placed upon the use of Mercury by some practition- 
ers, as having a specific effect upon this and other inflammations of 
serous membrane and by these is generally given with the opium in 
doses of from one-half to one grain. The writer believes it is powerless 
in the way claimed. The use of the remedy as a cathartic, in doses of ten 
grains, is admissible, if the patient is not especially susceptible to the in- 
fluence of the drug. If the bowels do not move it should be followed by 
a Seidlitz Powder, or one of the other saline cathartics mentioned 
above. 

The nutrition of the patient should be maintained by allowing such 
food, from the very beginning of the disease, in patients not strong, as 
will be retained and is digestible ; as a rule milk, eggs, animal essences 
or strong beef tea, and bread, rice, and other farinaceous articles are to be 
chiefly used, but in the latter part of the disease the food should be more 
solid and meat may be allowed. In a very robust patient feeding is not 
required to be followed as persistently until a few days have elapsed, but 
with feeble patients the best results depend upon immediate and system- 
atic feeding. The principles for nourishment given on the treatment of 
Pneumonia will apply here with only little less force. 

Measures to promote the absorption of the liquid thrown out into the 
pleural cavity are hydrogogue cathartics (producing watery stools), diuret- 
ics (medicines increasing the flow of urine), counter-irritation and such 
remedies as may especially promote absorption. 

It is generally not well to resort to these cathartics until late in the 
disease, on account of their extreme depressing influence. The most 
powerful should be given only when the greatest urgency exists, as ex- 
treme difficulty of breathing, from the great amount of liquid in the 
pleural cavity, or where other means have proved unavailing. They are 
Elaterium, Croton Oil, and Gamboge. They ought, if used, to be pre- 
scribed by a physician. The dose of Elaterium is one-eighth to one-fourth 
of a grain ; it should be combined with half a grain or a grain of Extract 
of Hyoscyamus. The dose of Croton Oil is one drop in mucilage or syrup. 
The dose of Gamboge is three to five grains in pill form, or rubbed up 
with sugar. 

Cathartics which are less severe, and very effective and can be relied 
on are the Saline Cathartics mentioned before in the Diuretics ; may be 
given without reducing the system, and they act often with effiiciency. 
Mustard Whey is resorted to as a domestic remedy, and is often sufficient. 
It may be taken almost at will. Water Melon or Pumpkin seed tea can 
be given with the addition of fifteen or twenty grain doses of the Citrate 
Bitrartrate or Acitate of Potash. Squill, Digitalis and Broom are the 
most efficient remedies for this purpose. They may be combined in an Infus- 
ion of Digitalis (made from one dram of Digitalis to a half pint of water), 
four ounces, Vinegar of Squill half an ounce, Fluid Extract cf Broom half 
an ounce. Mix, and give a tablespoonful three times a day or oftener. 
The Potash Salts just mentioned may also be given with this mixture, or 
the Iodine of Potassium in doses of twenty grains . 



462 OUR FAMILY PHYSICIAN. 

When giving cathartics or diuretics for removing the dropsy, the 
amount of drink should be limited as much as possible. Blisters no doubt 
hasten the absorption of the fluid, but it is probable that as much good will 
be done by the repeated applications of Tincture of Iodine to the side. 

If the strength of the patient should begin to fail, cathartics and diu- 
retics are out of place, especially the former, and Tonics and stimulants 
should be given as directed for Pneumonia. 

If the liquid accumulates in the chest to such a degree as to endanger 
life, the surgeon should remove it by tapping as will be described for 
Chronic Pleurisy and Dropsy of the Chest. 

The treatment of chronic pleurisy calls for the same treatment as the 
latter stage of acute pleurisy, consisting of the same cathartics and diu- 
retics, and for the same purpose. Small blisters may be repeatedly ap- 
plied over the side, or preferably the Tincture of Iodine may be applied 
from time to time. 

The strength of the system requires support by the use of Tonics, 
nourishment, and in extreme cases Alcoholic stimulants and out of door 
exercise. In many cases supporting measures are the chief means of cure. 
The Citrate of Iron and Quinine is as good a tonic as any, given in doses 
of three to five grains three times a day. It should be given in solution. 
The diet should be of the most nutritious possible, but simple and diges- 
tible. If Alcoholic stimulants are used at all it should be a glass of wine 
or tablespoon ful of whisky or brandy at meal times, and is doing good if 
the patient eats and digests more food. 

If the fluid persists in the chest it can be effectually removed by tap- 
ping by means of a small trocar and canula attached to a Davidson's syr- 
inge. The liquid is removed in the same way as it is drawn from a vessel, 
during the process of an injection when the fluid returns after its re- 
moval a half ounce of the Compound Solution of Iodine (Iodine a dram, 
Iodine of Potassium two drams, water twenty-one drams), should be in- 
jected into the plural sac. This is especially serviceable if the sac con- 
tains pus. Then the sac may be washed out with an ounce of this solution 
to a pint of water. 

The use of Iodine of Potassium in doses of ten to twenty grains three 
times a day for a long time is useful in promoting absorption. The treat- 
ment of dropsy of the chest is the same as that for chronic pleurisy. 

The principles of treatment for pleurisy in young children are essen- 
tially the same as for the disease in the adult. The doses of Opium ad- 
missible are proportionately much smaller than are directed for an adult. 
It cannot, with safety be used so heroicly. For a child six months old or 
less, five to ten drops of Paregoric, and half a drop to a drop of Lauda- 
num. Above this age and under two years, ten to twenty drops of Pare- 
goric, two or three drops of Laudanum, or a grain of Dover's Powder; at 
the age of three or four, twenty to thirty drops of Paregoric, three to five 
drops of Laudanum or two grains of Dover's Powder, may be given. The 
effect should be watched with a great deal of care. The doses should be 
repeated only sufficiently often to relieve pain, which will vary in fre- 
quency from two hours apart to two or three times a day. AVhen the opi- 
ate is given every two hours until positive drowsiness is produced, it 
should be given at longer intervals. 



PLEURISY. 463 

Hot applications, poultices or the hot wet pack, are the preferable 
means for local treatment. 

Hot Turpentine stupes, or the application of the Tincture of Iodine, 
or Mustard plaster, may be resorted to. These are fully described in the 
treatment of pneumonia of the adult. 

After the pain is relieved, the bowels ought to be moved by the use of 
a saline purgative, as directed for adults, in doses of half a teaspoonful to 
a teaspoonful ; or Castor Oil may be given in doses an eighth to a fourth 
the size, mixed with an equal quantity of Glycerine, and a drop or two 
of Oil of Gauletina or Cinnamon, to disguise the taste. The bowels should 
be kept soluable by full or half doses of the same cathartics. 

If the pulse and fever continue high, after the pain is relieved and 
the warm applications to the side have been made, if the patient is over 
three years old, the Tincture of Aconite in small doses, frequently re- 
peated, until an impression is made on the fever, and the pulse reduced 
to ninety or a hundred. It can be given with syrup as follows: Take of 
Tincture of Aconite half a dram, of Syrup Tolu three and a half drams. 
Mix. Dose : From one to six drops every one or two hours. 

If the disease is secondary, or the patient feeble, Aconite or other de- 
pressing measures ought not to be used. Opiates to relieve pain, stimu- 
lant and warm applications as above directed, tonics and nourishment, 
will constitute the treatment. 

Except the child takes freely from the breast, nourishment consist- 
ing largely of milk, eggs, animal essences, and strong beef tea should be 
given through the length of the disease. 

To promote absorption, the use of Tincture of Iodine for a counter- 
irritant is preferable. Small blisters made with the Blistering Collodion 
is admissible. 

The diuretic effect of Iodide of Potassium is very useful. It should 
be given in doses of two to five grains three or four hours apart : Take of 
Iodide of Potassium two scruples, Syrup of Peppermint and Water each 
an ounce. Mix. Dose: Twenty drops to a teaspoonful. If the child's 
blood is much impoverished, a scruple of the Pyro-Phosphate of Iron 
may be added to the above formula. This prescription is very useful in 
preventing the disease passing into the chronic state. 

Other diuretics may be given in connection with the Iodide of Potas- 
sium. The following is a suitable formula : Take of Vinegar of Squills 
two drams, Tincture of Digitalis thirty drops, Water four ounces. Mix. 
Dose : A teaspoonful for a child two years old, or a dessertspoonful for a 
child four or five years old, three or four times a day. 

Purgatives should be limited as above stated, to keep the bowels open. 

In case the treament failed to produce the absorption of the fluid the 
surgical procedures recommended for Chronic Pleurisy of the adult should 
be resorted to by the physician. 

HOMCEOPATHIC TREATMENT. 
Aconitum is an indispensable remedy in allaying the intense fever 
(with quick and full pulse) which is often attendant on Pleurisy; and is in 



464 OUR FAMILY PHYSICIAN. 

many cases, indeed, when timely administered, alone sufficient to cure the 
disease. It completely supplies the place of the lancet in such cases, and 
rarely fails to effect improvement in from six to eight hours ; should it not 
do so in that space of time, another remedy must be selected. 

Dose : Of a solution of ten pills to two tablespoonsf ul of water, give 
a teaspoonf ul every hour, until the pulse becomes more healthy, the 
skin moist, and the breathing less painful and impeded. 

JBryonia-alba should, in general cases, follow Aconitum when the 
fever has been somewhat allayed by that remedy. It is more particularly 
indicated, either in simple or complicated pleurisy, when the following 
symptoms are encountered, at an early stage of the disease: aching, burn- 
ing, but more especially acute shootiny or cutting pains in the chest, much 
increased during inspiration or on movement; oppression and anxious res- 
piration; palpitation of the heart; dry, cracked, brown, or yellow-coated 
tongue; bitter taste, 'nausea, and occasionally vomiting of mucus, or of a 
bitter, bilious-looking fluid ; aching or painful pressure at the pit of the 
stomach and under the false ribs ; intense thirst, especially at night ; con- 
stipation ; head confused and giddy ; giddiness on sitting-up in bed ; ach- 
ing and shooting pains in the head, or pain as if the head would burst, 
particularly at the temples, with exacrebation on coughing, or moving; 
firey, or bluish redness, and puffiness of the face ; restless, disturbed sleep, 
frequent startings; nocturnal delirium, with alternations of lethargic 
sleep; burning heat of skin; occasionally, partial, clammy perspiration; 
pulse generally frequent, hard, and small, but sometimes full, unequal, in- 
termittent, and weak; aching in the limbs. Lastly, when, in connection 
with many of the above, the following symptohs are met with : cough on 
lying on the side, or impossibility of lying otherwise than on the back; 
dry cough, or cough with expectoration of dirty yellow-colored phlegm, 
streaked or tinted with blood, and attended with great exacerbation of 
pain,— Bryonia will rarely fail to render much service, and can, indeed, 
with difficulty be dispensed with. 

Dose : Of a solution of six pills to two tablespoonsf ul of water, give a 
teaspoon ful every four hours (or in very severe cases every two 
hours). 

Sulphur may with advantage follow Bryonia, when the pain men- 
tioned has been removed by that medicine, and often completes the cure, 
when Aconite or Bryonia, or both of these, have been insufficient. This 
remedy is, however, not uncommonly, of essential service as an interme- 
diary resource, administered from time to time, to awaken the suscepti- 
bility in the system to the action of others, — in such cases (associated with 
constitutional taint) as are not adequately influenced by either of the fore- 
going. 

Dose: If as an intermediary medicine, two globules in a teaspoonf ul 
of water, four hours after the last dose of any other medicine, fol- 
lowed, in six hours, by such treatment as may be particularly indi- 
cated. If as a conclusive resource to perfect the cure (already ad- 
vanced) three globules in a teaspoonful of water, every six hours, 
until lour doses have been given, and then six globules the first 
thing in the morning (fasting) for four days ; then pause two days, 
resuming the course as before, if necessary, and so on, until all 
traces of the disease have been removed. 



INFLAMMATION OF THE HEART. 465 



Part Tenth. 



DISEASES OF THE ORGANS OF CIRCULATION. 



CHAPTER XXIIL 



DISEASES OF THE HEART. 

INFLAMMATION OF THE HEART. 

Under this head, we will have reference to inflammation of the mus- 
cular structure of the heart, carditis,- -inflammation of the lining mem- 
brane of the heart, endocarditis and inflammation of the membranous 
sac which envelopes the heart, pericarditis. These are generally treated 
upon as separate and distinct diseases, but as their symptoms are very 
similar, as well as the treatment recommended for them, we have judged 
it best to embrace them under one head. 

Symptoms.— Inflammation of the heart, or its membranes, usually 
commences with the symptoms common to most inflammatory attacks, 
as chills, heat and dryness of the skin, thirst, flushed face, full pulse, etc. 
These are succeeded by rapid, imperfect and often unequal breathing and 
an acute lancinating pain about the region of the heart, which may ex- 
tend to the shoulder. This pain, especially in pericarditis, is aggravated 
by pressure over the heart, as well as by a full inspiration. There will, 
also, be a dry harrassing cough, which augments the patient's sufferings, 
and generally a sense of suffocation will be experienced. Motion or exer- 
cise will increase the pain and difficulty of breathing to a greater or less 
extent. The features are haggard and expressive of much suffering, with 
a degree of anxiety, the heart beats violently and irregularly; a sensation 
of fainting is present, more or less constantly at first, the pulse is full, 
hard, and bounding, but speedily becomes small, frequent, and unequal, 
and frequently cannot be observed at the wrist ; the appetite is deficient ; 
the tongue coated white ; the bowels constipated ; the urine insufficient 
and high-colored ; the skin is often bathed in sweat, as in acute rheuma- 
tism; and when the diaphragm or midriff is involved, there will be a 
distressing and painful hiccup. 

Causes.— These affections are, most commonly, owing to the pres- 
ence of acute rheumatism, the disease either attacking the heart prima- 
rily, or being translated to it from some other part of the system. They 
may, likewise occur from other causes, and are sometimes met with in 
combination with pleurisy, Bright's disease of the kidneys, etc. 

Prognosis. — These attacks are of a very serious character, and may 
terminate fatally in a very short time ; though it is said that even when 

30 



466 OUR FAMILY PHYSICIAN. 

left entirely to themselves without any care or treatment not more than 
one in six cases is wont to prove fatal. The principal evils to fear are the 
secondary or chronic affections resulting from the acute attack. 

ALLOPATHIC TREATMENT. 

Inflammation of the substance of the heart is so rare and so com- 
pletely impossible to determine during life, that a discussion of means of 
treatment is not called for. 

The most frequent form of inflammation is that of the lining mem- 
brane of the heart (endocardium) and is called endocarditis. It produces the 
great majority of the diseases of the heart by causing permanent changes 
in its valves. This form of inflammation of the heart (endocarditis) 
most frequently occurs with inflammatory rheumatism (of the joints) and 
appears to depend on the same morbid cause. When rheumatism exists, 
therefore, treatment required for it will have the most favorable influence 
on the endocarditis and should be employed. If promptly resorted to 
they prove protective againt this disease . 

Remedies addressed directly to this inflammation may be briefly 
summarized as follows : It is appropriate to use saline laxatives, pro- 
vided the patient is not weak or reduced. The articles most appropriate 
are a tablespoonful of Rochelle Salts, and Seidlitz Powders. Pain over 
the region of the heart should be met by hot poultices, the hot wet pack, 
as described for pleurisy, or Turpentine stupes. Opium in doses of half 
a grain to a grain, fifteen to twenty-five drops of Deodorized Laudanum 
or appropriate doses of other preparations of Opium, may be given to 
relieve the pain and sufficiently often to procure this effect. 

The subsequent ill-effects of the disease are due to the products of the 
inflammation, either the deposit of Gymple beneath or upon that portion 
of the membrane covering the valves. Remedies which will reduce the 
fibres in the blood or retain it in a fluid state, are called for. The alka- 
lies called for by the rheumatism are appropriate. Ammonia has a direct 
influence to this end; the Aromatic Spirits of Ammonia (Hartshorn) 
may be given through the course of the disease. The dose is a teaspoon 
half full to a teaspoonful in water or syrup and may be repeated from 
two to six hours apart, according to the severity of the disease. 

To promote the absorption of the lymph Iodide of Potassium may be 
given in doses of ten to fifteen grains three times a day and the Tincture 
of Iodine may be applied, daily or less often, over the region of the heart. 
The discrimination of this affection requires the skill of a physician. 

The more immediately and exceedingly dangerous inflammation to 
which the appendages of the heart is subject is pericarditis (inflammation 
of the serous membrane covering the heart.) When the disease occurs in 
the course of acute Articular Rheumatism the remedies appropriate to 
that affection are urgently called for. The use of the saline cathartics, 
Rochelle Sails in doses of one to two tablespoonsful or one or two Seidlitz 
Powders, are useful by way of revulsion. They should be repeated in 
four hours, if the bowels have not moved. 

Opium in some of its forms is invaluable given to the extent of reliev- 



INFLAMMATION OF THE HEART. 467 

ing pain. The best manner of using it is the hypodermic injection of 
Morphine in doses of a quarter to a third of a grain by a physician. 
They may be repeated every half hour until pain is overcome. A third 
of a grain of Morphine, thirty drops of Laudanum or a grain and a half 
of Opium may be given every hour until pain is relieved. Afterwards 
repeated at such longer intervals as will maintain the effect. 

If, after the pain is relieved, the pulse continues strong and very 
rapid Tincture of Aconite may be given in doses of a drop every hour 
until an impression is made on the fever and pulse and then every two 
hours to maintain its effect. Tincture of Veratrum Viride is used instead 
by some practitioners for this purpose. The dose is two to five drops of 
the Tincture, or one to three drops of the Fluid Extract every two 
hours. 

Mercury is thought by some practioners to exercise a controlling 
power over this and other inflammations of serous membranes. If used 
it may be given in doses of a sixth to a third of a grain of Calomel every 
two hours to impress the system quickly. Its beneficial action is, to say 
the least, doubtful. 

Counter irritation, such as Mustard plasters, Turpentine stupes as di- 
rected for pneumonia, the applications of Tincture of Iodine, the hot wet 
pack may be useful. A warm poultice may be kept over the region of the 
heart. 

After the acute symptoms have subsided to promote the absorption 
of fluid from the pericordeal (upon the heart) sac, the region over the heart 
may be painted every day with Tincture of Iodine, and small blisters may 
be applied by using the Blistering Collodion with a camel's-hair brush. 
When a blister is made it should be allowed to immediately drp up. 

The use of Cathartics is admissible as far as the strength of the pa- 
tient permits to promote absorption. Epsom Salts, or Citrate of Magnesia* 
or Bitartrate of Potash may be made to produce one or more water stools 
a day. Diuretics as Squills and Digitalis maybe given in equal parts three 
or four times a day in doses of a teaspoonful. 

It is during this stage that the strength of the system needs support- 
ing with nutritious food, as strong beef tea or essence, milk, raw eggs beat 
up with sugar and water or milk, or poached, and such farinacious ar- 
ticles as the patient desires ; steak broiled rare may be eaten if relished. 
Quinine in doses of one to three grains three times a day, may be given 
for a Tonic. If the circulation is weak, stimulants are called for, a table- 
spoonful of brandy or whisky may then be given in milk or with the raw 
egg as often as two hours apart, if required. Its beneficial effect will be 
shown by producing a fuller, softer, and more regular pulse. 

During convalesence the diet should be good and nutritious, but sim- 
ple. Much exercise should be avoided, though part of the time spent in 
the open air is beneficial. Treatment appropriate to other diseases when 
pericorditis occurs as a complication must be continued. 

Pericorditis from wounds can have little else done for it, except re- 
lieve the pain with Opium. 

Should the disease become chronic, the treatment given for the acute 
disease after the early symptoms, are appropriate. Iodine of Potas- 
sium may be given in doses of ten to twenty grains three times a day. If 



468 OUR FAMILY PHYSICIAN. 

the blood is much impoverished, one or two grains of the Pyrophosphate 
of Iron may be given with the Iodine of Potassium. In cases in which the 
use of these means with Cathartics, Diuretics, etc., fail to remove the liquid, 
it has been successfully done by tapping, and in some instances the Com- 
pound Solution of Iodide of Potassium has been injected into the sac.™ 

So serious a disease, and one involving such difficulty in its manage- 
ment, requires, invariably, the services of a physician. 

HOMOEOPATHIC TREATMENT. 

The diseases of the heart are all so difficult to understand, and a proper 
understanding of the case is so important that, although I very much de- 
sire to bring their treatment within the comprehension of the masses, I 
am unable, thus far, to do so fully. Appended are many of our most ap- 
proved remedies with their particular indications, by Lilienthal. The 
dose should be varied and repeated in proportion to the urgency of the 
case. From four to eight pills in a little water, repeated at intervals of 
from one to twelve hours, may be given. 

Aconite. Oppression about the heart, burning flushes along the 
back ; palpitation, with feeling as if boiling water was poured in the 
chest ; anxiety, difficulty of breathing, flying heat in face, sensation of 
something rushing into the head ; fainting with tingling. 

Amon. caeb. Audible palpitation, with attacks of great anxiety, as 
if dying ; cold sweat, involuntary flow of tears ; unable to speak ; loud, 
difficult breathing and trembling of hand ; debility and soreness of the 
whole body ; pulse hard, tense, frequent. 

Apis mel. Sudden attack of acute pain just below the heart, soon 
extending diagonally toward the right chest ; blowing sound with the 
diastole ; sensation as if he would not be able to breathe again ; great 
prostration ; pulse accelerated, full and strong, or feeble and imper- 
ceptible. 

Argentum met. Full feeling in region of heart ; frequent spas- 
modic, though painless, twitchings of the whole cardiac muscle, espe- 
cially on lying on back ; fears apoplexy ; lame, weakness with all pains. 

Arnica. Sensation as if heart were grasped by an iron band ; stiches 
in cardiac region ; region of base of the heart feels as if bruised ; sudden 
pain, as if the heart got a shock ; intermittent, feeble, hurried, irregular 
pulse; hypertrophy of heart, induced by over-exertion, especially in 
young men, as from rowing; the- fatty heart. 

Arsenicum. Palpitation, after suppressed herpes or footsweat, with 
feeble irregular pulse; the heart beats strong, visible, and audible at 
night, more rapidly when lying on back ; pericarditis in consquence of 
suppressed measles, or scarlet fever, with inexpressible anguish and rest- 
lessness, worse at night, flushed face, paralytic feeling in the upper ex- 
tremities ; tingling in fingers, cold perspiration. 

Assaf(I-:tida. Nervous palpitations, with small pulse, breathing not 
oppressed, in women after suppressed discharges, or bodily exertions; 
pressure in cardiac region, as if heart were too full and expanded; pulse 
small. 



INFLAMMATION OF THE HEART. 469 

Aurum met. Frequent attacks of anguish about the heart, with 
tremulous fearfulness ; violent beating of the heart after exertions, with 
great agony ; strong beating of heart, with anxiety and congestion to 
head, after metorrhagia; when riding or walking palpitation compels one 
to stop ; palpitation with irregular intermittent pulse and short breathing. 

Belladonna. Nervous palpitations, with congestion to head ; pres- 
sure in cardiac region, which arrests the breathing, and causes a sense of 
anxiety ; gurgling at the heart, a kind of palpitation when going up- 
stairs ; throbbing of carotid and temporal arteries. 

Benzoic acid. Benzoate of Ammonia. Rheumatism of heart ; pains 
change place incessantly, but are not constant around the heart ; awak- 
ens after midnight with violent palpitations of the heart and temporal 
arteries ; internal but no external heat ; at times tearing pains in the ex- 
tremities, relieving the heart ; urine high-colored, offensive, hot, scald- 
ing, ammoniacal, high specific gravity. 

Bryonia. Pericarditis, with stitching pain in cardiac region, pre- 
venting motion and even breathing, wants to lie perfectly quiet ; heart 
beats violently and rapidly, strong orgasm of blood ; from re-percussion 
of measles. 

Cactus grand. Pericarditis and endocarditis ; sensation of con- 
striction of the heart, as if an iron band prevented its normal movement; 
acute pains and stitches in the heart ; difficulty of breathing ; attacks of 
suffocation, with fainting ; cold perspiration on face, and loss of pulse ; 
palpitation when walking, and at night when lying on left side. Nerv- 
ous palpitations ; easily frightened, often awakes in a fright ; numbness 
of left arm, annoying, creeping sensation from before backwards in car- 
diac region, oedema of the hands, especially of left one ; endocardial 
murmurs, excessive impulse, increased precordial dullness ; enlarged 
right ventricle ; irregularity of the heart's action, at times frequent, at 
others slow ; great irritation of the cardiac nerves ; enlarged left vent- 
ricle ; pains in the apex of the heart, shooting down the left arm to the 
ends of the fingers ; feeble pulse, dyspnoea ; general weakness, prostra- 
tion, great depression, sleeplessness, fainting. 

Cimicifuga. Excessive impulse of the heart over an extensive por- 
tion of the left side, with dullness on percussion ; heart's action ceases 
suddenly, impending suffocation ; pains from the region of heart, all 
over the chest and down left arm, palpitation, unconsciousness, cerebral 
congestion, dyspnoea, face livid, cold sweat on the hands, numbness of 
the body, the left arm numb, and as if bound to the side ; pulse weak, 
irregular, trembling ; chorea of heart, tumultuous, irregular, unexpected, 
and strange motions of the heart ; cardiac debility ; rheumatic endo, and 
pericarditis. 

Colciiicum. Heart disease, following acute rheumatism, dropsy of 
heart (hydro-pericardium); pressure and anxiety in prsecordial region ; 
fullness and oppression, as from stagnation of blood in the heart at night, 
while lying on left side, he is obliged to turn to the right side ; dull, ir- 
regular, seemingly suppressed beats of heart, with a peculiar sensation in 
chest ; pulse small, slow, and weak. 

Digitalis. Pericarditis, with copious serous exudation ; violent, but 



470 OUR FAMILY PflYSICIAN. 

not very rapid beating of the heart, irregular intermittent pulse, brick- 
dust sediment in urine, during or after rheumatism. Very feeble irregu- 
lar action of heart, with feeble, small, intermittent pulse ; great prostra- 
tion, fainting on the least movement, even lifting the arms, with palpi- 
tations, coldness of limbs and body, and dreadful weak feeling in pit of 
stomach, with or without convulsions of syncope ; profuse expectoration 
of bloody mucus, and vomiting of food ; sensation as if the heart would 
stop beating if she moved, with fear of impending death ; hydropericar- 
dium (dropsy of the heart). 

Feekum. Consecutive heart disease, especially from chlorosis and 
onanism ; congestion to head, spitting of blood ; palpitations, better 
from moving slowly about ; pseudo-plethora, with hard, strong, beating 
of the heart and throbbing in all bloodvessels ; pulse full, hard, increased 
by exertion ; soft bellows sound at apex ; nervous restlessness, must walk 
slowly about. 

Gelse^iium. , Cardiac neurosis. Feeling as if the heart would stop 
beating if she did not move about ; a sensible motion of the heart, as 
though it had attempted to beat, which it failed fully to accomplish, and 
the pulse then each time intermitted, worse when lying down in bed, es- 
pecially when lying on left side ; excessive action of heart ; stitching sen- 
sation in cardiac region, heart's action slow and feeble, the beats of heart 
cannot be felt, chills and pains in head ; nervous chills, yet skin is warm, 
wants to be held that she may not shake so. 

Ioduai. Pericarditis in complication with croupous pneumonia pur- 
ring feeling in the region of the heart, violent palpitation, increased from 
the slightest motion, better while lying perfectly quiet on the back ; faint- 
ing spells ; sensation as if the heart were squeezed together ; fluttering 
sensation in heart ; constant, heavy, oppressive pain in cardiac region . 

Lilium tiurin. Cardiac irritability, nervous palpitation ; pains dull 
pressing and heavy, as if the heart were grasped and released alternately; 
sensation as if the heart contained too much blood, which might be re- 
lieved by throwing up blood ; pain, pressure, and fullness about the heart 
with a feeling of coldness about the heart, but no indication of any or- 
ganic lesion ; trembling feeling about the apex of the heart, worse on 
talking ; frequent sensation as if the heart stopped, followed by a rush of 
the blood to the heart and violent palpitations ; amelioration by lying on 
left side. 

Lycopodium. Hydropericardium ; trembling palpitation, pulsating 
tearing in the region of heart ; sensation as if circulation would stand 
still, or ebullition of blood ; palpitation of heart nearly every evening in 
bed; marked palpitation, with flatulence; acceleration of pulse, with 
coldness of the face and feet ; neck drawn towards right side, stitches in 
left side of chest ; typhoid symptoms. 

Nux moschata. Hysteria cardis; violent action of heart; feels as if 
her head would burst, and her heart be squeezed off; trembling flutter- 
ing of heart, as from fright; palpitation and fainting, followed by sleep ; 
irregularity in heart's beat, pulse intermits sometimes so long that it ex- 
cites fear of death ; murmur in carotids ; frequent trembling pulse, accel- 
erated after wine; disposition to faint even from slight pains. 



INFLAMMATION OF THE HEART* 471 

Nux vomica. Hypertrophy of heart from portal obstruction ; pal- 
pitation in frequent short paroxysms, with pulsating throbs in the direc- 
tion of the heart, especially from mental emotions, protracted study, af- 
ter eating highly-seasoned food ; tired sensation of heart, with palpitation 
when lying down, frequent belching; dilation of heart (weakened heart) 
with nervous palpitation, with nausea, inclination to vomit, and heavi- 
ness of the chest. 

Phosphorus. Disease of right heart, with consequent stagnation; 
dilation of the heart following endocarditis ; fatty degeneration of heart ; 
dyspncea, tightness across the chest ; great weakness, with inability to 
exert himself ; palpitation from every emotion, with rush of blood to the 
chest, especially in rapidly-growing youths ; over-sensitiveness to exter- 
nal impressions ; congestion to lungs, tightness across chest, and tight 
cough ; painless diarrhoea. 

Phytolacca. Chronic rheumatic endocarditis; shocks of pain in 
cardiac region, pain goes into right arm; awakens with lameness near 
heart, worse during expiration, cannot get to sleep again ; heart's action 
weak (fatty heart), with constipation ; great exhaustion. 

Podophyllum. Nervous palpitation, in consequence of excessive 
hepatic action ; sensation in chest as if heart were ascending to throat; 
palpitation, with a clucking sensation rising up the throat, obstructing 
respiration ; palpitation from mental emotion or exertion, with rumbling 
in ascending colon ; heavy sleep, fatigue on waking in morning. 

Pulsatilla. Nervous palpitation in young girls during the time of 
puberty, or from amenorrhcea ; catching pain in cardiac region ; better for 
a time from pressure of hand ; rheumatic irritation of heart, the pains 
shifting rapidly from one part of the body to another ; constant chilli- 
ness; worse nights, especially after getting feet wet; burning in cardiac 
region ; violent tits of palpitation, often with anguish and obscuration of 
sight. 

Rhus tox. Uncomplicated hypertrophy, from violent exercise ; or- 
ganic heart disease, with sticking pain and soreness; numbness and 
lameness of the left arm ; chest and heart feel weak after a walk ; violent 
palpitations when sitting still ; pulse sometimes quicker than the heart's 
beat, irregular ; restlessness, must change position ; always worse when 
keeping quiet. 

Scutellaria. Irregular action of the heart, from derangement of 
the cardiac nerves ; tremulousness and twitching of the cardiac muscles ; 
oppression of the chest, with a sticking pain in cardiac region ; sensation 
of throbbing about the heart, with flushed face ; nervous disorders of 
heart, as palpitation, tremor, and strange sensations, from emotional ex- 
citement; hysteria; reflex nervous irritation, from ovarian or uterine 
disorders. 

Sepia. Suppressed menses ; congestion of blood to the chest, with 
violent palpitations ; an occasional hard thump of the heart ; palpita- 
tions, with anxiety about things which happened years ago ; palpitation 
after mental emotion ; interruption of the beating of the heart, most af- 
ter dinner ; alarming, quivering motion ; restless, fidgety ; sensation of 
ball in inner parts. 



472 OUR FAMILY PHYSICIAN. 

Spigelia. Rheumatic pericarditis. Undulating motion of the heart ; 
indistinct beats of the heart, running one into another ; tumultuous 
beating of the heart in recumbent as well as in sitting positions, not syn- 
chronous with the radial pulse ; spasms of the chest ; suffocative com- 
plaints ; tremulous sensation in chest and temples, increased by motion ; 
tearing sensation in chest when raising the arms overhead and when 
touching pit of stomach ; purring murmur during the beats of the heart ; 
stitches in cardiac region ; pulsation of carotids, with tremulous motion ; 
great dyspnoea at every change of position ; bright redness of lips and 
cheeks, changing to pallor during every motion ; audible beating of the 
heart, causing a pain that is felt through to the back ; cutting pains from 
the heart to shoulders, as far as the head and arms ; arthritic pain and 
stiffness in joints ; dull stitches where the beats of heart are felt, and re- 
curring with the measured regularity of the pulse; scraping in throat; 
affection of the tracheal and bronchial mucuous membranes ; systolic 
blowing at the apex ; pulse irregular, strong, but slow. 

Spongia. Aneurisma aortse ; dry paroxysmal cough ; worse lying 
down ; rheumatic endocarditis ; loud blowing with each heart-beat ; at- 
tack of oppression and cardiac pain ; worse when lying with the head 
low ; stinging-pressing pain in precordial region ; violent palpitation ; 
awakens at night with a sense of suffocation ; violent gasping respira- 
tion ; loud cough ; great alarm ; agitation and anxiety ; valvular insuf- 
ficiency ; feeling of numbness of lower part of the body ; trembling in 
all the limbs. 

Veratrum album. Tumultuous irregular contractions of heart, 
forerunners of paralysis ; intermittent action of heart in feeble persons, 
with some obstruction to heptic circulation ; violent, visible, anxious pal- 
pitation, with fainting ; pulse sometimes slower than heart-beat. 

VeratPvUm viPviDE. Idiopathic and rheumatic peri- and endo-card- 
itis; violent fever ; full, hard, bounding pulse; congestion to the head, 
without delirium; throbbing carotids ; constant burning pain, with op- 
pression of the chest ; sensation as of a heavy load on the chest ; heart's 
action violent and tumultuous ; respiration rapid, labored, and sighing ; 
faintness and blindness when rising from lying, from sudden motions ; 
patient feels best when lying quietly. 



PALPITATION OF THE HEART. 

Palpitation of the Heart is symptomatic of some other disease, but is 
often so severe as to require a distinct consideration . There is a rapid 
beating or fluttering motion of the heart which may be felt very plainly 
when the hand is placed upon the chest over this organ. Various other 
symptoms may accompany it, as a shortness of respiration, a sense of 
pain in the neighborhood of the heart, a feeling of constriction across 
the chest, inability to lie down, pale countenance, swollen feet, a real 
debility, irregular or intermittent pulse, much distress on slight exertion, 
etc. The palpitation may vary from a simple, full, uniform, powerful 
beating of the heart to a rapid, violent, confused and irregular action, 
shaking the whole system, and producing very disagreeable sensations. 



PALPITATION OF THE HEART. 473 

Causes. — Palpitation of the heart is generally owing to dyspepsia, or 
some derangement of the digestive functions ; occasionally it occurs as a 
symptom of some nervous disorders and it frequently accompanies 
enlargement of the heart, dropsy of the heart, and other diseases of this 
organ and its arteries. It may also be brought on by great mental excite- 
ment, intemperance, masturbation, excess in venery, etc. 

Treatment. — When the palpitation is owing to disease of the heart, 
relief is all that can be expected unless the disease be cured, and the same 
may be said when it is owing to the dyspepsia or other affections ; but 
diseases of the heart are not so readily cured as many other maladies . 
Whatever may be the disease occasioning the palpitation, it should be 
treated and removed, if possible. 

ALLOPATHIC TREATMENT. 

Many cases of palpitation of the heart depend on an impoverished 
condition of the blood (anaemia), in which case the remedy is to restore the 
blood to its natural richness by the use of Iron and Quinine, good food and 
hygiene. The Citrate of Iron and Quinine is one of the suitable remedies 
given in doses of three to five grains in solution three times a day, other 
tasteless forms of Iron may be used as the Pyrophosphate, or the Soluble 
Citrate, and the Quinine may be taken in pills of one or two grains. 

Many cases of feeble heart, rapid in its action, are greatly relieved by 
five to twenty drops of Tincture of Digitalis three or four times a day. 

If the patient is strong and robust, and the action of the heart vigor- 
ous and the arterial high, the physician would be justified in resorting to 
the use of such arterial sedatives, as Tincture of Aconite in doses of two 
or three drops, or Tincture of Veratrum-viride in doses of two to five 
drops sufficiently often to produce a sedative effect on the action of the 
heart. 

The Bromides are suited to cases of irregular action of the heart, and 
in cases having an irregular circulation in one extremity, while it is regu- 
lar in the other, and various other irregular symptoms referable to the 
circulation. The Bromide of Potassium may be given in doses of ten to 
thirty grains three or four times a day. For feeble patients the Bromide 
of Iron in one or two grain doses may be given at the same time, or other 
Tonics may be taken. 

A Belladonna plaster over the region of the heart will sometimes give 
relief, especially, if there is pain. 

Prolonged attacks of palpitation are often speedily relieved by half tea- 
spoonful doses of Chloric Ether, or Hoffman's Anodyne every fifteen or 
twenty minutes until relief is obtained. 

If valvular disease, or dilatation of the heartexist, exercise should be 
of the most moderate kind, and all excitement of every kind avoided. 

This trouble may be caused by tobacco, coffee, tea, stimulants, narco- 
tics, mental depression, or excessive venery. Such causes are to be sought 
for, and if discovered they are to be removed. 

HOMOEOPATHIC TREATMENT. 

Aconitum may be recommended for palpitation of the heat attended 
with a sensation of anguish and intense oppression at the chest, and 



474 OUR FAMILY PHYSICIAN. 

generally with weight and weariness of the extremities, flushing of heat, 
especially in the face, short, painful and anxious respiration, or shortness 
of breath, particularly during sleep ; sometimes pricking sensations in 
the chest, or sensation of compression, or as if bruised in the left side, or, 
again, shooting pains in the left side, particularly during motion, and on 
going up stairs ; palpitation caused by fright. 

Dose: Six pills in a teaspoonful of water, repeated at intervals of an 
hour, until the particularly indicative symptoms are moderated ; or 
afterwards again, from time to time, should those indications occur. 

Belladonna, when there are violent pulsations of the heart, reverber- 
ated, as it were, through the whole chest, and sometimes to the extremi- 
ties and head ; sensation as of a heavy weight on, or firm band about, 
the chest, with pains in the shoulder-blades ; irregular and sometimes 
interrupted breathing, with an occasional effort to expand the chest for 
breath, or short, anxious, and very accelerated respiration; palpitation, 
sometimes attended with intense anxiety, particularly in the evening in 
bed; tremulous palpitation of the heart, with anguish; or palpitation 
generally on going up stairs. 

Dose : Six pills in a teaspoonful of water, as directed for Aconitum. 

Nux vomica is more particularly of service for palpitation of the 
heart, occurring in persons of dry, meagre habit, but also in persons of 
robust constitution and sanguine or bilious temperament, and particular- 
ly when the paroxysms are liable to come on either in the morning — 
sometimes attended with nausea, and even inclination to vomit, or with 
pressure at the chest — or more especially upon first lying down or after 
eating (sometimes after every meal), heat, or even burning sensation in the 
chest, occasionally occurring at night, and attended with great anxiety, 
sleeplessness, and agitation ; or if coming on after the use of coffee or 
liquors. 

Dose : Six pills, as directed for Aconitum. 

Sulphur is generally of service after one or more of the foregoing 
medicines, in completing the cure, but particularly when the attacks are 
provoked by ascending stairs, etc., and are accompanied by a feeling of 
anxiety or dread. This remedy is also very serviceable when the affec- 
tion has ensued after the suppression of an eruption or the sudden healing 
of an old sore. 

Dose : Six pills, as directed for Aconitum. 

A RSENICUM may sometimes be required after the previous adminis- 
tration of Sulphur, in cases in which the symptoms have not yielded to a 
second course of the last-named medicine, and when the affection has 
ensued as the consequence of a suppressed eruption, or of the sudden 
healing of an old sore. 

Dose: Six pills, as directed for Aconitum. 

LAGHE8I8 i- indicated when there is frequent desire to draw a long or 
deep breath, or shortness of breath chiefly prevalent after eating or after 
any exertion of the limbs (particularly of the arins), generally attended 
with deep despondency ; also by suffocative attacks at night ; or spasmodic 
affections of the heart, attended with a peculiar pulsative sensation deep 



ANGINA PECTORIS. 475 

(as if on the drum) in the ear, which make it appear as if the membrane 
would burst — or again, in very severe cases, and when fainting-fits and 
cold sweats attend upon spasmodic attacks of the heart, and there is ex- 
treme shortness of breath. 

Dose : Six pills, as directed for Aconitum. 

Pulsatilla is a remedy of great value in the generality of cases in 
which palpitation of the heart occurs as a nervous or hysterical symptom, 
or in young girls during the time of puberty, or from suppressed men- 
struation. 

Dose: Six pills, as directed for Aconitum. 

Cocculus is more particularly required when there is a suffocative 
palpitation of the heart associated with weakness, trembling of the limbs 
and extreme languor, dizziness and faintishness, and when the attacks are 
aggravated or excited by talking, eating, or drinking. 

Dose : Six pills as directed for Aconitum. 

Cactus is indicated in palpitation occurring in persons who are 
usually low-spirited or hypochondriacal ; palpitation worse when walk- 
ing, and at night, when lying on the left side ; general prostration of 
strength, and sleeplessness. 

Dose : Six pills, as directed for Aconitum. 

Coffea is more especially required, in recent cases particularly, when 
the palpitation is attended with excessive nervous excitement, with suffo- 
cative attacks and excessive anxiety, attended with groundless apprehen- 
sions, torture of conscience, great despondency, restlessness, and some- 
times complaints ; or again, when sudden emotions of joy have induced 
the attack. 

Dose : Six pills, as directed for Aconitum. 



ANGINA PECTOKIS.— AXLOPATHIC TREATMENT. 

Attacks of Angina Pectoris are most speedily relieved, by the inhala- 
tion of five or six drops Nitrite of Amyl. If the circulation is feeble 
a teaspoonful of brandy, or one or two teaspoonsful of Ether or Hoffman's 
Anodyne may be given. The hypodermic injection of Mophine in doses of 
a third to half a grain is another effectual method. Mustard may be ap- 
plied over the chest, and Mustard drafts to the extremities. 

During the interval between the attacks, excitement of all kinds, ac- 
tive exercise, immoderate eating, and the use of Alcoholic liquors are to 
be avoided. The general health requires attention. 

Arsenic appears to have the power of preventing the attacks, or les- 
sening their severity. It may be given in the form of Fowler's Solution 
in doses of three to five drops three times a day in water, after meals. Its 
use should be directed by a physician. During its administration, if puffy- 
ness of the eye lids, or pain in the bowels occur, it should not be taken 
until these symptoms disappear. 



476 OUR FAMILY PHYSICIAN. 

CHAPTER XXIV. 



DISEASES OF THE ARTERIES AND VEINS. 



DISEASES OF THE ARTERIES. 

The various diseases of the arteries are of very little importance in a 
book like this, for the simple reason that they cannot be treated medic- 
inally. 

Arterial inflammation, mostly only a symptom of other diseases, is 
scarcely recognizable with positive certainty, even in the case of larger 
arterial trunks. Of cousre, an inflammation of the larger arteries is 
highly interesting, because the closure of an arterial trunk near the heart 
may give rise to cardiac hypertrophy. 

Aneurisms (dilatation of an artery with rupture of one or more of its 
coats), are not exactly diseases, but consequences of other influences. We 
do not see how medicines are to accomplish anything in such cases. It is 
only the disturbances which such arterial lesions cause in the heart, that 
suggest the properiety of medicinal interference, and we regard it as 
downright absurdity to recommend medicines for the cure of aneurisms, 
as has indeed been done. 



DISEASES OF THE VEINS. 

PHLEBITIS. — INFLAMMATION OF VEINS. 

Phlebitis, the correct diagnosis of which is a recent triumph, is, so far 
as its consequences are concerned, one of the most important of all known 
morbid processes. The veins of the lower extremities and of the cavity of 
the skull are particularly liable to inflammation, besides all the veins 
whose sides do not collapse, such as, above all other veins, those of the 
gravid uterus. 

The causes of phlebitis are : Direct injuries of the vessel ; coagula aris- 
ing from impediments to the circulation occasioned by dilatation of the 
vessel ; introduction of foreign substances resulting in a decomposition of 
the blood. This last-named explanation is applicable to phlebitis which 
sets in in an epedemic form in limited localities ; or else the disease may 
arise secondarily from inflammatory affections of neighboring parts, or of 
remote parts, but lying in the tract of the vein ; or from puerperal con- 
ditions, suppurations of bones, especially caries of the bones of the ear. 

The symptoms of phlebitis vary according to its extent and intensity. 
The most intense forms of phlebitis orginate in suppuration to which we 
therefore refer; in this category belongs especially epidemic phlebitis, where 
the local process is rapidly extended through the whole organism. The 
less intense cases very usually set in with a chill recurring either 
irregularly with more or less frequency or otherwise, or else setting 
in typically, like an intermittent paroxysm. The diseased vein is of- 
ten indicated by a seated, circumscribed, burning pain, but is quite 



VARICOSE VEINS. 477 

often altogether painless. The chill is succeeded by a feeling of ill- 
ness, usually so severe that it is entirely out of all proportion to the 
objective symptoms. The pulse is accelerated and very much re- 
duced in volume, the digestion is interfered with, a tendency to per- 
spire sets in, the tract of the vein becomes cedematous. If the circula- 
tion in the vein is restored, all these symptoms may disappear as rapidly 
as they came. If the vein remains closed, oedema develops itself beyond 
the closure, and, if a collateral circulation can be established, may last 
only a short while, or else remain permanent. In such a case lassitude, 
chills at irregular intervals, irregular flashes of heat sometimes continue 
for weeks. 

The terminations of phlebitis depend upon the changes going on in 
the inflammatory exudation. If no purulent decomposition takes place, 
life is not exactly in danger : if pus forms, it may be carried along with 
the current of blood, and a most malignant phlebitis may suddenly arise 
notwithstanding the trifling character of the symptoms at the outset of 
the inflammation. It is in this manner that lying-in women and persons 
that had been operated upon, often perish quite suddenly, although not a 
single symptom existed at first that could have given rise to the least ap- 
prehensions of danger. 

The prognosis is uncertain. If the chills recur but seldom and with 
increasing weakness, the danger is less ; whereas frequent chills, prostra- 
tion and sopor, are decidedly ominous signs. The treatment should only 
be in the hands of the best physician you can possibly obtain. 

The subsequently remaining and very prominent csdema of the parts 
which lose their normal circulation in consequence of the obstruction of 
the vein, cannot be removed by treatment. It does not disappear until 
the collateral circulation is restored, which it sometimes takes years to 
accomplish ; the uniform pressure of a bandage, if it can be applied, may, 
if it does not effect a cure, afford at least a good deal of relief. 



VARICOSE VEINS. 

PHLEBECTASIA — VARICES. DILATION OF VEINS. 

In most cases the causes of these very frequent dilations can be deter- 
mined with perfect certainty ; in other cases, however, they are involved 
in obscurity. These are the cases where the disease cannot well be traced 
to some mechanical obstruction in the circulation of the blood. At all 
events, these cases are the least frequent. 

The existence of a peculiar predisposition in the walls of the veins, 
or else the subsequent supervention of a morbid change in those walls, 
will have to be taken for granted . The most frequent causes are : Obli- 
teration of the vein, owing to which the portion beyond the obliterated 
vein dilates in its whole extent ; dilation or contraction of the venous 
trunk, which has the same effect as obliterations, only in a less degree; 
every change that interferes with the flow of blood to the heart, such as 
dilation of the right heart, affections of the liver, tumors compressing the 
vein, tight clothing. In all such cases, varicose veins are of a secondary 



478 OUR FAMILY PHYSICIAN. 

character ; it may likewise occur as a primary disease in the case of men 
who have to be continually in a position that interferes with the reflux of 
the blood, persons for instance who have to be continually in a sitting or 
standing posture. In a sitting posture, the dilation of the vessels can 
often be accounted for by the pressure exerted upon the abdominal or- 
gans in the stooping posture ; in the standing posture on the contrary 
the dilation is entirely owing to the circumstance that the vertical posi- 
tion of the body embarrasses the course of the blood onwards through the 
veins. 

Every vein in the body may become dilated ; dilations occur most 
frequently in the veins of the rectum, (then called piles), lower extremi- 
ties and spermatic cord. We will briefh- dwell here upon varices of the 
lower extremities. They occur more frequently among women in whom 
the cause of the dilation is traceable to the impregnated uterus, whereas 
primary dilations are decidedly of more frequent occurrence among men. 
What we have said just now concerning the originating causes of dilation 
is particularly applicable to this form. At first one of the larger cutane- 
ous veins of the leg is most commonly affected, whence it does not usually 
extend to the thigh, but involves very regularly the larger as well as the 
more minute veins of the foot, especially of the veins situated around the 
ankles, where they give rise to a considerable swelling covered with a blu- 
ish net of both delicate and coarser vessels. In most cases these varicose 
veins are painless. In other cases the leg pains for a short time, after 
which the pain again disappears. Very often the pain is felt while a 
portion of the skin assumes a bluish redness, swells and becomes quite 
hard ; the pain increases continually, finally the skin suddenly breaks at 
the place of infiltration, without being caused by mechanical injury as 
most of these patients fancy, and an ulcer of the size of a pea forms, 
which is at first round and provided with thin, somewhat undermined 
edges. Without proper management and hygienic precautions the pains 
increase all the time ; the ulcer spreads, its edges gradually swell, the 
surrounding skin becomes hypertrophied, (thickened) the ulcer secretes a 
watery and sometimes exceedingly fetid fluid, and its base has a sickly 
color. If the same mode of living is continued, during which walking 
hurts only a little, but standing hurts a great deal, the ulcer may spread 
over the whole surface of the leg from the ankle to the calf, and may even 
penetrate to the bone. Ulcers below the ankle and on the front 
portion of the foot are of rare occurrence. The fetor of the ulcer increases 
in proportion as the ulcer spreads over a larger surface. Persons go 
about with such ulcers for years, and it is inconceivable that the constant 
drain of their vital fluids does not result in speedy emaciation. If a fever 
or some other constitutional disease breaks out during the existence of the 
ulcer, it seems to heal spontaneously, in which case the disease is very 
commonly, but improperly, regarded as the consequence of the healing. 

If the patient- are so situated as to be able to remain at once in a re- 
cumbent posture, the little sores heal very speedily, but break open again 
very easily if the person has to stand a great deal, so that the existence of 
such ulcers at any previous period leaves a constant liability to their 
returning again at a subsequent time. 



VARICOSE VEINS. 479 

In the higher walks of life, where every measure is taken fr om the 
start to prevent the formation of ulcers, a peculiar cutaneous affection is 
witnessed in their stead. The skin assumes a very dark and bluish color, 
and scattered and violently itching pustules form very frequently, or 
else the skin peels off in scales, leaving the surface moist. This form of 
the varicose affection is by far the most malignant and distressing. 

With an entire change in the mode of living the varicose ulcers may 
heal of themselves,but this is undoubtedly a very rare occurren ce. 

ALLOPATHIC TREATMENT. 

The radical cure of varicose veins is purely surgical and consists in 
obliterating the veins. The means for this purpose will be enumerated, 
but not described. The large trunk above the dilated veins is occluded to 
prevent the return flow of blood through it, and consequently through the 
dilated veins leading to it, by pressure from metallic clamps, by cauteriza- 
tion, by incision, by ligature, by elecrolysis, by injection of the Subsulphate 
of Iron. These operations are effectual, but owing to occasional accidents 
resulting from the attempts to thus obliterate the veins, it is not attemp- 
ted, except there is urgent necessity. 

Palliative treatment requires an artificial support to the column 
of blood in the veins. In the lower extremities, this is done by an elastic 
stocking, a band stocking, or a well adapted bandage. They may be re- 
moved at night, but reapplied before the patient rises in the morning. In 
other situations than this most common one, the same principle will gov- 
ern the treatment, and the ingenuity of the physician will meet the re- 
quired indication, as in varicocele (varicose veins of the spermatic cord), 
a well adjusted suspensory bandage of silk or muslin will be constantly 
worn. 

Varicose veins are subject to inflammation (phlebitis). If this con- 
dition occurs whether the veins are varicose, or not, the patient should 
remain in bed . If there are wounds or ulcers, they should be poulticed ; 
if there is suppuration the surface of the wound or poultice should be 
lightly covered with Carbolic Acid in Glycerine, one or to drams to the 
ounce. Generally, without the temperature is too low, cool evaporating 
lotions over the inflammed veins will be most useful. A piece of muslin 
wet in a solution of forty grains of Sugar of Lead, and a scruple of Acitate 
of Morphine in a quart of water may be laid over the inflammed region, 
two to four ounces of Laudanum may be used instead of Morphine, the 
cloth should be kept constantly wet. In other cases hot fomentations are 
more suitable, towels or flannels may be rung out of hot.water, spread over 
the inflammed surface, and covered to retain the heat, or hot poultices 
may be applied, Hops, Laudanum, Strammonium, (Jamestown weed), To- 
bacco, or Belladonna A brisk chathartic should be given. One or two 
tablespoonsful of Epsom Salts, (Sulphate of Magnesia) is a suitable one. 
Steeping the Salts with a third its bulk of Coffee, covers the taste. Pain 
should be relieved with Opium in doses of a grain, a quarter of a grain of 
Morphine, or twenty-five drops of Laudanum. If the blood should become 
poisoned from the products of inflammation, Quinine in large doses, ten 
or fifteen grains four times a day for two or three days. Stimulants will 
be required. 



480 OUR FAMILY PHYSICIAN. 

Tonics, as two grains of Quinine four times a day are needed, if the dis- 
ease continues long. The patient should, also, be well nourished. 

HOMCEOPATHIC TKEATMENT. 

Painless varices, without ulceration, cannot be regarded as an object 
of treatment, nor do we believe that anybody can imagine the feasibility 
of removing them by means of medicines. If pains are felt, and the sub- 
cutaneous cellular tissue becomes infiltrated, it would seem as though 
medicines might be useful ; at any rate we have seen a rapid improvement 
take place after the use of Stap7iysagria, Lycopodium and Graphites. These 
are the only remedies which we can recommend as long as the ulcers are 
painful. If the ulcer has become old, even the three first-named remedies 
are no longer of any use, and a mechanical treatment is the only treatment 
that can prove of any use. These three remedies are likewise the only 
ones that we can recommend for the peculiar cutaneous affection, but we 
must confess that they, too, will often leave us in the lurch. Our main re- 
source in treating these varicose disorders are external or mechanical 
means. The dilatation of the veins being chiefly a passively mechanical 
change, it is evident that moderate compression by means of a good band- 
age will moderate and finally remove the varicose dilatation altogether. If 
individuals with marked varicose dilatations constantly wear a bandage, 
or silk elastic stocking, they will never be troubled with ulcers nor with 
any other cutaneous affection. Existing ulcers heal very rapidly under 
a carefully-applied bandage, so much more rapidly if we first cover them 
with strips of adhesive plaster and a layer of cotton wadding over these, 
so as to protect them from all contact with atmospheric air. By pursuing 
this course, we have never known ulcers of any size or of upwards of 
twenty years' standing to remain uncured : but we have never shunned the 
trouble of applying the bandage ourselves. The longest time it has taken 
us to heal these ulcers, is six months. If the excessive sensitiveness does 
not admit of the immediate application of a bandage, the patient must be 
kept for a short time in a recumbent position with his leg raised; in 
such a case, warm poultices afford a good deal of relief. 



DISEASES OF THE BONES, 481 



Part Eleventh. 



DISEASES OF SINGLE SYSTEMS. 



CHAPTER XXV. 



DISEASES OF THE BONES, MUSCLES, AND JOINTS. 

OSTITIS, PERIOSTITIS — POTT'S DISEASE. 

Inflammation of the Bones and Periosteum . 

Inflammations of the bones occur in every age, less frequently, how- 
ever, before the second and after the fiftieth or sixtieth year. In most 
cases they originate in mechanical injuries or mechanically acting influ- 
ences; they are less frequently owing to the extension of inflammation 
from the soft parts. In the great majority of cases the mechanical is 
associated with a constitutional cause, very frequently the latter existing 
alone. Among the constitutional diseases it is more particularly scrofula, 
consumption, syphilis and calomel that give rise to ostitis. Very often it 
is very difficult to trace the cause with anything like certainty, especially, 
so far as an inflammation of the substance of the bones is concerned, 
because it generally develops itself with scarcely perceptible symptoms, 
and in a very insidious manner, hence too long a period of time may have 
elapsed since the cause first began to act, to permit of the disease being 
traced to a definite origin. 

Bones that are but thinly covered by soft parts, are particularly ex- 
posed to inflammation from mechanical causes ; inflammation arising 
from more dynamic or constitutional causes may attack any bone; never- 
theless inflammations of the lower jaw, of the vertebrae (back bone), the 
bones of the hands and feet and of the ribs, occur most frequently and 
are of particular importance. 

Periostitis (inflammation of the membrane covering the bones) occurs 
more particularly on the fingers, on the bones of the lower extremities 
and on the skull-bones. 

The symptoms and course of ostitis differ very remarkably in ex- 
tent as well as intensity. It is very often found that at the outset the 
disease is entirely without any symptoms, until the disease is 
finally revealed by the process of suppuration. It very seldom runs an 
acute and rapid course; this is generally the case, if the inflammation at- 
tacks the outer surface of the bone. In such a case the intensity of the 
pain depends upon the extent of the inflammation ; the fever is high, 
delirium sometimes sets in, slight chills are common and the patient very 
soon begins to lose his strength. Cases of this kind, which run a rapid 

3 1 



482 OUR FAMILY PHYSICIAN. 

course, always terminate in suppuration, and the artificial removal of pus 
is in most cases a matter of absolute necessity. After the pus is evacu- 
ated, a cure does not always take place immediately ; the bone divested 
of its periosteum becomes more or less carious before a cicatrix has time 
to form. 

If the periostitis runs a slow and somewhat chronic course, the inflam- 
mation of itself is not very painful ; but very violent pains can be excited 
by contact; here too the exudation may be transformed into pus, but is 
likewise apt to result in bony growths and to form extensive flat or tuber- 
ous bony indurations. 

If the inflammation is located in the interior of the bone, the latter is 
generally distended in its whole length, is not very sensitive to pressure, 
but the patient is tormented by paroxysms of peculiar dull boring pains, 
which, even in the absence of any specific cause, are particularly apt to 
set in, and to become aggravated at night. These pains are usually felt 
for some time before the bone commences to swell ; they interfere with 
the mobility of the limb more or less, generally the less the more re- 
motely they are felt from the joint. 

Ostitis of this central character always runs a chronic course. Its 
terminations are suppuration or ossification of the exudation. If one of 
the large bones is invaded by the suppurative process, death almost al- 
ways results, although in some cases not till the patient has lived through 
year's of suffering. An important diagnostic symptom is the presence of 
albumen in the urine ; it almost always occurs if the suppuration is ex- 
tensive and augurs very badly for the final result. 

The importance of inflammations of bones varies a good deal. Age 
exerts a characteristic influence; children and young people generally 
recover from such inflammations, even if these should last a long while, 
unless they originate in inveterate, constitutional maladies; older per- 
sons, especially when on the other side of forty, generally fall victims to 
such inflammations. Children very often recover when the second peri- 
od of dentition sets in, or when they enter upon the period of pubescence 
The seat of ostitis is of no small importance ; inflammation of the bones 
in the upper part of the body is less dangerous than inflammation of the 
pelvic bones, or the bones of the lower extremities. It is likewise im- 
portant to determine whether the inflammation is so located that vital 
organs may become involved ; on this account inflammations of the skull 
bones and ribs are more threatening on account of the danger to impor- 
tant organs resulting from them. 

Sometimes the inflammatory symptoms disappear entirely for a time, 
and then suddenly reappear again from some cause or other, or without 
any cause ; or else, in one portion of the bone the inflammation runs a 
favorable course, and then all at once takes a new start either continu- 
ously in the tissue of the bone or in separate portions. Every inflamma- 
tion involving more than one bone, renders the prognosis so much more 
unfavorable. 

ALLOPATHIC TREATMENT. 

In Ham mat ion of bone can scarcely, in any case, be treated intelligent- 
ly except by a skillful surgeon. Rest and cold or cooling applications are 



DISEASES OF THE BONES. 483 

the most important means of local treatment. If cold is not agreeable it 
should be replaced by hot fomentation — a flannel wrung out of hot water 
and applied to the part, then covered well to retain the heat. 

In Chronic Ostitis counter-irritation by means of blisters or the fre- 
quent (daily) application of Tincture of Iodine should be resorted to. 
Sometimes deep incisions into the membrane covering the bone afford 
relief in both the acute and chronic forms of the disease. 

Pus should be evacuated by the trephine (an instrument for taking 
out a disc of bone.) If the inflammation has continued long, especially 
at the end of a bone, it is probable pus has formed and the trephine should 
be used. 

When the medullary tissue (marrow) of the bone is inflamed (Ostes- 
myelitis) the bone as well as its medulla is generally involved. When 
the disease is the result of wounds, the dressings must often be changed 
and the wound disinfected with a solution of Carbolic Acid in water, one 
dram to the pint, or Chlorine water, or the solution of Chlorinated Soda 
(Labarrague's Solution) diluted until they are unirritating. Absolute 
cleanliness and fresh air must be secured. The diet should be good. 
Tonics may be necessary, two or three grains of Quinine three times a 
day seems the most suitable. Both tonics and stimulants may be em- 
ployed. 

Cold is often the most useful and may be applied by means of bags of 
ice. If cold causes pain or chills, hot applications should be used instead 
as directed for Ostitis. Free incisions through the periosteum (membrane 
covering the bone) and superficial tissues give some relief. If there is no 
opening into the cavity of the bone and from the amount of inflamma- 
tion, and the length of time which has elapsed, there is reason to suspect 
pus has formed, the trephine should be used, and the pus let out. As a 
rule amputation is inadmissible, but if resorted to it must be at the near- 
est joint towards the direction of the body or above it. 

In Chronic Ostes-myelitis counter-irritation with Tincture of Iodine 
or blisters and the internal use of Iodide of Potassium in doses of ten 
grains or more, three times a day, should be resorted to. Where matter 
forms it should be let out with the trephine. Excision (taking out a 
piece) may be resorted to in the chronic affection, but not in the acute. 
When amputation is called for, it may often be performed through the 
shaft of the affected bone, if the point of amputation is well above the 
diseased portion. 

Periostitis (inflammation of the periosteum membrane covering bone), 
in acute cases, requires perfect rest. Cold should be applied, either of cold 
water or bags of ice. If these cause pain, hot fomentations should be ap- 
plied, or hot poultices used. Pain must be relieved by Opium in doses of a 
grain, a quarter of a grain of Morphine, or thirty dorps of Laudanum given 
one, two, or more hours apart as may be required. If these means' do not 
succeed free incisions must be made through the periosteum. If the dis- 
ease is primary, and necrosis (death of bone) follow, it is generally con- 
fined to the outer lamina (layer). If the disease is secondary, resulting 
from ostitis or ostes-myelitis, and necrosis occurs, it is much more exten- 
sive, which will be considered under necrosis. Specific forms of this dis- 



484 OUR FAMILY PHYSICIAN. 

ease (periostitis) from syphilis, scrofula, etc., generally yield to appropriate 
constitutional treatment. 

One of the results of inflammed bone is caries,— a kind of surface soft- 
ening and disintegration of the bone tissue. The constitutional treat- 
ment relates to the cause of the inflammation, whether specific or scroful- 
ous, and the appropriate constitutional remedies should be taken. In the 
former case Iodide of Potassium, or Murcury, or both and Iron. In the 
latter, Iodide of Potassium, Iron and other Tonics. 

The local treatment consists in the complete removal of all the dis- 
eased portion . First, by excision with instruments ; second, by the appli- 
cation of Acids. When a joint is carious, amputation is generally re- 
quired, though sometimes excision may be practiced. 

Another of the results of inflammation of bone, and its membranes is 
necrosis (death of bone). The treatment required is its removal. 
While it remains, it is only a source of irritation; but its removal 
must not be attempted before complete separation has taken place. 
The suppuration which has gone on during the process of separation gen- 
erally requires supporting treatment— Tonics of Iron, Quinine, nutri- 
tious food, and in some instances, Cod Liver Oil. 

HOMOEOPATHIC TREAMENT. 

The frequent occurrence of ostitis in individuals whose constitutions 
are tainted with some constitutional dyscrasia, invites a careful inquiry 
into the presence of such a constitutional taint, even though not mani- 
fested by any outward signs ; and, in the second place, to employ such 
remedies as not only correspond with the constitutional affection, but 
likewise aim at remedying the local disease. A mere comparison of 
symptoms will scarcely ever answer the purpose, for the reason that the 
localities rnay differ too much ; it is only for a few definite localizations 
of ostitis that we possess real remedies. In general we advise therefore 
that the general, not the local symptoms be taken as our guide ; on this 
account we mention the following remedies with a few short comments : 

Mercurius is a medicine of whose specific and almost constantly 
definite relation to the osseous tissue we may always rest satisfied. It is 
indeed suitable in most cases of ostitis and periostitis, provided they do 
not originate in calomel poisoning. It is particularly indicated by : Vio- 
lent bone-pains, distention, swelling, redness of the skin, and in general 
by the more acute symptoms of the disease. The infantile organism is 
more rapidly and certainly affected by Mercurius. The dose had better 
be as small as possible ; the slow course of the disease would seem to point 
to small doses and given at comparatively long intervals, as preferable to 
large doses of this agent. 

Dose : Four pills daily. 

Mezereum antidotes Calomel in the bone-range. Mezereum is 
particularly adapted to periostitis; less to ostitis, and is particularly ap- 
propriate at a period of the disease when no complete suppuration has yet 
set in. 

Dose: Four pills daily. 



RICKETS. 485 

Phosphoric acid is generally preferred to Nitric Acid in non-mercu- 
rial ostitis ; it is indicated in the inflammatory bone-affections of children, 
especially in inflammations of the vertebrae, (back bone) if there is an 
evident disposition to caries. In fully developed caries with symptoms 
of slow hectic fever, Phosphoric Acid is one of the most important reme- 
dies. 

Dose : Four pills daily . 

Phosphorus is inferior to Phosphoric Acid, for the reason that 
the latter acts more specifically and more penetratingly in chronic 
affections. In other respects the curative action of both remedies 
is very similar ; we would accord the preference to Phosphorus, if con- 
sumption with unceasing diarrhoea has set in. 

Dose : As for Mercurius. 

Staphysagria is indicated, if the ostitis rims its course with severe 
pains, and the bone and its covering are affected at the same time ; in the 
case of scrofulous individuals ; if the facial bones or those of the legs and 
feet are involved. 

Dose : Same as for Mercurius. 

Baryta careonica is eminently adapted to a slow and almost pain- 
less scrofulous inflammation of the bones of the extremities, after suppu- 
ration has begun to set in. 

Dose : As for Mercurius. 

Aurum is, like Nitric Acid, an exquisitely anti-Calomel medicine, 
and hence deserves special attention in cases of mercurial ostitis. It has 
likewise an excellent effect in non-mercurial ostitis with caries, and vio- 
lent pains, especially at night. Aurum is a specific remedy for inflam- 
matory ulceration of the nasal bones and facial bones generally. In af- 
fections of this kind we prefer Aurum muriaticum to the common gold. 

Dose : As for Mercurius. 

Sieicea is one of the most important remedies in caries from any 
cause and at any age, as soon as the inflammatory stage has run its course; 
it is adapted to every constitution, but may not have a very favorable 
effect in acute ichorous suppuration. We must not forget that Silicea 
acts very slowly ; we recommend small doses at long intervals. 

Dose : Same as above. 

Caecarea. This agent is not so much indicated in uncomplicated 
ostitis, as in ostitis depending upon scrofula ; it does not act directly as a 
curative, but by virtue of the favorable change it effects in the scrofulous 
disease. On this account its use should be deferred until the suppurative 
process is fully established. 

Dose : Same as for Merc. 



RICKETS. 
Early Signs.— This distressing disease commonly begins to show 
itself about the tender age of from one to two years. It is generally pre- 
ceded, for a longer or a shorter period, by derangement of the general 



486 OUR FAMILY PHYSICIAN. 

health, before any of its well-known characteristic features become de- 
veloped. 

Pale and sickly countenance; dry, harsh skin; soft and flabby flesh; 
irregular appetite, sometimes with desire for indigestible or unnatural 
food ; constipation or diarrhoea ; general febrile excitement, fretfulness, 
and languor. 

General. Symptoms. — After which, the head is observed to become 
preternaturally enlarged, and the forehead unusually prominent. The 
breast-bone projects; the ribs appear flattened ; the belly is much dis- 
tended ; while the rest of the body, and the limbs in particular, are greatly 
emaciated, and the debility is extreme. As the disease advances, the 
muscles become more flaccid, the wrists and ankles become swollen, the 
legs, thighs, and arms distorted, and the spine partakes in the general 
deformity, by becoming shorter, and curved in various directions. 

"When the disease is early attended to, and the more general exciting 
causes, — such as defective nursing, dami^ or wet, ill-ventilated dwellings, 
insufficient exercise out of doors, improper food, and uncleanliness, — are 
capable of being removed, — the chances of recovery are much increased, 
and the deformity is frequently materially, if not wholly, diminished as 
the patient grows up. Otherwise, if life be spared, it is liable to be ren- 
dered miserable by a state of almost continuous suffering. 

HOMCEOPATHIC TREATMENT. 

When there is an hereditary predisposition to this disease, too great 
attention cannot be paid to the first manifestations of ill-health. Great 
care should, at the same time, be taken to avoid undue pressure upon the 
chest and other parts. The bones of a rickety child are wanting in the 
natural and requisite strength or firmness to support the weight of the 
frame. Consequently, when every precaution is not adopted, and the 
child is allowed, or rather compelled, by its heedless or culpable parents or 
others, to use muscular exertion, deformity invariably results. It will, 
therefore, be necessary to deal gently and cautiously with the child from 
the first day of its earthly existence. And while every care is observed 
to escape the mischief alluded to, other means, having for their object 
the improvement of health, must be strictly followed. The child should 
be regularly in the open air, when the weather permits ; its apartments 
ought to be well ventilated ; its personal cleanliness should be constantly 
ensured ; and wholesome and appropriate nourishment provided. When 
the health and strength are improving, but the limbs and other parts 
have become deformed to a greater or less extent, in defiance of every 
solicitude, — or, as more frequently happens, from oft-repeated infractions 
of the rules laid down, — considerable benefit may yet be accomplished by 
judiciously applied mechanical aid. 

MECHANICAL MEASURES. 

At the head of the artificial contrivances for counteracting deform- 
ity, may be placed the gentle and cautious use of gymnastic exercises, as 
soon as the child is old enough to undergo them; and it is surprising how 
early they may be advantageously resorted to. Without these, all instru- 
ments are often futile, not to say hurtful. But in combination with them, 



Rickets. 487 

the objection to the temporary employment of an appropriate apparatus 
for the purpose of exercising compression, is I believe, in certain cases 
removed. I allude, more especially, to the instance in which the legs 
have become very much bent, either in consequence of neglect, or from 
its having been found impracticable to prevent a high-spirited child from 
constantly getting on his feet before his delicate frame had become suffi- 
ciently invigorated by suitable treatment. I am free to admit, however, 
that instruments should always be rejected whenever and wherever they 
can possibly be dispensed with. 

Calcarea is a medicine of the most essential importance in all cases 
of rickety disease, and is more particularly required when the fontanels 
remain open too long, and when the process of teething is unduly pro- 
tracted, or the teeth that are protruding have a tendency to premature 
decay; or, again, when there is curvature of the spine and of the limbs, 
with enlargement of the joints, and very undue dimensions of the skull. 
Calcarea, again, is yet more especially indicated, if, in addition to these 
manifestations, there be incrustations on the face, or if the belly be en- 
larged and hard, and whilst rapid or gradual loss of flesh takes place, the 
appetite is morbidly voracious ; the skin is commonly dry and flaccid, 
and the child wears the appearance of being much older than it really is, 
although it be commonly diminutive and fragile ; the bowels are habitu- 
ally costive, or are frequently affected with excessive and protracted re- 
laxation. 

Dose : Four pills in a teaspoonful of water, the first thing every morn- 
ing, for a week (unless decided change should sooner occur); then 
pause ten days ; after which the course should be repeated as before, 
and so on, until some distinct signs of general improvement follow. 

Baryta corbonica will be found adapted to some cases, particu- 
larly of dwarfish children, where there appears to be a general arrest and 
suspension of development, particularly if there be a tendency to gland- 
ular enlargements in the neck and elsewhere. 

Dose : As directed for Calcarea. 

Mercurius should be employed if the following symptoms should 
ensue :- -Pains in the bones, as if soreness, or as if bruised, with extreme 
tenderness of the shin-bone and knee-joints to pressure, with or without 
pressure of the limbs ; dandruff", and other obstinate affections of the 
scalp and face ; incrustations on the face ; extreme susceptibility to take 
cold, with constant or very frequent prevalence of cold in the head or on 
the chest, and tendency to excessive perspiration, whether offensive or 
not ; and often a chronic, slimy, or clay-colored diarrhoea. 

Dose : As directed for Calcarea. 

Silicea is appropriate to the treatment of almost all cases of disease 
of the bones ; and is more particularly and decisively indicated by a pe- 
culiar tendency to ulceration manifested by the skin upon the least abra- 
sion, — that is, when it " heals badly" as it is popularly termed; or when 
there are scabby eruptions on the scalp, the glands being disposed to sup- 
purate, the complexion pallid but puffy, and the ears being constantly or 
frequently affected with discharges of matter. Silicea may be required 
after Calcarea, to complete the cure. 

Dose : As directed for Calcarea. 



488 OUR FAMILY PHYSICIAN. 

Sulphur should be employed after Calcarea or Silicea, if these med- 
icines, having previously been productive of decided good effect, should 
cease to operate so beneficially, or if the following symptoms should pre- 
vail (which, if predominant, however, might more distinctly indicate the 
employment of Sulphur at the onset): — Extreme susceptibility to take 
cold, and to protracted discharges from the nose or from the wind-pipe, 
or to excessive or continued relaxation of the bowels ; but still more es- 
pecially by obstinate and intractable constipation, with flabbiness of the 
flesh or skin, pallor or puffiness of the face ; protracted inability to use 
the legs or to maintain the erect position ; tendency to be easily thrown 
into a violent perspiration by any exertion ; the skin being otherwise 
dry, and even harsh, and the eyes and eyelids appearing to be habitually 
more or less inflamed, and both mind and body languid, and unfit for ex- 
ertion of any kind. 

ALLOPATHIC TREATMENT. 

This is a disease which almost without exception depends on poor 
feeding and hygiene during the first year of the child's life. Children of 
unhealthy parents are more liable to the disease, but if the child is well 
fed, has plenty of fresh air, is kept clean, and is warmly clad, it will not 
have rickets. If the child is not thriving on its mother's milk it ought 
to be fed artificially, or, what is better, a vigorous wet nurse procured. 
In the absence of a wet-nurse rich, fresh cow's or goat's milk may be 
given. For the first month the milk should be half water, enriched a little 
with cream, and sweetened with sugar of milk or loaf sugar. At two months 
old only a quarter part of water need be added; after three or four months 
genuine milk may be given pure. Eggs beaten up raw with a little sugar 
and diluted with water may be given if the child likes it. The juice of 
lean meat may also be given. Strong beef tea made from finely chopped 
lean meat and cold water, gradually raising the temperature to 160° and 
maintaining it at that temperature for four hours may be employed for 
nourishment. Underdone lean beef finely ground in a mortar, a tea- 
spoonful at a time, may be given. A pound of finely-chopped lean meat 
with eight ounces of distilled water and eight to ten drops of Hydrochlo- 
ric Acid and a third to half a teaspoonful of common salt, allowed to 
macerate for three hours and strained through a hair sieve, then pour on 
the meat a couple of ounces more of distilled water and squeeze it through. 
The residue makes a nourishing and valuable food in cases of debility. 
Milk, however, is the food for babies, and the other articles of food may 
be resorted to only when the baby does not thrive sufficiently on the 
milk. 

From the age of six months to a year, farinaceous food may be given 
in restricted quantities. One of the best forms is Liebig's Food. Take a 
heaping tablespoonful of wheat flour (middlings is better), a heaping des- 
sertspoonful of malt flour, seven and a quarter grains of Carbonate of 
Potash and an ounce of water. Mix well. Add five ounces of cow's 
milk and heat gently. When the mixture begins to thicken, remove 
from the fire and stir for five minutes, heat and stir again until it becomes 
quite fluid, then boil and strain through a sieve, when it is ready for use. 
In the absence of malt Hour barley may be ground in a coffee mill and 



LUMBAGO. 489 

sifted to remove the husk. This food is a little laxative so it cannot be 
given more than three times a day. If there is diarrhoea twenty or thirty 
grains of prepared chalk may be used instead of the Bicarbonate of 
Potash. 

For older children the diet must be good containing such articles as 
meat, eggs, and milk. 

Nothing must be done to weaken, but everything to strengthen the 
patient. The child should have such exercise as is consistent with the 
weakened condition of the bones, such as rolling and tumbling on a hard 
matress. Older children may walk about some, if provided with proper 
artificial support, such as a wheel crutch. They should be taken out into 
the open air every day, or two or three times a day for a ride, or carried 
out. Bending of the limbs may be overcome by applying a light splint 
of pasteboard or leather, but the limbs must not be so encumbered as to 
prevent their pretty free use . A light apparatus may be worn when the 
child walks, to prevent the curvature of the spine. The child should lie 
upon a flat matress without a pillow. 

The principal treatment is dietary and hygienic as given above. 

For medicinal treatment the Compound Syrup of the Lacto-Phos- 
phates give the most promise of all medicines of being useful, excepting 
Cod Liver Oil. It may be given in doses of from ten or fifteen drops to a 
teaspoonful according to the age of the child, three or four times a day. 
The dose of Cod Liver Oil may be begun at fifteen to twenty drops and 
increased to a teaspoonful or a dessertspoonful according to the age of the 
child and given four times a day. If the oil deranges the digestion it 
should not be given, otherwise it should be given continously. Other 
tonics may be given instead of the Lacto-Phosphates as the Syrups of the 
Phosphates or Hypophosphites in the same doses as the Lacto-Phosphates. 
The Citrate of Quinine and Iron in doses of half a grain to two grains 
three times a day. 

Complications (other diseases) which may occur will require the appro- 
priate treatment, keeping this in view that all treatment must be sus- 
taining. 



LUMBAGO. 

CRICK IN THE BACK. 

Diagnosis.— Violent pain, of a rheumatic character, in the lumbar 
region, either periodical or permanent, frequently accompanied with a 
considerable degree of fever. 

HOMOEOPATHIC TREATMENT. . 

Aconite may be given at the commencement, if such fever declare 
itself. 

Bryonia when the pains in the back are of a severe aching or lanci- 
nating description, constraining the individual to walk in a stooping pos- 
ture ; aggravated by the slightest motion, or draught of cold air, and at- 
tended with a general sensation of chilliness. 



490 OUR FAMILY PHYSICIAN. 

Nux-vomica is particularly indicated when the pains resemble those 
produced by a bruise, or by excessive fatigue: also when they are much in- 
creased by motion and by turning in bed at night, and are attended with 
considerable weakness ; and moreover, when irritability of temper and 
constipation are present. Nux-vomica is often of great service after Bry- 
onia in acute lumbago. In chronic cases it is a remedy of no mean im- 
portance. • 

Rhus-toxicodendron is almost specific. It should be preferred to 
any remedy when the symptoms are as follows : Dragging or shooting 
pains in the dorsal and lumbar regions: severe aching or pain as if from 
the effects of a bruise or a sprain in the loins ; a feeling of stiffness or ten- 
sion in the affected parts on attempting to move, but aggravation of the 
pains when in a state of rest, or when pressure is made on the seat of the 
sufferings. It is also a useful remedy in chronic cases. 

Belladonna, where the pains are deeply seated, causing a sensation 
of heaviness, gnawing, or stiffness ; it may follow Aconite with consider- 
able benefit, when slight inflammatory symptoms are present. 

Pulsatilla, when the pains, resembling those mentioned under Nux- 
vomica, are moreover attended with a sensation of tension or constriction 
at the affected part ; it is particularly indicated for females, or individu- 
als of mild, sensitive, or phlegmatic temperaments. 

Mercurius, when the pains are much of the same description as those 
given under Nux-vomica, but considerably aggravated at night, incapacita- 
ting the sufferer from taking rest. (See Rheumatism.) 

ALLOPATHIC TREATMENT. 

In acute Lumbago, the employment of strong mustard-plasters or re- 
peated hot wet packs, with a hypodermic injection of a quarter of a grain 
of Morphine over the seat of pain, repeated sufficiently often to subdue 
the pain, is generally effectual treatment. A cathartic should be given to 
move the bowels. 

If the disease does not subside after the pain is relieved and the bow- 
els moved, the treatment by mustard-plasters or hot wet packs and Opi- 
um should be tried to relieve pain (a quarter of a grain of Morphine, a 
grain of Opium, or twenty-five drops of Laudanum, may be given by the 
mouth), and should be continued. 

The effect of Salicylic Acid, given in doses of ten grains every four 
hours, should be tried. It can be given in capsules, or mixed with 
Starch . 

Chronic Lumbago is most frequently cured by Iodide of Potassium, 
given in doses of from ten to twenty grains, three times a day. It may 
be given in Peppermint Water, after meals. 

Much relief may be obtained by wearing a Belladonna plaster across 
the loin. 

Other remedies are the same as those recommended for chronic mus- 
cular rheumatism. 



INFLAMMATION OF THE JOINTS. 491 

INFLAMMATION OF THE JOINTS. 

ALLOPATHIC TREATMENT. 

Acute inflammation of a joint (synovitis), demands in the first place > 
absolute rest. This is imperative and invariable. This object may be 
aided by properly adjusted splints. The limb should be in a position, 
which will relieve the articular surfaces from pressure. If the affected 
joint is in the lower extremity, the limb should be in the straight posi- 
tion. If the affection is in the knee, or hip joint, a degree of extension 
may be secured by the weight and pully, as used for fractured thigh (des- 
cribed in the treatment for hip joint disease), and relief from pain secured 
in this way. Rest and extension which will separate the joint surfaces, 
and keep them apart, is in most cases all the treatment needed to ensure 
recovery. 

Counter irritation by applying Tincture of Iodine, or blisters, the use 
of cold by ice bags, compression with bandages, and a wet sponge, etc., 
have all, in some cases, been useful, and are sometimes hurtful, and do not 
compare with the means just described in efficacy. When the inflamma- 
tion and heat in the joint is great, a Solution of Sugar of Lead and Opium 
will benefit. Take of Sugar of Lead thirty grains, Acetate of Morphine 
five to ten grains, (or two ounces of Laudanum, and rain water a quart, 
Mix and it is ready for use. The internal use of Opium may be called for 
by the severe vain. 

In Chronic Synovitis rest and traction, as in the acute, are appropri- 
ate means of treatment. The use of blisters and other forms of counter- 
irritation are more useful and less often hurtful. The constitutional state 
is generally faulty. This is to be corrected by good nutritious food, fresh 
air, exercise and sometimes tonics. The Citrate of Iron and Quinine is 
as frequently useful as any and may be given in doses of three grains, 
three times a day if the patient is feeble. 

If absolute rest is enforced in this trouble the joint lacks its natural 
stimulus — that of motion. At the proper time (which is difficult to deter- 
mine often) passive motion (moving the joint by the hands of others) 
must be resorted to, and after a time (which individual judgment only can 
determine) active motion (by the patient) may be tried . After several 
weeks have passed it is best to trj' passive and then active motion. 

Passive, then active motion, good food, air, and good hygiene generally, 
have often restored swollen, painful and stiff joints in a few weeks to their 
natural activity. 

It is often desirable to keep the surfaces of the joint apart by traction 
even when motion, both active and passive, is practiced. The weight of 
the limb may be sufficient in case of the upper extremity. In the lower 
extremities which must sustain the weight of the body, the end is met by 
very ingenious splints, invented by Dr. Sayre, of New York. Varieties 
are made for use of the different joints, hip, knee, and ankle. When 
these splints are properly adapted, the patient can go about without pain. 
In this way the functions of the joint are maintained while all irritation 
is obviated, and the most favorable condition is maintained for recovery. 



492 OUR FAMILY PHYSICIAN. 

COXALGIA. 

INFLAMMATION OF THE HIP-JOINT. 

This inflammation, the chronic form of which is called "voluntary 
limping,'' cannot be traced to any definite cause. It affects principally 
children and young people during the first years of pubescence. Its ex- 
tremely frequent occurrence during the years fourteen to seventeen, and 
in persons of rapid growth, leads us to infer that a rapid growth of the 
bones constitutes a disposition to this inflammation, and that an exertion, 
a cold or other scarcely apparent circumstances simply act as exciting 
causes. 

Acute inflammation of the hip-joint sets in suddenly even with a vio- 
lent chill, like all other acute inflammations, with which severe pains are 
associated. The patient locates these pains at times in the small of the 
back, at other times more in front, very seldom in the hip-joint; they are 
extremely acute, tearing, burning, stitching, shooting, aggravated by 
every motion of the lower extremities, not altogether, and sometimes not 
at all, relieved by horizontal posture. At the same time a high fever 
accompanies the pains, the pulse being not unfrequently upwards of 120; 
this circumstance distinguishes the disease from lumbago with which it 
is easily confounded. Amid symptoms of this kind which may become 
sufficiently intense to simulate typhus, the following objective changes 
become manifest in one, two or more weeks : The affected hip and the 
buttock of the same side swell, so that the fold between the nates is much 
deeper ; the thigh is somewhat turned outwards and slightly drawn up 
towards the abdomen ; the knee is half bent ; extension and rotation of 
the thigh are very painful ; nor can these movements be executed com- 
pletely. Walking is not entirely impossible, but can only be performed 
with the greatest pain . It is very seldom that an improvement begins at 
this point ; as a rule an extensive suppuration sets in, amid frequent chills 
and burning heat of the skin. After this, a short intermission seems to 
take place in the further development of the disease, until the abscess 
reaches the skin and bursts. This may take place backwards, to one side, 
or in front. After the pus is discharged, the patient feels much better, 
and then worse again, provided the suppuration becomes very profuse 
and continuous. As a rule the prospect of a speedy closure of the cavity 
is very slim. 

The terminations of the disease are : Very rarely a complete and 
rapid restoration ; long-lasting suppuration with final recovery and a 
total or partial destruction of the joint. 

The Chronic or subacute disease presents a very different group of 
symptoms. The disease commences with vague symptoms in the hip- 
joint resembling rheumatic pains and alternately exacerbating, remitting, 
or even intermitting for some time. These pains may be absent and in 
their stead the patient may only complain of a stiff'joint which is more 
especially felt during motion. Sensible pressure on the hip-joint general- 
ly causes more or less pain, and the thigh is usually rotated outwards to 
some extent as soon as the disease commences. With such trifling synip- 



INFLAMMATION OF THE HIP-JOINT. 493 

toms it may go on for some time, before more serious changes become 
manifest. The pains increase in intensity and cause the patient to limp, 
the thigh is slightly flexed and turned inwards. Almost without an ex- 
ception a more or less violent pain is at the same time felt in the knee* 
very generally surpassing the pain in the hip-joint in intensity. The 
affected limb becomes lengthened, its muscles become relaxed and flabby. 
In the further course of the disease suppuration sets in, the pus escaping 
on the outside and destroying life by caries and hectic fever. A cure at 
this stage is a rare occurrence, or else the parts grow together and the 
joint is permanently stiff. 

ALLOPATHIC TREATMENT. 

Hip-joint disease is simply an inflammation of that joint, and is to 
be treated as already described for inflammation of the joints. 

In incipient hip-joint disease, rest in bed and the straight position, 
with extension with the weight and pully, is to be maintained, the weight 
being sufficient to relieve pain. This will vary from three or four to ten 
pounds. The mode of its application by long adhesive plasters applied 
to the sides of the leg and well secured by a bandage above the ankle. 

The foot and ankle should be bandaged, but the plasters must not be 
included within this part of the bandage. 

The lower end of the plasters are then fastened to a narrow board 
(with a hole in the center) which is long enough to separate the plasters 
from the ankle, and so prevent irritation, a rope is knotted and passed 
through the hole in the board which is attached to the plasters. The 
rope is then passed over a pully fastened to the foot of the bed, and the 
weight then fastened to the rope. The rope must draw in the line of the 
limb. In addition to this treatment, good hygiene, which consists in 
plenty of fresh air, comfortable temperature of the room, sponging of the 
body every other day, with water at an agreeable temperature ; good, 
nutritious food and cheerful surroundings, will be sufficient to carry the 
patient through the acute inflammation to recovery. 

It is best to bring the limb at once to a straight line, and the weight 
applied. It ought not to cause pain, or at least after a few hours. 

This treatment should continue six weeks or longer. The time comes 
when exercise must be secured, and at the same time extension contin- 
ued. This is best secured by a suitable splint for hip-joint disease. There 
are several varieties of apparatus adapted to this end; one of the 
best is Dr. Sayre's. The splints of Davis or Bauer meet the required 
end. 

Many cases have been successfully treated by the use of the wire- 
gauze splint of Hamilton or Barwell. If these are used, the body is to be 
supported by crutches. 

A sole-leather, felt or gutta-percha splint, similarly constructed, will 
meet the end. It should extend from the top of the illium (hip-bone) to 
above the knee, and broad enough to cover the thigh one-half in. A pro- 
jection from the top of the splint behind, three or four inches wide, 



494 OUR FAMILY PHYSICIAN. 

should extend nearly around the body and fastened in front with a strong 
piece of elastic band. 

Leather should be softened with cold water, and gutta-percha with 
hot water, and moulded to the limb and pelvis, and retained with a ban- 
dage, until it hardens. The inside of the thigh should be covered with a 
suitable short splint. After the splint hardens, permanent fastenings 
can be attached. 

This method of treatment, faithfully and intelligently carried out, as 
a rule, obviate the necessity of an operation, and secure a satisfactory re- 
sult. When the. disease progresses until the bone becomes extensively 
diseased, an operation for its removal is demanded. 

HOMOEOPATHIC TREATMENT. 

Although the number of homoeopathic remedies for hip joint disease is 
but small, yet the success with which they are used in this disease, is a 
source of pride to our practice. In view of the almost positive certainty 
of a correct diagnosis in most cases of hip-disease, the clinical results that 
have been obtained in the treatment of this disorder, may be regarded as 
absolutely reliable testimony. 

Rhus Tox. At the outset of the disease, when violent fever, hur- 
red pulse, rheumatic pain from the hip to the foot, and constant desire to 
gain relief by a change of position, but before pus has actually formed, 
will be found an excellent remedy. 

Dose: Six pills in a spoonful of water, every five to twenty-four 
hours. 

Belladonna. Under almost the same indications as Rhus Tox, ex- 
cept the restlessness is not so marked, and there is more of a tendency to 
a dark-red appearence of the skin over the affected parts ; showing a 
deep inflammation. 

Dose : As for Rhus Tox. 

Mlrcurius. If the formation of pus has really commenced, no rem- 
edy will compare with this, being frequently able to arrest the disease 
and restore the patient to health as far as the nature of the attack will 
permit any remedy to do so. 

Dose: Six pills, or a small powder, three or four times a day. 

Calcarea care. After the disease has turned or shows marked 
signs of turning for the better, helps very much by aiding in the nutri- 
tion of the parts affected as well as the system in general. 

Dose: Six pills twice each day. 

The rest of the treatment may be condensed in the following points : 
The patients should not remain in a state of absolute rest, on the contra- 
ry, they had better move about by means of crutches. If pus forms, 
warm poultices may be applied ; they not only promote the formation of 
pus, but very often favor its reabsorptiou. Only if carious destruction of 
the joint lias taken place, the patients will have to remain quiet lest spon- 
taneous luxation should result ; in such circumstances a suitable exten- 
sion apparatus may be resorted to, which will have to be applied, how- 
ever, with a great deal of caution. The diet should be at all times plain 
and strengthening; the use of fat is to be rigidly prohibited. 



WHITE SWELLING. 495 

GONITIS, INFLAMMATION OF THE KNEE-JOINT. 

WHITE SWELLING. 

This is one of the most frequently-occurring inflammations of joints; 
owing to the exposed situation of the knees, this might indeed be ex- 
pected. 

A simple inflammation of the knee, is generally the result of some me- 
chanical injury or of excessive use, and is an unimportant affection as long as 
the inflammation is confined to the integuments. It is scarcely ever at- 
ended with fever, is never ushered in by a chill, and runs its course 
within a few weeks. However, as we can never be sure whether such an 
unimportant disease may not result in the more dangerous white swelling, 
it ought to be managed with all due precaution. 

Symptoms. While using the joint, the patient complains of pain and 
impared mobility ; in more rapidly progressing cases the temperature of 
the joint is higher than usual. If the inflammation emanates from the 
soft parts, the pains are generally less than when the bones constitute the 
starting-point. Sometimes the knee swells rapidly, at other times more 
slowly, and most slowly if the bones receive the first shock of the disease. 
In the' latter case the knee preserves its form for a long time, in the other, 
cases the swelling soon modifies any former shape of the knee. As the 
swelling increases, which generally has a very white appearance, it grows 
progressively softer, elastic, and finally shows symptoms of fluctuation. 
The cutaneous veins become very much enlarged. The pains generally in- 
crease with an increase of the swelling. Sometimes not till after the 
lapse of years, and, in a few cases, after that of weeks, distinct fluctuation 
is perceived in one or more places; here the skin reddens, breaks, and a 
pus which is mostly thin and mixed, is discharged. In spite of the evacua- 
tion of pus, the swelling remains almost unchanged. 

The suppuration in a case of white swelling is generally very tardy. 
The openings may close for a short time, after which they generally open 
again, so that, in a fortunate case, suppuration may cease after many 
months, and the swelling may grow smaller, but the joint remains stiff 
and thick, and the leg somewhat bent. A cure of this disease is witnessed 
only in the case of young people . If the case terminates less favorably, 
the suppuration gradually superinduces hectic fever, and finally ends in 
death. 

The prognosis is always bad, for no one escapes from such an attack 
without some permanent injury ; the difference in favor of young and ro- 
bust individuals is, that death needs not be apprehended in their case, 
which is generally sure to occur in individuals of upwards of thirty years 
of age. 

ALLOPATHIC TREATMENT. 

The treatment of inflammatory disease of the knee does not differ ma- 
terially from that given for inflammation of the hip-joint, and joints in 
general. Rest is the first essential ; this may be secured, first, by apply- 
ing a splint to the posterior of the limb, including both the thigh and leg, 
to keep the joint perfectly still. Cold applications, or warm, as give the 
most relief may be employed. The hot wet pack applied to the knee will 
be useful if cold causes pain. 



496 OUR FAMILY PHYSICIAN. 

The evaporating solution of Lead and Opium, given in the treatment 
of Synovitis may be used. If the joint continues painful pull moder- 
ately on the ankle to separate the ends of the bones in the joint, and if 
this gives relief the weight and pulley should be employed to produce ex- 
tension, as directed for disease of the hip. A large amount of water in 
the joint, producing enlargement, should be met by pressure, either an 
elastic band or bandage and wet sponge. Pressure would be painful and 
harmful without extension. After six weeks or more have passed exer- 
cise of the joint becomes necessary, but extension must be continued. 
This can be done by the proper application of a Sayre's splint for the 
knee-joint. If the limb is distorted, the tendons necessary must be 
divided to bring it into shape. 

When the fluid in the joint is not removed by absorption from pres- 
sure, and friction, (rubbing with a simple liniment), aiding nature, it is 
necessary to remove the liquid with an aspirator, or possibly by incision, 
but the wound must be hermetically sealed immediately, and the joint 
kept motionless by a well-secured splint until the wound heals. 

Nearly if not all cases can be cured by absolute and permanent rest; 
extension has been indicated, and, in some cases, compression. 

When the inflammatory disease in a joint has advanced to suppura- 
tion and decay of tissues, it is commonly spoken of as a "white swelling." 
If it is the knee-joint that is affected, it is then known as " white swell- 
ing of the knee-joint." The treatment described for inflammation of the 
knee or joints, if properly carried out, will prevent this undesirable state 
of affairs. If it occurs there is pain, irritation, fever, loss of appetite and 
debility. Extension by means of Sayre's splint for the knee (or for such 
other joint as is affected) must be made. This will relieve the pain. The 
services of a surgeon are necessary in the management of these cases. If 
it is impossible to procure a splint, extension should be made with a 
weight and pulley. There is the disadvantage of confinement with this 
manner of extension at a time when it is very important for the patient 
to be much in the open air. The patient should have the benefit of fresh 
air, sunlight, and good food. 

Tonics may be required. There is no better one than the Citrate of 
Iron and Quinine, given in doses of one to four grains, three times a day. 
The Compound Syrup of Hypophosphites is another useful one, especially 
if there is much discharge, as also is the Compound Syrup of the Lacto- 
Phosphates. The dose of each is a teaspoonful. The former syrup may 
be combined with a fourth Dilute Phosphoric Acid. The dose then will 
be the same. 

When an inflamed joint, acute or chronic, will permit the two sur- 
faces of the joint to come together by ajar, without pain, and when there 
is no pain on pressure, the instruments may be removed. A condition of 
irritability remains and the joint cannot be used without pain. The case 
requires passive motion and rubbing. Gentle but thorough friction to 
restore the functions of the joint, remove the congestion and irritability. 
The pretense that the hands of some persons have especial power in this 
direction Is simply pretense. In the successful cases under their hands 
they have only by accident stumbled upon the case at a stage when the 



INFLAMMATION OF THE JOINTS OF THE FOOT. 497 

rubbing was the element necessary to restore the use of the joint. One so- 
called cure of this kind at the hands of a pretender is the source of a 
wonderful amount of fame to the injury of society, and an unfavorable 
reflection is made on the medical profession which is unjust. 

HOMOEOPATHIC TREATMENT. 

Silicea is the medicine of chief importance in the treatment of in- 
flammation of the lining, or covering membrane of the knee-joints, or for 
the treatment of the enlargements, and other mischiefs resulting from 
such inflammation. 

Dose: Six pills in a teaspoonful of water, three times a day. 

Sulphur and Calcarea are indicated at the onset, or after the 
previous administration of some other medicine, to complete the cure, 
They are of chief importance in scrofulous enlargements of the Ttnee, and 
may also be required as intermediary remedies, when other medicines, ap- 
parently indicated, cease to produce any decided effect. 

Dose : Give six pills in a tablespoonf ul of water, every morning and 
evening. 

Bryonia may be given if the trouble results after rheumatism, with 
red and very painful swelling of the knee, particularly if the slightest 
motion aggravates the pain. 

Dose : Same as Silicea. 

Pulsatilla is an excellent remedy for the treament of glazed or 
shining, white, soft, or doughy swellings of the knee, and is, indeed, more 
or less especially appropriate for the treatment of soft, colorless swellings 
of the knee, in general, whether painful or otherwise. 

Dose : In every particular as directed for Bryonia and Silicea. 

External applications are not always appropriate in this disease. 
Poultices are injurious if they increase the pains; in most cases they not 
only relieve the pain, but likewise exert a favorable effect upon the re- 
absorption of the pus in the diseased joint. An uninterrupted recum- 
bent posture is to be avoided as long as the patients remain capable of 
moving about ; only the diseased limb must not be used for a walk. A 
moderate and constant pressure by a starched bandage is only borne, if 
the bones are not too much diseased ; it has the double advantage of an- 
tagonizing the swelling and protecting the limb during motion. It has 
the best effect, if the abscess has already broke, for, in such a case, the 
bandage most decidedly promotes the course of the suppurative process. 
Amputation is only advisable if the joint is utterly disorganized and the 
constitution begins to show signs of failing under the constant pain and 
loss of fluids . 



INFLAMMATION OF THE JOINTS OF THE FOOT. 

TARSUS. 

The inflammation is either seated in the bones or where they articu- 
late with those of the metatarsus ; or else in the articulation of the tar- 
32 



498 OUR FAMILY PHYSICIAN. 

feus and tibia, or in both localities at the same time. Here, too, mechan- 
ical injuries are rarely the cause of the inflammation. An inflammation 
of the metatarsus is particularly met with among children and during 
the age of pubescence ; an inflammation of the tibia-tarsal articulation oc- 
curs more frequently among adults. 

The Symptoms are most commonly the following : At first a pain 
is felt in walking, particularly during certain positions of the foot ; in a 
state of rest the pain subsides almost entirely. Gradually the joint be- 
gins to swell, the swelling increasing more and more and gradually ex- 
tending over the whole foot ; at the same time the pains increase, become 
continuous, and walking is entirely out of the question. At last the pus 
finds an outlet in one or more places. In favorable cases the suppuration 
now decreases, the strength keeps up, the fistulous openings close, al- 
though sometimes not till years have elapsed. Or else, the swelling con- 
tinues to increase even after the bursting of the abscess, the foot becomes 
completely distorted, and hectic fever is the unavoidable consequence. 

The course of the disease always exceeds one and even more years, 
until the pus escapes outwardly. At all times life is in danger, even in 
the case of children ; adults succumb almost always with scarce an ex- 
ception. 

A peculiar form of tarsal inflammation is a flat foot. Sometimes it 
affects small children, although it is only slightly developed at that age ; 
it mostly shows itself after pubescence, most generally among males if 
they suddenly grow up in height. Every time after the foot is persever- 
ingly used, violent pains are experienced in the joint, which becomes 
stiff after walking, with inability to stand upon the affected limb. Little 
by little the foot loses its arched shape, and the patients generally walk 
on the inner edge of the foot. The malformation of the foot may become 
very considerable, and may materially interfere with its use. Sometimes 
the trouble does not cease spontaneously until after the patient is thirty 
years old. This form of inflammation, which, under similar circumstan- 
ces, may likewise occur at the knee, never results in suppuration. Treat 
only by a physician. 

ALLOPATHIC TREATMENT. 

The principles of treatment of inflammatory disease of the ankle joint 
are essentially the same as is laid down for the treatment of synovites 
in general, and of the hip and knee joints. Absolute rest is the first essen- 
tial. Of all the plans of local applications, I believe heat to be the best. 
It can be applied by the hot wet pack, or by immersing the ankle in water 
as hot as can be borne, when the pain is relieved by repeated hot packs, or 
by the hot foot bath, the limb should be elevated, and kept in that position 
until there is no tenderness on pressure, and until the limb can hang down 
without causing pain. If there is effusion in the tissues about the joint, 
compression should be made by firmly bandaging a large sponge around 
the joint, which has been previously saturated with warm water and 
squeezed as dry as possible. (The foot, ankle, and leg, should be ban- 
daged). The sponge and bandage about the joint should be kept wet with 
warm water. By the swelling of the sponge, and the shrinking of the 



LYMPHPTIC TUMORS. 499 

bandage, considerable compression is produced. Compression can be 
made more convenieDtly by the double India-rubber bag which is inflated 
with air. After a few ; days rubbing the joints with the hand will be 
useful. 

In more advanced cases, extension should be made by the use of 
Sayre's splint for the ankle joint, and the patient permitted to go about on 
crutches while the surfaces of the joint are kept apart by the extension. 
The excessive secretion of fluid in the joint may be caused to be absorbed 
by pressure and rubbing. If pus is formed in the joint, or a thickened 
fluid which cannot be absorbed, as determined by the exploring-needle, or 
trocar, — it should be withdrawn bv the aspirator, or incision as described 
in the treatment of the knee joint. Extension by means of Sayre's splint, 
should be continued. 

When the disease has advanced to destruction of the tisues of the 
joint (cartilage or bone), the treatment is too complex to be described here. 
The reader is referred to some recent complete work on surgery, or dis- 
eases of the joints. If, however, the treatment described here is thor- 
oughly carried out in the beginning of the disease, recovery will be reached 
without serious consequences. 



CHAPTER XXVL 



ULCERS. 

LYMPHATIC TUMORS. DISEASE OF THE CINGLOBATE GLANDS. 

Abscess — By this term is meant a collection of purulent matter result- 
ing from morbid action, contained in a sac or cyst of organized coagula- 
ting lymph furnished with absorbent and secreting vessels. 

Abscesses are divided into acute and chronic. The acute variety is 
preceded by sensible inflammation in the affected part, which is soon fol- 
lowed by suppuration. The commencement of the suppurative process is 
known by a change in the description of pain, which becomes more ob- 
tuse and throbbing, by an increase of the swelling, and when matter is 
formed, by the perceptible fluctuation of the part, when the abscess is not 
too deeply seated; lastly, particularly in idiopathic (primary) cases, when 
the formation of pus is considerable, the fever which had attended the 
earlier stages is materially lessened, and irregular chills, or rigors, super- 
vene, succeeded again by heat and increase of fever. 

When the abscess is mature, the tumor becomes pointed, or presents 
a conical shape, generally near the center of the inflamed cutaneous sur- 
face; over this spot the skin assumes a reddish hue, becomes thin, and, 
ere long, gives way and allows the contents of the cavity to escape. 

The signs of the formation, or existence of a chronic abscess, on the 
other hand, are, in the generality of cases, devoid of any apparent disor- 



500 INFLAMMATION OF THE LYMPHATIC GLANDS. 

der, either local or constitutional, until it begins to approach the surface 
and form an external swelling. The secreted matter is unhealthy, thin, 
and contains substances resembling cards or flakes. 

When the pus is let out (evacuated), and the air admitted into the 
cavity, inflammation of the cyst arises and is beneficial, if the cavity of 
the abscess is small, but if it be large great constitutional disturbance en- 
sues, the cavity instead of contracting and filling up by healthy granula- 
tion goes on discharging copiously until, in the end, hectic fever is pro- 
duced. 

ALLOPATHIC TREATMENT. 

Acute inflammation of the lymphatic vessels (angeiolencitis) requires 
the applications of heat promptly and constantly. Flannels wrung out 
of hot water and the limb covered with them, and the whole well covered 
in to retain the heat, is a form of hot wet pack which is most serviceable. 
They should be renewed as often as they become cool. The hardened in- 
flamed lines may be covered with Belladonna Ointment. Any wound or 
ulcer causing the inflammation is to receive its appropriate treatment. 

Pain is to be relieved, if necessary, with Opium in grain doses. 

Morphine in doses of a quarter of a grain, or Laudanum in doses of 
twenty-five drops, repeated just often enough to give relief. 

Free incisions through the inflamed part relieve the tissues strangu- 
lated by the inflammation and evacuates the pus. Early incisions are 
very important. Pus has often formed in the subcutaneous tissue, which 
is not detected by fluctuation. Too great delay in making these incisions 
may be attended by serious consequences. 

The patient must be nourished with milk, strong beef tea, and eggs. 
If much depression occurs Quinine and Brandy or Whisky should be 
freely administered. The former in doses of Ave to ten grains, from 
four to six hours apart, according to the urgency of the symptoms. The 
latter may be given according to the degree of urgency of the symptoms, 
in doses of a tablespoonful (half an ounce) to one or two ounces, from half 
an hour to four hours apart, but always short of symptoms of intoxica- 
tion. 

The bowels should be moved by Citrate of Magnesia or an injection 
of warm water. 

Should the disease become chronic the strength of the patient should 
be supported by good food and tonics. Poor digestion may be improved 
by teaspoonful or dessertspoonful doses of Sheffer's Liquid Pepsin, and 
the blood enriched by the Tincture Muriate of iron in doses of ten to 
twenty drops largely diluted in sweetened water, three times a day. 

The best local application is the application of the Biniodide of Mer- 
cury Ointment in one-half to a full strength applied sufficiently often to 
produce slight irritation. 

Inflammation of the lymphatic glands (adenitis) in the acute variety 
is to be treated precisely as directed for inflammation of the lymphatic 
vessels. As the inflammation is more localized, hot linseed poultices 
having the surface strongly impregnated with Laudanum maybe used 



ULCERS. 501 

With great advantage. The surface over the inflamed gland may be 
covered with Belladonna Ointment. Other hot applications are equally 
appropriate. 

When the general health is poor or the patient scrofulous, such reme- 
dies as the Citrate of Iron and Quinine, in doses of two to five grains 
should be given. Iodide of Potassium with Iron is often an appropriate 
remedy. Take of Iodide of Potassium five drams, Pyrophosphate of Iron 
a dram, Peppermint water eight ounces. Mix. 

Dose: A dessertspoonful three times a day. It can be sweetened or 
not, according to the taste of the patient. 

The Compressed Syrup of the Phosphates or Hypophosphites in doses 
of a teaspoonful to a dessertspoonful three times a day is suitable. Cod 
Liver Oil is often required. 

After the disappearance of the acute inflammation, if the glands 
remain, hard rubbing with Iodide of Mercury Ointment will generally 
produce absorption. This ointment may often be reduced one-half with 
lard. 

HOMCEOPATHIC TREATMENT. 

In acute abscesses, apply poultices and warm, unmedicated fomenta- 
tions, and forward the suppurative process . The lancet is never necessa- 
ry, except when the pus, by its extensive diffusion or pressure, especially 
when deep-seated, is liable to injure important parts ; or when, from its 
situation, there is reason to apprehend its discharge into any of the cavi- 
ties of the body. 

When it is necessary to make an opening with the lancet, the incis- 
ion ought to be made at the lowest or most dependent point, where this 
can be safely and readily accomplished; but when this is impracticable, 
in consequence of the great thickness of the parts between the pus and 
the skin, the most prominent or pointed part should be selected. 

When, on the other hand, this latter point happens to be at the up- 
per part of the abscess, the lancet had better not be used at all, but trust 
rather to the use of remedies. 

Hepar Sul., Silicea, Arsenicum, and Lachesis. 

In chronic abscesses, it has usually been found most beneficial to 
make an outlet for the matter (pus) as early as possible, so as to prevent 
its large accumulation, and thereby avoid the consequent frightful consti- 
tutional disturbance so liable to occur in such cases from the extent of the 
inflammation after the bursting of the abscess, make the opening merely 
large enough to admit of the exit of the matter. When the collection of 
pus is very extensive, it frequently accumulates again after having been 
evacuated, hence it has been recommended to heal up the opening imme- 
diately, and to make a new one when necessary, but before the pus has 
accumulated in anything near like the first quantity evacuated. 



•502 DISEASES OF THE SKIN. 

CHAPTER XXVII. 



DISEASES OF THE SKIN. 



ERYTHEMA. 

SIMPLE REDNESS OF THE SKIN. 

Erythema occupies a middle rank between congestion and inflamma- 
tion of the skin ; it is easily confounded with a benign form of erysipelas. 

Its causes are : Mechanical injuries of the skin; the influence of a 
high temperature, of various medicinal agents ; continual moistening of 
one part of the skin by urine, liquid stool, perspiration, tears and even the 
constant use of moist compresses ; constant irritation of the skin by 
rough clothes. In the case of children, erythema seems to be likewise 
caused by hearty and fat food. Erythema seldom occurs as a wide spread 
affection, to which the designation of "epidemic" might be applied. 
Chronic erythema breaks out chiefly in the face, and more especially on 
the nose ; its causes sometimes seem to be purely local, and at other times 
constitutional. 

Erythema is characterized by a more or less diffuse redness of the skin, 
not separated from the normal redness by sharply-drawn outlines, assum- 
ing a yellowish, not a white tint under the pressure of the finger, and con- 
tinuing for some time and, finally terminating in desquamation (peeling 
off). These characteristics belong to all forms of erythema. Erythema 
caused by external irritants, most generally breaks out on the scrotum, at 
the anus, between the thighs, in the axillae (arm pits) , face, and in the deep 
integumentous folds of fleshy persons, or at the place where the irritating 
cause exerts its influence. After the cause ceases to act, the erythema 
generally disappears of itself in a few days. If the irritation continues, 
the skin may become detached (intertrigo), and ulcers may form, or the 
skin may even become gangrenous. Erythema arising from internal 
causes, is almost exclusively located on the dorsal surface of the hands 
and feet, where it is never absent, even if other parts are likewise affec- 
ted. At first the place exhibits a redness, and in a few days darker-colored 
papules of various sizes spring up, which remain even for some time after 
the diffuse redness has disappeared; the affected spot likewise retains a 
yellowish tint for some time after. In particular circumstances subse- 
quent crops of this eruption break out on its borders, by which means the 
affection runs a very protracted course. This form of erythema is gener- 
ally attended with a little fever, and at the diseased spot a darting-burning 
pain is generally experienced. The former variety, on the contrary, has 
no fever as long as the erythema is of the simple kind, whereas the in- 
tertrigo of sensitive children may be attended with fever. The second 
variety, without any subsequent crops, lasts from one to two weeks. 

In treating the first variety, all that it may be necessary for us to do, 
is to remove the exciting cause. In some individuals the disposition to 
erythema is so great, and it leads so easily to more serious consequences, 
that we are led to suspect behind the local irritation the existence of some 



Erysipelas. 503 

constitutional disposition. This is particularly the case with the inter- 
trigo or soreness of children. Since this soreness is often caused by im- 
proper diet, the first thing to be done is to regulate it with care ; if the 
soreness continues in spite of this change, a few doses of Mercurius vivus 
or solubilis will cure the trouble very speedily. 



ERYSIPELAS. 

Erysipelas proper is altogether a primary affection, the cause of 
which it is difficult to trace in every case. The disease occurs almost ex- 
clusively between the age of pubescence and that of sixty, and is of less 
frequent occurrence among old people than among children. Atmos- 
pheric influences are generally regarded as the cause of erysipelas, but 
this theory is not justified by the evidence of fact All we know posi 
tively is that erysipelas often sets in as a sporadic disease, and that some- 
times it breaks out in the form of a limited epidemic, which never 
assumes a very extensive range and has given rise to the erroneous view 
that erysipelas is a contagious disease. It is a characteristic feature of 
this disease that every new attack of erysipelas increases the patient's 
liability to other attacks, which only becomes extinct at an advanced age. 
The cause of successive attacks of erysipelas is very often to be found in 
violent emotions, gross errors in diet, and in colds, more especially in the 
action of severe cold upon a heated skin. 

The origin of wandering erysipelas is involved in complete mystery 
it is to be observed that it inclines to set in previous to the age of pubes- 
cence. 

Traumatic erysipelas arises in consequence of injuries if suppuration 
ensues, or even at the start, soon after the infliction of the injury; or it 
accompanies suppurating inflammatory processes, such as gum-boils. It 
may be looked upon as an excess of reaction against the inflammation 
from which it proceeds. This circumstance likewise accounts for those 
cases of erysipelas that supervenes during typhus and other constitutional 
diseases as a malignant complication or as a terminal disease. 

Symptoms and Course.— True, or the so-called exanthematic erysip- 
elas really only breaks out in the face, whereas erysipelas on other parts 
of the body is, properly speaking, erythema. The appearance of the 
exanthem upon the skin is generally preceded for a few hours or even 
days by a preliminary stage consisting of a severe fever with marked gas- 
tric symptoms, with which symptoms of cerebral hyperemia, and more 
especially a violent headache, sometimes become associated at an early 
period. During a first attack these precursory symptoms are scarcely 
ever absent ; but they do not occur with a return of the disease. While 
the fever is on the increase, the face feels hot and tense, and sometimes 
rheumatic pains in the nape of the neck are complained of, a vivid red- 
ness breaks out at a certain circumscribed spot in the face, which spreads 
rapidly and causes a burning pain. In proportion as the redness becomes 
more intense, the swelling likewise increases and the skin assumes a 
glistening appearance. Erysipelas generally breaks out on one cheeky 
whence it spreads to the nose, the eyelids, forehead, ears, less frequently 



504 DISEASES OF THE SKIN. 

to the lips, and scarcely ever to the chin. Within two or three days, and 
sometimes in thirty-six hours the erysipelas, reaches its acme at the spot 
where it first appeared, amid febrile symptoms which are sometimes ex- 
ceedingly severe, attended with a foul-smelling catarrh of the mouth, 
vomiting, and most generally delirium; these symptoms, however, are 
not constant, whereas the headache and soporous stupefaction are exceed- 
ingly annoying. The face is now very much swollen, the features 
are disfigured to such an extent that they are no longer recogniza- 
ble, the redness has a bluish and even brown-red tint, and vesicles 
of various sizes sometimes spring up upon the inflamed surface, which 
always indicate an intense degree of illness. The inflammation decreases 
very rapidly ; the redness disappears after the existing vessicles had dried 
up previously, and had become transformed into thin and flat crusts, and 
very soon desquamation commences first in large patches, and afterwards 
in very small scales. But inasmuch as the disease never terminates with 
its first appearance, and usualty spreads over the whole head, we find 
erysipelas in full bloom close to the original spot in process of healing, 
and find the redness gradually diffusing itself into this spot, whereas it 
forms a sharp contrast with the surrounding normal parts of the face. 
In this manner erysipelas gradually wanders over the whole face, even 
beyond the ears, invading a portion of the nape of the neck, and spread- 
ing over the forehead and the hairy scalp. In this latter case the pa- 
tients suffer severe local pains, even after the fever abates. The intensity 
of the fever, as it« first breaks out at the commencement of the disease, 
does not keep pace with its gradual progression. Whereas, at one spot, 
the inflammation runs its full course in five to six days, yet, on account 
of its progressive appearance in different localities, the whole course of 
the disease lasts from ten days to a fortnight. The process of desquama- 
tion may last much longer, and the most severely affected parts often ex- 
hibit for a long time a yellowish tint with signs of serous infiltration. 

Deviations from this course are not unfrequent. The whole face may 
be covered so rapidly that it would seem as though the exanthem had 
broke out all over at once. These are cases of intense virulence, where 
one ear, however, commonly remains uninvaded. Moreover, the inflam- 
mation may communicate itself to the cerebral meningte; generally, how- 
ever, this does not take place until the local process has reached its hight. 
In such a case the redness very soon assumes a dingy and livid look ; the 
skin becomes lax and wrinkled, a most violent delirium sets in, and co- 
ma and death speedily supervene. This course has been mistaken for a 
metastasis of erysipelas; whereas, in such a case, the same changes take 
place as in other similar cases, namely : that, with the appearance of a 
violent disorder, the previously-existing lesser disease abates and disap- 
pears. Erysipelas seldom becomes associated with diseases of other im- 
portant organs. Attacks of erysipelas succeeding the first attack are 
very apt to show deviations from the normal course. These attacks are 
very seldom preceded by precursory symptoms, the less so the more fre- 
quently the attacks have occurred. Nor is the fever as severe, the swell- 
ing is less, and the spread of the disease over the face takes place more, 
slowly. It not unfrequently happens that in subsequent attacks the pa- 
tients are not obliged to lie down, and that their appetite remains the 



ERYSIPELAS. 505 

same as in their normal condition. Subsequent attacks are more like 
erythema than erysipelas . The frequency of the attacks differs greatly 
in different individuals ; sometimes there are several attacks in a few 
weeks and, after a short time, cease entirely; or months and even years 
intervene between the attacks; in such cases a spontaneous cessation is 
much less frequent. 

Among the consequences of true erysipelas the following deserve par- 
ticular mention : Swelling of the skin, especially that of the lids, nose 
and lips ; the swelling is mostly puffy, the skin having a pale look, and 
being disposed to the formation of comedones ; if the attacks are very 
frequent, the swelling may reach a considerable degree of thickness, and 
is very obstinate. Loss of the hair, which almost always falls out if the 
scalp had been intensely affected by the disease ; in most cases the hair 
grows again, but there are exceptions to this rule. Severe catarrh of the 
ear, with obstinate hardness of hearing. Disposition to neuralgia . 

Wandering erysipelas, or erysipelas ambulans or erraticum, attacks 
the face less frequently than the extremities. On one of the extremities 
an erysipelatous spot appears which heals exactly like the above de- 
scribed spots, only there is very little tension and pain, and the general 
organism is not so much involved. From this spot, the erysipelas spreads 
toward the trunk ; the spot which is attacked next, being either in close 
contact with the first, or else all subsequent spots being more or less re- 
mote from each other. 

Symptomatic erysipelas, as an accompaniment of inflammatory pro- 
cesses, is of no great importance, except when it covers a large extent of 
surface and depends upon septic causes. Generally it disappears of itself 
as soon as the cause that occasions it, is removed. If it is very intense, it 
may result in suppuration or gangrenous destruction of the skin. If the 
erysipelas sets in in the course of serious, constitutional diseases, with fe- 
ver, it is always a bad omen. In such cases the redness is never very vivid 
— rather dingy, having a bluish tint; the swelling is not excessive and yet 
the disposition to form blisters is very great ; these blisters do not always 
dry up, but often become transformed into badly-looking ulcers which are 
apt to become gangrenous. The fever accompanying this form of ery- 
sipelas, always increases to a high degree, but speedily assumes the char- 
acter of an adynamic fever, the pulse becomes very small and frequent, 
the temperature increases considerably, the cerebral phenomena become 
very marked, and sopor and coma set in at an early period, and death 
sometimes takes place so rapidly that life becomes extinct already on the 
third day after the appearance of the inflammation. 

Erysipelas of babes generally set in in the first week after the birth of 
the infant, very seldom after the first month. It almost always proceeds 
from the umbilicus, on which account it has been traced with great pro- 
bability to the consequences of an improper management of this organ, 
more especially to a purulent inflammation of this organ which can easily 
be accounted for by bad management. — As a rule the erysipelas spreads 
from the umbilicus over the abdomen, the sexual organs, thighs, less fre- 
quently over the thorax and back. The redness is not very vivid, the 
swelling, on the contrary, is very considerable. The children are exceed- 



506 DISEASES OF THE SKIN. 

ingly restless, feverish, and incline greatly to spasmodic affections and 
sopor. 

ALLOPATHIC TREATMENT. 

A patient with erysipelas (erysipelatous fever) should be confined to 
bed in a well ventilated room. The diet should be light but consisting 
largely of milk. Cold drinks may be given as desired. If the bowels are 
constipated they should be moved by a saline cathartic, as the Citrate of 
Magnesia, aided, if necessary, by an injection of warm water. If the case 
be a mild one, and the fever not high, it is not generally necessary to re- 
sort to the use of drugs. In severe cases, the remedies most useful are 
Quinine and the Muriate Tincture of Iron. Quinine in these cases should 
be given in doses of five to ten or more grains every four hours. If a 
slight ringing in the ears is produced, the doses are sufficiently large. It 
is best given in powder enveloped in medicine wafers. The Tincture 
Muriate (Chloride) of Iron is very generally given by physicians in doses 
of from ten to thirty drops every four hours. It should be largely diluted 
with sweetened water, and may be given immediately after the Quinine. 
Beyond the support it gives to the system laboring under so debilitating 
a disease, the (direct) benefits from the Iron are questionable, but as it is 
beneficial in this way, it ought not to be omitted in any severe case. 

Belladonna is especially antagonistic to this disease. The Extract 
may be given in doses of a quarter of a grain in pill, three or four hours 
apart, or the Tincture may be given in doses of five to ten drops at the 
same intervals . The Belladonna may be given with the Quinine. 

In cases with high fever, the pulse strong, and there is no depression 
of the system, the Tincture of Aconite should be given in doses of half a 
drop to a drop every hour until an impression is made on the fever move- 
ment, and then continued two or three hours apart or just sufficiently 
often to continue the effect of moderating the fever. This remedy does 
not require the suspension of any of the others mentioned, but it should 
not be given when there is prostration. 

There is no treatment which will limit the inflammation. The sooth- 
ing effect of the Lead and Opium wash, is often extremely grateful to the 
patient. A half a dram of Sugar of Lead and ten grains of the Acetate of 
Morphine are dissolved in a quart of rain water. A soft muslin cloth is 
dipped in this solution and spread over the inflammed surface. The cloth 
should be kept wet. If this does not relieve the pain markedly, it is well 
to try anointing the surface well with Olive Oil. Two drams of the Eluid 
Extract of Belladonna to six drams of Oil will give the Oil a decided ano- 
dyne property. Glycerine with ten to twenty drops of Carbolic Acid to 
the ounce, is another good application. 

Prostration or debility, occurring in the course of the disease, should 
be treated in the same manner as when it occurs with continued, or other 
fevers, with nutritious food, milk, beef, essence, raw eggs beaten up 
with sugar and water or milk. Nourishment should be given in these 
cases four hours apart. If the pulse should be very rapid and feeble 
brandy, or whisky in doses of one or two tablespoonsful may be given with 
the nourishment. The stimulant is beneficial, if the pulse becomes fuller, 



ERYSIPELAS* 507 

slower, and more regular. Sago, Rice, or other farinaceous articles are 
not to be excluded, if agreeable to the patient. 

HOMCEOPATHIC TREATMENT. 

Aconite may be required at the onset, only in case there be much 
fever, or hot, dry skin at the commencement ; or even during the course 
of the disease, if required . 

Dose : Dissolve six pills in three tablespoonsful of water, and give a 
teaspoonful of the solution every three hours, until the pulse 
becomes diminished in force and frequency, and the skin moist. 

Belladonna, when the redness expands in rays, and an acute shoot- 
ing pain with heat and tingling, is experienced in the affected part, 
which is aggravated by movement. Erysipelas of the face, with burning 
heat, excessive swelling, so that the eyes are almost closed, violent head- 
ache, thirst, dry, hot skin, restlessness, disturbed sleep, delirium. 

In such instances, Belladonna, is, generally, alone sufficient to effect 
a cure. There are cases, however, in which it will be found necessary to 
have recourse to Rhus-toxicodendron, in alternation with Belladonna, 
according to the particular symptoms, or group of symptoms present. 

Dose : If singly, of a solution of eight pills to two tablespoonsful of 
water, give a teaspoonful every two hours, until change, when the 
intervals should be extended to six hours, until the symptoms are 
wholly overcome, or assume distinctive features indicative of 
another remedy. But in those cases, of occasional occurrence, in 
which the symptoms, being severe, are but little moderated, within 
three hours after the fourth dose of Belladonna, Rhus, a similar 
solution of each medicine, administered by teaspoonsful, at inter- 
vals of two hours, until change. 

Rhus-toxicodendron is to be preferred particularly when the disease 
manifests a tendency to extend itself to the brain and its membranes, and 
the symptoms closely resemble those which characterize Brain Fever. 
Rhus is especially suitable for the treatment of erysipelas, arising from 
particular kinds of food, operating upon certain individual peculiarities of 
constitution which predispose the patient to such attacks. 

Dose : As directed for and under Bell . 

Arsenicum is required either after the previous administration of 
one or more of the foregoing medicines alone, or in alternation with Rhus 
when vesicles of a blackish hue, with a tendency to degenerate into a gan- 
grene, present themselves ; or, still more essentially, if great (and rapid) 
prostration of strength occurs. 

Dose : In all respects, whether singly or in alternation, as directed 
under the head of Belladonna. 

Pulsatilla is more especially indicated when the hue of the skin is 
less intense, or of a bluish-red, and the morbid spots frequently disappear 
from one place to reappear in another (fugitive erysipelas). It is further- 
more appropriate when the disease affects the internal and external ear, 
especially in the vesicular variety of erysipelas, and after the employment 
of Rhus-toxicodendron . 

Dose : Six pills in a teaspoonful of water, every three hours. 

Nux-vomica is often of service in cases of erysipelas developed in the 



508 DISEASES OF THE SKIN. 

knee or foot, and characterized by extremely painful, bright-red swelling. 
It is more especially advantageous in cases of spurious erysipelas occurring 
in irritable subjects, particularly females, and when mortification of the 
sub-cutaneous cellular tissue has ensued. 
Dose : As for Pulsatilla. 

ERYSIPELAS TERMINATING IN ULCERATION. 

Sulphur, Arsenicum. See the article on "Ulcers." 

SUSCEPTIBILITY TO ERYSIPELAS IN THE FACE. 

Belladonna, Rhus. When this disease is repeatedly developed in 
the face, and there is, in fact, an habitual tendency to attacks of this na- 
ture, Belladonna and Rhus (in particular), either singly, alternately, or 
successively, according to circumstances, are frequently capable of per- 
manently removing the complaint, and of obviating the return of at- 
tacks. 

Dose : If singly, of either remedy, give six pills, night and morn- 
ing, for a week (as soon as the acute symptoms of an attack 
have been subdued); then pause four days, after which the course 
may be repeated, as before, and so on from time to time. If in al- 
ternation— give first the one (as just directed), and then after an in- 
terval of twenty-four hours or longer, proceed with the other, in 
like manner, and so on, occasionally, until the predisposition seems 
conquered. 



NETTLE-RASH. 

HIVES. 

Urticaria, 

Diagnosis.— Spots or wheals, flat or prominent, and of a dull white 
color, like the sting of a nettle, or redder than the surrounding skin, 
generally encircled with a rosy areola, disappearing in warmth, and re- 
appearing when exposed to cold, evolved suddenly, and continually 
changing their situation. 

This eruption is brought to the surface by various causes, not unfre- 
quently arising from indigestion, caused by the use of improper articles 
of food . Before the eruption discloses itself, the patient is affected with 
restlessness, languor, oppression, and want of appetite, derangement of 
the digestive functions, and fever. When the eruption breaks out, the 
above symptoms become relieved, but considerable suffering arises from 
heat and itching, sometimes accompanied with swelling of the parts 
affected. This disease, in almost all cases arising from a constitutional 
cause, requires for its total eradication a regular course of treatment. 

ALLOPATHIC TREATMENT. 

A<utc Urticaria depending on irritation of the stomach, especially if 
caused by some food which has been eaten, an emetic of twenty grains of 
Ipecacuanha in half a ulass of water should be given. After the vomit a 
simple laxative should !»<■ given. A Seidlitz Powder or Citrate of Mag- 



NETrLE-RASH. 509 

nesia, in a dose of a tablespoon ful in half a glass of water and drunk 
during effervescence. 

The diet should be simple for several days consisting of rare lean beef 
or mutton, milk, eggs, bread, and farinaceous food. Bismuth in doses of 
ten or fifteen grains should be given (in milk) before each meal. 

Alkaline drinks should be taken to overcome acidity or irritation of 
the bowel. Ten to twenty grains of the Citrate of Potash in lemonade 
every four hours will be sufficient. 

In the chronic disease the cause must be carefully sought out and re- 
moved. Articles of food which are found to disagree must be avoided. 
Sometimes it is necessary to omit one article after another until the of- 
fending one is found. A pure milk diet is sometimes necessary. Bismuth 
and Citrate of Potash recommended above are often useful. In many 
instances the Solution of Pepsin and Bismuth (ShefFer's formula) in doses 
of a dessertspoonful before eating, should be tried. If the patient is rheu- 
matic or gouty Wine of Colchium should be tried in doses of a teaspoon- 
ful one or more times a day, to produce a slight action on\the bowels. 
When causes in the stomach or bowels are excluded Fowler's Solution in 
doses of three to five drops after meals should be tried ; the remedy should 
be omitted for a time if it causes puffy lids, watery eyes, or abdominal 
pains. 

If the disease occurs periodically Quinine should be given in doses of 
five grains three to six times a day. 

The presence of fleas and insects as causes should be sought foi . A 
solution of Corrosive Sublimate in half a pint of water is a useful appli- 
cation where the disease depends on the bite of insects. 

Bathing with vinegar and water is often beneficial or sponging with 
a tablespoonful of Dilute Nitric Acid in a quart of water. 

HOMCEOPATHIC TREATMENT. 

In acute cases, the remedies found most useful are Dulcamara, Aconite, 
Nux-vomica, Pulsatilla, Antimonium crudum, Belladonna, Hepar sulphur- 
is, Wilis-toxicodendron, and Bryonia. 

Dulcamara, when the exciting cause has been cold or damp, when 
the affection occurs in wet weather, or when we find considerable fever 
with bitter taste in the mouth, foul tongue, diarrhoea, pains in the limbs, 
and extreme itching, with a burning sensation after scratching. 

Aconite, when the febrile symptoms are more intense, the pulse high, 
the skin hot and dry, and great restlessness and anxiety are present. 

Nux vomica, when there is considerable gastric derangement, with 
constipation, more especially when arising from wine, stimulants, or 
indigestible substances ; it may, if necessary, follow Aconite in eight or 
twelve hours after the febrile symptoms are somewhat modified. 

Pulsatilla deserves a preference, under similar circumstances, when 
the bowels are relaxed, and the patient is of a quiet disposition and lym- 
phatic temperament, and the attack has apparently been excited by indi- 
gestible food. 



510 DISEASES OF THE SKIN. 

Antimonium cbudum may follow Pulsatilla, should the latter have 
failed to relieve the affection. 

Belladonna is indicated when the affection is attended with a severe 
throbbing headache, with redness of the face. 

Hepar sulphuris has frequently been found useful in urticaria ac- 
companied by cold in the head, and particularly when the coryza was 
confined to one nostril. 

Rhus-toxicodendron is one of the most useful remedies in a great 
majority of cases of this eruption, and especially when the affection has 
apparently arisen from some idiosyncrasy of constitution, in which the 
eruption has been thrown out by the use of some particular article of 
food. 

Prescription.— In ordinary cases, we may prescribe 6-12 globules of 
the sixth dilution in six dessertspoonsful of water, and order one to be 
taken morning and evening, except in the case of Aconite, which may be 
more frequently repeated, when the febrile symptoms seem to demand it. 

In this, as in every other cutaneous eruption, great care ought to be 
taken against driving it inward, by external application or lotions ; a sud- 
den retropulsion, as noted under Scarlatina and Small-pox, being fre- 
quently attended with fatal consequences. When, however, from im- 
proper treatment, we have reason to dread this having taken place, we 
may generally succeed in re-establishing the eruption, and thereby avert- 
ing any dangerous consequences, by the employment of Bryonia in repeated 
doses. Should, however, marked cerebral symptoms declare themselves, 
the complaint should be treated as described under Scarlatina. 

Urtica urens has been found useful in some cases ; and in those of 
a chronic or extremely obstinate character, Calcarea, Lycopodium, Sul- 
phur, Carb veg., Causticum, Acid, nitric, Conium, Natr. mur., etc. ; the 
last two, particularly, when the eruption is liable to reappear after vio- 
lent exercise or exertion of any kind; Calcarea, when exposure to cold 
fresh air produces it; and Acid, nitricum when it arises from the patient 
going into the open air, after having kept within doors for a day or two. 



DANDRUFF. 

PITYRIASIS. 

Pityriasis is a throwing off of the skin, either in thin scales, or in 
larger patches ; it may or may not be accompanied by some other affection 
of the skin, and the skin thrown off may, to all appearance, belperfectly 
sound ; or else the process may be accompanied by trifling local or more 
extensive symptoms of thickening of the skin. According as the'skinfis 
unchanged or looks red under the scales, the affection is. designated as 
pityriasis simplex or rubra (red). 

The causes of this affection are very obscure; in some cases the dis- 
ease can be traced, with some certainty, to a derangement of the functions 
of the liver and of the female sexual organs. 

Pityriasis rubra, when spread over more extensive portions of the 



DANDRUFF. 511 

skin, not unfrequently sets in with slight febrile motions which may 
break out at every renewed appearance of the exanthem. On portions of 
the skin, which itch and burn very fiercely, large red spots of indefinite 
and irregular shapes make their appearance. Accompanied by a peculiar 
feeling of tension, the skin on these spots very soon begins to exfoliate. 
The eruption first manifests itself on the trunk, and only invades the 
face if exceedingly severe. The almost inevitable itching may cause a 
moisture to ooze from the otherwise dry spots on the skin. This itching 
which is absolutely agonizing, very commonly interferes with the sleep . 
The affection is very obstinate, but at the same time one of the rarer 
forms of cutaneous diseases. 

Pityriasis, confined to isolated spots, is much less frequently of the 
character rubra than a general pityriasis ; it is most commonly met with 
on the hairy scalp, in the palms of the hands, on the soles of the feet and 
in the face. The itching is much less distressing, but is still very violent 
on the hairy scalp. By scratching the skin until it tears, a moisture is 
secreted'from the irritated spot, resulting in the formation of superficial 
scurfs and crusts and agglutination of the hair. 

In treating a case of general pityriasis, we must not forget that we 
are dealing with a very chronic affection which never promises rapid suc- 
cess, and where it would be consequently improper to make a frequent 
change of medicines, or to repeat the dose too often. The most import- 
ant remedies are Graphites and Arsenicum, with which it is most likely 
that a cure can best be effected. 

The attack may be modified in any and every degree, from that just 
described to that resulting only in the throwing off of small dry scales 
from the hairy scalp. The treatment is one of the most difficult known 
to the profession of medicine only on account of its tediousness and the 
absolute carelessness of patients who more than half the time neglect to 
use the means which would cure if used as directed. 

Sepia is particularly indicated in the case of females, if the spots break 
out in consequence of menstrual irregularities, or at definite periods of 
the year. 

ALLOPATHIC TREATMENT. 

For dandruff there is no more effectual application than keeping the 
scalp clean with a strong solution of Borax. Frequent daily (or often 
enough to keep off the scales) shampooing, with a mixture of equal parts 
of Soft Soap (Sapo Veridis, made of Olive Oil and Caustic Potash) and Al- 
cohol is most useful. Washing the head with weak alkaline solutions is 
also useful. If the scales are thick the use of a five per cent solution of 
Oleate of Mercury is very beneficial. An ointment of fifteen grains of 
Bed Oxide of Mercury or thirty grains of the White Precipitate with an 
ounce of lard and half an ounce of Sweet Oil is beneficial. 

After each washing of the head the hair should be well oiled to pre- 
vent the skin becoming too dry. Olive or Almond Oil, scented to suit, 
are appropriate for this . 

In old cases with no derangement of the stomach or bowels, three 
drops of Fowler's Solution should be given after each meal. 



512 DISEASES OF THE SKIN. 

Derangement of digestion or other indisposition demands suitable 
treatment. 



PSORIASIS. 

SCALE Y TETTER. 

This is pre-eminently an affection of the male sex; in the case of fe- 
males it is never attended with sexual disorders. It attacks individuals 
between the seventh and fiftieth year, and occurs most frequently in the 
cold season. It cannot be traced to constitutional derangements, since 
persons who are afflicted with this disease, otherwise enjoy the most per- 
fect health. With the appearence of some constitutional disease, the pso- 
riasis disappears at once, but returns again as soon as the disease is re- 
moved. 

Psoriasis begins thus : at various, more or less numerous scattered spots, 
the detached epidermis (skin) forms a small, white rising (psoriasis puncta- 
ta.) These spots gradually spread until they reach the size of drops (psoriasis 
guttata) ; on removing the scales, we find the skin underneath slightly 
red and bleeding. In proportion as the circumference continues to ex- 
pand, the original spot becomes cleansed of its scales, and a ring forms 
surrounding a healthy-looking skin (psoriasis annularis) ; in the further 
progress of the exanthem, this ring opens, loosing its roundness (psoriasis 
gyrata) and finally disappearing altogether. All these stages, or most of 
them, coexist side by side in almost every case of this disease. Psoriasis 
is not attended with itching, or at most only at the commencement, but 
in no case if it has become an inveterate disease. It may remain station- 
ary, though breaking out in new places, or it may intermit in its mani- 
festations for months and even years. 

Among external remedies which are never hurtful and usually effi- 
cient, is the vapor bath, accompanied by frictions with castile soap, or 
brown soap ; cold bathing is of decided benefit, but its effects are not at 
once perceptible. 



SYCOSIS MENTAGRA. 
barber's itch. 

This is exclusively a disease of the male sex. If persons who do riot 
shave are attacked by it, which is a very rare occurrence, its causes are 
very obscure. In cases where the beard is shaved, the eruption may be 
caused by bad or irritating soap or by a dull razor, but is almost always 
the result of shaving by a careless and uncleanly barber, who does not 
properly clean and scald his razor, and, although generally so frightfully 
obstinate, yet may heal spontaneously even without much loss of time; all 
that need be done is to omit shaving the affected parts. Dirt and snuff 
likewise seem to occasion sycosis (barber itch). 

The disease generally sets in, Like herpes labialis (cold blisters), with a 
sensation of burning, heat and tension; most commonly we lirst notice on 



BOTTLE-NOSE. 513 

the chin a small cluster of isolated, red knobs or pimples (tubercles) of a 
pretty large size, each of which is perforated by a hair. Some of these 
tubercles in a few days change to pustules, break and form dark crusts, 
without the infiltration which forms the little tubercle, disappearing 
on that account. In spite of all care, and generally in consequence of con- 
tinued irritation, the number of tubercles increases slowly but uninterrupt- 
edly, the former ones growing larger; the skin upon which they are seated, 
becomes more and more infiltrated; after breaking, the pustules change to 
ulcers. The patients do not complain of much pain, but their ugly appear- 
ance fills them with anxiety. The disease is extremely obstinate and may 
last for years. It is true that it not un frequently abates in severity, and at 
times even disappears altogether ; but it breaks out again with renewed 
fierceness, and in such a case in more than one spot simultaneously. Its 
first appearance is almost always on the chin ; it is here that the disorder 
exists most commonly in its fiercest intensity, but it likewise invades 
every other bearded portion of the face, and in severe cases even the 
eyebrows . 

Fifteen grains of Carbolic Acid to one ounce of Glycerine, applied in 
small quantity after pulling the hair out of the center of each tubercle, 
every day twice after a thorough washing with good soap, is a very cer- 
tain cure. 

ALLOPATHIC TREATMENT. 

Removal of the diseased hair by extraction with a pair of forceps, a 
few at a time, is the first requisite after subduing the inflammation with 
warm poultices. Then the application of an ointment of Carbonate of 
Copper two drams to an ounce of lard will complete the cure. The Ole- 
ate of Mercury : or a solution of Corrosive Sublimate fifteen grains with 
Muriate of Ammonia thirty grains in eight ounces of Distilled Water : 
or a dram of Sulphate of Copper and four drams of Sulphate of Zinc dis- 
solved in a pint of water, are effectual applications. 

The general health and state of the bowels require attention. 

ACNA ROSACEA, GUTTA ROSACEA. 

COPPER-NOSE, BOTTLE-NOSE. 

Acna Rosacea is an exanthem consisting of tubercles with some dis- 
position to suppurate, suppurating tubercles ; and, moreover, of contin- 
ual venous congestion. 

It almost always comraen ces at the tip of the nose, wh ence it spreads over 
the nose and over both cheeks, finally over the forehead and rest of the 
face. First, we notice a spot of small extent, painless, and distinctly tra- 
versed by dilated cutaneous veins. Upon this base single tubercles start 
up, which sometimes suppurate at an early period, but likewise spread in 
size after the pus is discharged. New tubercles keep constantly forming, 
new spots keep constantly breaking out, the skin becomes more and more 
thickened, the veins become more and more varicose, the isolated little 
blotches change to large tubercles, cracks and deep rhagades, and even ulcers 
make their appearance, and the face looks very much disfigured in conse- 

33 



514 DISEASES OF THE SKIN. 

quence of this extreme development of nasal exanthem. At first the 
affection has remissions, but the dark redness never disappears entirely; 
at a later period the disorder keeps growing all the time. 

Abuse of wine and spirits is the cause of the disease in by far the 
larger number of cases ; but it likewise breaks out on individuals of very 
moderate habits, as drinkers. Among women the disease is of rare 
occurrence, and only among drinkers of spirits as a rule, and associated 
with menstrual anomalies. The disease is not often seen previous to the 
twenty-fifth year; its most frequent occurrence is after the fortieth. 
Overheating the system and immoderate drinking are very apt to cause 
a renewed outbreak of the disease. It is exceedingly obstinate, and, in 
its higher grades, is considered incurable. 



HERPES. 

TETTER. 

All forms of herpes (and they are many), are characterized by the for- 
mation of little blisters, clusters of which are seated upon and inflamed' 
red epidermis; the vesicles of one cluster breaking out simultaneously and 
running an acute course. 

HERPES FACIALIS, FACIAL HERPES- 

This form of herpes accompanies a large number of fevers and chronic 
diseases without exerting any specially modifying influences over their 
course ; except in pneumonia where this form of herpes is said to consti- 
tute a decidedly favorable omen. As an independent exanthem it seems 
to manifest itself when indicating the commencement of a catarrhal af- 
fection, provided the catarrhal irritation is not very intense. A first ap- 
pearance predisposes most decidedly to relapses. 

Herpes facialis (cold blisters), most generally breaks out on the lips 
less frequently on the .cheeks, forehead, ears, eyelids. A tension, burning, 
and a marked sensation of swelling are experienced at a certain infiltrated 
spot, where the blisters start up amid slight febrile motions and an un- 
usual feeling of lassitude. In the face they are always of a tolerably large 
size, but there are not many of them clustered together, they incline to run 
into one another; the skin of the spot where they are located does not 
show a very vivid redness; sometimes they are pitted or cleft- They con- 
tain a clear liquid which soon becomes dim and changes to a rather dark 
scurf that soon falls off, leaving for some time a red, somewhat infiltrated 
spot; burning pains likewise remain for some time. A few doses of Rhus 
Tox. will cure this form. 



SHINGLES. 

HERPES ZOSTER, ZONA. 

This form is characterized by the development of clusters of blisters 
(vesicles), of which there are generally several, along the tract of one or 
more spinal nerves, assuming on the trunk the shape of a zone or belt, but 
on the extremities breaking out in a more irregular form. 

Shingles commence almost without exception with rheumatic pains 



RINGWORM. 51o 

in the parts where it is to break out, and is often attended with* great 
lassitude and fever. The preliminary pains are not unfrequently like 
inflammatory pains. With violent and painful burning, an efflorescence 
breaks out, after which pimples without pus arise, next, clusters of vesi- 
cles (blisters) with tendency to run into one another. These vesicles 
remain out for four to six days, after which they change to flat scurfs. 
But as a new cluster may arise after the first, and these succesive crops 
may continue even after the first vesicles are entirely healed, the whole 
process may last even three weeks. It is very seldom the case that scratch- 
ing or the friction of the clothes will cause a superficial ulceration. There 
may be no pain during the continuance, except the slight burning attend- 
ing the successive breaking out of new crops of vesicles ; but the greatest 
distress to the patient is the burning itching which is especially severe in 
bed. After the falling ofT of the crusts all pain is gone, or the peculiar 
itching may perhaps continue for some time, or finally— and this is not by 
any means a rare occurrence — intercostal neuralgia of a very obstinate 
type may set in, apparently the more readily the less scantily the herpes 
was out on the skin. 

HOMOEOPATHIC TREATMENT. 

Mezereum is to be relied on, given four doses daily, six pills at a 
dose. 



RINGWORM. 

HERPES IRIS AND CIRCINNATUS. 

Herpes iris consists of a larger blister which is not unfrequently filled 
with a blood-tinged liquid, and is surrounded by a wreath of smaller vesi- 
cles, around whose external border another and larger wreath may form. 
The course is the same as that of other herpetic vesicles. The affection 
first appears on the dorsa of the feet or hands, spreading on the extensor- 
surfaces from below upwards, and the new clusters of vesicles appearing 
either in the same relative position as the vesicles of herpes generally, or 
else again assuming the form of herpes iris. This form of herpes most 
frequently occurs among women and children. 

Herpes circinnatus which comes out in the same manner as herpes 
iris, is distinguished from the latter by the circumstance that the central 
blister is missing, and that only the wreath of vesicles is present. 

ALLOPATHIC TREATMENT. 

In the treatment of "ringworm'' (herpes circinnatus) simple meas- 
ures generally succeed at once, as the application of a strong solution of 
Nitrate of Silver, from ten grains to a dram to the ounce; an ointment of 
ten grains Acetate of Copper to the ounce of Lard ; a five-percent solution 
of Oleate of Mercury in Oleic Acid containing a dram of Ether to the 
ounce ; a solution of Corrosive Sublimate two grains and upward to the 
ounce of water, or the Sulphur Ointment with from ten to twenty grains 
of Corrosive Sublimate to the ounce ; or Tincture of Iodine, will suffice. 
These applications destroy the parasitic plant which causes the disease. 

In ringworm of the scalp (tinea tonsuraus) the first indication, as in 



516 DISEASES OF THE SKIN. 

ring-worm or scald-head, is the same, to destroy the parasitic plant. This 
is best done by applying a blistering fluid (Blistering Collodeon) remove 
the loosened epedermis, and then apply an ointment made by mixing 
twenty grains of Corrosive Sublimate, or forty grains of White Precipi- 
tate with an ounce of Sulphur Ointment, or some of the mixtures given 
for ring- worm. The scalp should be carefully cleansed every day to re- 
move any loosened scarf-skin which may interfere with the ointment (or 
other application reaching the parasite), and the application made twice 
a day. 

Scrofulous or poorly nourished children will need tonic treatment, as 
a teaspoonful or more of Cod Liver Oil and a teaspoonful of the Com- 
pound Syrup of Hypo-Phosphites daily. 

It is claimed that the continuous use of Soft Soap (Sapo Veridis), 
made with Olive Oil and Potash, will cure the disease in two weeks. 



ECZEMA. 

SALT RHEUM. 

The causes of eczema are either external irritants acting directly 
upon the skin, or else substances that affect this organ through the 
general circulation into which they had been absorbed, or finally 
constitutional influences. Heat, for instance, causes the so-called 
baker's itch; and heat, intense cold, salt-baths, mercurial frictions, 
Croton-oil, etc., a number of medicinal agents taken internally, fat 
food or food giving rise to an unusual deposition of fat, scrofulosis, 
affections of the female organs of generation, varicose veins, and in gen- 
eral all kinds of stoppage in the venous system., and a number of other sim- 
ilar circumstances and influences uniformly occasion eczema. Among 
the direct cutaneous irritants we distinguish : neglect in attending to the 
skin, vermin, friction by the clothes, continued rubbing of a part, for in- 
stance between the thighs when riding on horseback, and by continued 
walking. 

A good example of eczema is obtained by rubbing Croton Oil upon 
the skin. Upon a red surface a number of vesicles (blisters) or pimples 
shoot up which, if carefully guarded, heal in a few days leaving the af- 
fected portion of the skin injected. If the vesicles are not protected, 
if they are scratched or rubbed against by the clothes, they break, and 
crusts form, beneath which, if the irritation continues, the exuda- 
tion continues likewise, or else the exudation may be so copious that no 
crusts can form, in which case the affected part always looks red and moist, 
[f the irritation continues, the eczema spreads to the adjoining parts; 
scratching even communicates it to remote parts ; besides the vesicles, pus- 
tules form likewise. 

zema of the legs (salt-rheum) really depends almost exclusively 
upon varicose veins, more especially upon dilation of the small cutaneous 
veins, whereas the larger vessels may continue in a perfectly normal con- 
dition. This eczema is extremely obstinate, itches most horribly, gener- 
ally exacerbates in the spring and fall, and is a species of eczema rubrum 



SALT RHEUM. 517 

With occasional formation of pustules and an infiltration of the skin that 
makes it look very badly. 

Eczema seldom runs an acute course; the extremely acute form of 
14 eczema universale '' is very rare; on the other hand, it not unfrequently 
commences as an acute exanthem, with slight fever, but very soon as- 
sumes a chronic character. All the different forms of eczema itch more 
or less ; scratching, which it is impossible to avoid, is a main cause of the 
onward spread and the protracted course of the disease. Every kind of 
eczema may heal and does heal spontaneously, provided the chief requi- 
site towards a cure, namely, rest in a lying position and absolute cleanli- 
ness is attended to. Eczema of the leg and scrotum give the least hope 
of a cure. 

ALLOPATHIC TREATMENT. 

In an acute attack of Eczema in a person of robust constitution, the 
bowels ought to be briskly moved. Ten grains of Calomel, followed after 
six hours, by a dessert to a tablespoonful of Epsom Salts, or Citrate of 
Magnesia, or a double Seidlitz Powder. This should be followed by ten 
to fifteen grain doses of Citrate of Potash or Cream of Tartar in Lemon- 
ade, a sixth of a grain of Tartar Emetic should be added to each dose, and 
given from two to four hours apart. 

If the patient is not strong, Calomel should not be given, but a saline 
laxative of a dessert to a tablespoonful of Epsom Salts or Citrate of Mag- 
nesia, or a Seidlitz Powder. This should be followed by Cream of Tartar 
in doses of ten to twenty grains, in Lemonade, from two to four hours 
apart. 

The eruption should be poulticed with flaxseed meal or slippery elm 
spread thin between very thin layers of muslin or soft linen dipped in 
warm water, spread over the eruption, and covered with oiled muslin. 

When there is much burning, the following powder, sprinkled on the 
eruption, before the poultice is put on, is useful : Take Camphor half a 
dram, Ether a sufficient quantity to powder the Camphor, four drams 
each of Oxide of Zinc and Starch. Mix. 

Old chronic cases of this disease are known as Salt Rheum. The 
crusts should be softened by poulticing with Flaxseed meal or Powdered 
Slippery Elm, until they can be easily removed. 

After the crusts are removed and the surface carefully dried, the Ben- 
zoated Oxide of Zinc Ointment should be applied constantly, and all irri- 
tating applications cease, though an occasional cleansing may be neces- 
sary. If the secretion does not disappear, or greatly diminish, one of the 
best applications which can be made is a dram of Tannin dissolved in an 
ounce of Glycerine. The ointment may be used again a short time after 
the Tannin and Glycerine are used. 

Tonics will be needed, and the principal ones are Quinine, Iron, Ar- 
senic and Cod Liver Oil. The Cod Liver Oil may be given in doses of a 
teaspoonful three or four times a day. The Citrate of Iron and Qinine in 
two to five grain doses, three times a day ; it should be dissolved in Syrup 
of Ginger or Orange Flower Water. These are particularly indicated if 
the patient is in poor health, with impoverished blood. All chronic cases 



518 DISEASES OF THE SKIN. 

are benefited by Arsenic. It should be given as Fowler's Solution, in 
doses of three to six drops, after meals. It can be combined with the Ci- 
trate of Iron and Quinine, as in the following formula : Take of Citrate 
of Iron and Quinine a dram and a half, Syrup of Ginger or Orange Flow- 
er Water four ounces, add Fowler's Solution a dram and a half. 
Bone : A teaspoonful, three times a day. 



BOIL. 

FERUNCULUS— ABSCESSUS NUCLEATUS. 

Diagnosis.— Round or rather cone-shaped hard elevations of different 
sizes slowly inflaming and suppurating, discharging matter generally at 
first, tinged with blood, but still retaining a portion of morbidly-altered 
cellular tissue, which may form the nucleus of other elevations after those 
which appeared first have healed. 

These sores yield readily to internal treatment and without pain, while 
the treatment with drawing salves is often distressingly painful. No ex- 
ternal application need be used, but as soon as the parts begin to look red 
and cause pain we give Arnica every two to four hours. If the swelling 
still increases and a small spot of pus has already made its appearance, 
give Arnica and Hepar Snl. in alternation every two to four hours. If 
the tumor has been allowed to go on so long that pus has formed deep in, 
the sore has become very painful and still does not discharge, but fluctu- 
ates on sudden pressure, an incision may be made with a lancet, after 
which the pain will cease and the pus run out. 

Poultices of bread and milk or kindred substances should not be ap- 
plied too soon, lest the natural development of the tumor should be inter- 
fered with. This is the reason why many persons are afiiicted with fresh 
boils, every six to eight weeks ; the acrid matter is not permitted to be 
fully expelled from the organism. 

Pork and fat food must be avoided by those who are the subjects of 
such sores. A single small dose of Sulphur allowed to act for months will 
entirely eradicate the tendency to boils. 

ALLOPATHIC TREATMENT. 

The maturity of a boil may be hastened by poulticing with Flaxseed 
meal, or powdered Slippery Elm, when it may be allowed to break and 
run out into a poultice. Water dressings covered with oiled muslin may 
be used instead. 

Boils which contain pus, and do not come to a head, should be opened. 
Boils occurring singly, or in crops which do not soon suppurate, but re- 
main hard may be made to disappear by brushing them over with Tinc- 
ture of Iodine, sometimes crops of them may be suppressed by early re- 
sorting to this. 

When boils occur in successive crops, it is probable, poultices will in- 
duce their farther development, and should not be used if this appears to 
be the case. But if they are painful a poultice made, having incorporated 
in it stramonium (Jamestown weed), or Tobacco, or that has Laudanum, 
or Fluid Extract ofJBelladonna poured upon its surface. A plegget of 



CARBUNCLES. 519 

cotton saturated with equal parts of Carbolic and Glycerine with or with- 
out one half part of Fluid Extract of Belladonna placed over a group of 
boils is often effectual in relieving the pain. Soap plaster is a good appli- 
cation for these groups of boils, but after they open Rosin plaster should 
be used. The diet should be plain and nutritious. 

Occasionally a boil can be aborted by touching the inflammed pimple 
with the Acid N"itrate of Mercury, or the solid stick of Nitrate of Silver. 

The system of persons having boils requires supporting. For this pur- 
pose, Quinine and Iron should be given. The former may be given in 
Sugar coated pills (Warner's;, in doses of from two to six grains three 
times a day. When ringing of the ears is produced, the dose should be 
decreased. The latter may be given with Chlorate of Potash. Dissolve 
four drams of Clilorate of Potash in four ounces of boiling water, add 
three and a half ounces of Simple Syrup, and half an ounce of Tincture of 
the Chloride of Iron. Dose a tablespoonful three times a day. If the case 
does not improve, Iron and Arsenic may be given instead of Iron and 
Chlorate of Potash. Take of the Citrate of Iron and Ammonia two drams, 
Fowler's Solution eighty minims, Simple Syrup one ounce, Anise water 
sufficient to make eight ounces. Dose a dessertspoonful three times a 
day. A tenth of a grain of the Sulphide of Calcicum given hourly, is 
claimed to prevent the recurring crops of boils. Sometimes a trip into the 
country is necessary for their cure. 



CARBUNCLE. 

Anthrax. Ferunculus Malignans. Pastula Nigra. 
Diagnosis. — A livid, bluish, or black spot upon an extended surface 
extremely painful, readily running to gangrene, and proving fatal, occa- 
sionally, from the extension of mortification. The disease is attended by 
headache, thirst, foul tongue, sickness, loathing of food, languor, jactita- 
tion (trembling) and sleeplessness. 

ALLOPATHIC TREATMENT. 

Carbuncles should be early cut through to their base by a crucial (+ ) 
incision and dressed with a flaxseed meal poultice or the mixture of Car- 
bolic Acid one part, and Glycerine two parts. After the slough comes 
away the ulcer may be washed with a solution of Carbolic Acid one dram 
in five ounces of water, or oiled with Olive Oil or Glycerine containing 
twelve drops of Carbolic Acid to the ounce. 

The internal treatment is the same as recommended for boils. The 
diet should be plain and nutritious, as lean meat, milk, eggs, and simple 
starchy articles of food. 

HOMCEOPATHIC TREATMENT. 

The best remedies in this affection are in the order of their names: 
Ars., Silicea, Mercurius. 

Arsenicum is, by all means, the most efficacious remedy, and the 
more especially so if gangrene is approaching or has appeared. 

Silicea. When administered, in the beginning, in simple carbuncle 
is frequently found sufficient to effect a perfect cure. 



520 DISEASES OF THE SKIN. 

Mercurius. Pain worse at night, attended with copious sweats 
which give no relief. If the strength is greatly reduced by the loss of 
blood, etc., China, three doses a day for a week, will greatly assist nature. 



FAVUS. 

HONEY-COMB TETTER, SCALD-HEAD. 

This cutaneous affection is characterised by the accumulation of mul- 
titudes of fungi around the roots of the hairs, hence their exclusive ap- 
pearance on the hairy portions of the skin. 

Favus is a disease of the lower classes. It only attacks individuals 
who pay no sort of attention to cleanliness. In other respects such indi- 
viduals may either enjoy the most perfect health, or else be of sickly and 
cachectic constitutions ; favus may attack either sex This exanthem 
can be transferred to other persons by hats, caps and other head-gear, 
likewise by sleeping in the same bed; it has likewise been transmitted 
purposely from one individual to another. 

A single favus-efflorescence has its origin in the orifice of a small 
gland in the form of a small, imbedded, not painful papule, which is 
perforated by the hair and keeps constantly increasing in breadth and 
height, until the characteristic crust finally arises from it. This crust 
has the shape of a dish, with a rounded central depression and round 
elevated borders ; it has a yellowish or gray tint, without any exudation 
underneath, and has a peculiar odor. 

The consequences of favus are : Partial atrophy of the skin in 
consequence of the crusts being imbedded in it ; eczema occasioned 
by the scratching ; destruction of the hair on the affected parts ; 
on the other hand, this disorder has no influence upon the 
general state of the constitution. The disease runs a very chronic course 
yet spontaneous cures occur, although very tardily and not without cor- 
responding modifications in the hygienic circumstances of the patients. 

According to what we have stated concerning the history of the dis- 
ease, we deem an internal treatment of it useless andfineffectual. This 
can only be cured by removing the crusts in which the fungi are imbed- 
ded, and by preventing their return. The surest means of accomplishing 
this result, is care and cleanliness. The removal of the crusts is secured 
by softening them with oil, and afterwards removing them together with 
the perforating hair. This is a very tedious, but sure undertaking. Every 
sickly-looking hair has to be pulled out singly, for the reason that the dis- 
ease has already invaded the soil in which it grows. 

Dr. Hole of Chicago says this eruption is treated witli success in some 
cases by means of Iris versicolor ; a cerate is applied to the scalp, and a few 
drops of the tincture, even as many as twenty, in half a tumblerful of 
water given internally, in teaspoonful doses, three or four times a day. 

ALLOPATHIC TREATMENT. 
In this disease (Scald-head— Favus) as in ringworm and tine-a-tonsur- 
ans and barber's itch, the object of treatment is to destroy the parasitic 
plant occasioning the disease. The crusts may be got rid of by poultices 



SCABIES— ITCH. 521 

or preferably by constantly applying a mixture of equal parts of Sulphur- 
ous Acid and Glycerine. A piece of lint may be saturated with 
the mixture, laid over the part and then covered with oiled muslin. This 
same mixture may complete the cure, or a solution of Corrosive Sublimate 
five to ten grains to the ounce may be used. 

The hair must be pulled out in the affected part and for a little space 
around it. The cure is now easy, but without which is almost impos- 
sible. 

The food should be good. Two to five grains of the Soluble Citrate of 
Iron and Quinine may be given three times a day. After the cure is 
complete the occasional application of the Oleate of Mercury should be 
made, or a hair pomade used, with which has been mixed five grains of 
Corrosive Sublimate to the ounce : Take of Corrosive Sublimate five 
grains, Simple Ointment an ounce, Ottar of Roses three or four drops . 
Mix and use for a hair pomade. 



ITCH. 

SCABIES. 

This contagious, inflammatory affection of the skin, is characterized 
by an eruption of pointed vesicles, transparent at the summit, and filled 
with a viscid and serous fluid, in which lives a very small insect. These 
are subsequently mixed with, or terminate in, pustules. With the excep- 
tion of the face, they appear in every part of the body, but much more 
frequently and abundantly about the wrists, between the fingers, and at 
the bend of the joints, etc., and. are accompanied by incessant and almost 
insuperable itching, without fever. There are several varieties of the 
disorder, but it is often very difficult to distinguish their characteristic 
differences . 

EXTERNAL TREATMENT. 

The local application of Sulphur, either in the form of lotion or oint- 
ment, should be used. 

The above method of treatment, combined with the free and frequent 
use of soap and water, undoubtedly suffices, in mild and recent cases, to 
remove this troublesome affection; but as in those of longer standing it 
may be found inadequate to destroy the mites which have now been 
clearly demonstrated to be the cause (not the result) of the disease, the 
following course of treatment should be adopted, and will usually succeed 
in accomplishing a speedy and permanent cure: Let the patient be 
placed in a hot bath, and the hands, wrists, and other affected parts be 
well rubbed with fine sand (or a sand ball), for the purpose of tearing 
open the passages and cells where the vermin have burrowed and located 
themselves. In persons of tender or delicate skins, brisk rubbing with a 
coarse towel, after the bath, may be sufficient to effect the required ob- 
ject; but the use of fine sand, or pounded chalk, is to be preferred. When 
the patient has been dried, all the affected parts should then be well rubbed 
with a lotion made of Olive or Almond Oil and a few drops of some essen- 
tial oil, thus : 

To two tablespoonsful of Almond-oil add twenty drops of Oil of Sassa- 
fras. 



522 DISEASE3 OF THE SKIN. 

The rubbing in, and, if needful, in inveterate cases, the hot bath and 
frictions, should be repeated every three days for a fortnight or so, or un- 
til the cure is complete. When, as is sometimes the case in certain habits, 
boils are associated with itch, and continue to break out for some time 
after the removal of the latter, the remedies prescribed in the article on 
Boils should be had recourse to. 

The sudden suppression, by external means, of some of the eruptions 
which have been mistaken for or occasionally follow, or have been devel- 
oped during the existence of inveterate itch, has, undoutedly, as not 
unfrequently happens in other chronic eruptions, been repeatedly attend- 
ed with serious consequences. 

ALLOPATHIC TREATMENT. 

The remedy for scabies itch, is Sulphur upon going to bed. The body 
should be rubbed well with soft soap and a little warm water for fifteen 
or twenty minutes, then a warm bath for thirty minutes or more, then 
an Ointment Compound of two parts Sulphur, one part Carbonate of Pot- 
ash, and twelve parts lard should be thoroughly rubbed over the whole body, 
especially, to the affected parts. The patient may bathe the next morning. 
This treatment should be repeated for three separate nights. A Solution 
of Sulphate of Copper— one ounce to the pint— may be used after the bath- 
ing, instead of the Sulphur Ointment Clothes should be exposed to the 
fumes of burning Sulphur (Sulphurous Acid Gas). 



ABSCESS. 

PSOUS-PSOITIS. 

(Lat. Abscedere, to separate), a collection of pus in a circumscribed 
cavity. 

The causes of abscess are often involved in obscurity, excessive exer- 
tions, a cold, rheumatism, mechanical injuries, caries of the bones, may 
be mentioned as probable causes. The name is given to collections of 
pus in some of the naturally existing cavities of the body. Of these we 
do not propose to treat in this article. 

An abscess may be acute or chronic according to the character of 
the inflammation which produces it. The formation of an acute abscess 
is ushered in by a sudden or else rapidly increasing violent pain which 
it is difficult to define. It often radiates upwards or downwards, and 
soon produces a stiffness which materially interferes with the natural 
motions of the adjacent parts, the pain is generally, not always, of a 
throbbing character, and soon shows redness of the surface, if not too 
deeply seated ; swelling and violent fever is mostly present, attended 
with increase in the pulse very marked. Pus forms rapidly, and is 
often so profuse in quantity as to indicate its first appearance by a 
succession of chills, distinct or suddenly following each other, called 
creeping chills, known by the sensation of " little chills playing tag up 
the patient's back." The fully-formed abscess can be reabsorbed, which 
is, however, rarely the case. When the pus has formed in consider- 



ABSCESS. 523 

able quantity near the surface, its presence may be readily discovered 
by the feeling of ''fluctuation" produced by placing the fingers of 
one hand on one side of the swelling, and with those of the other giv- 
ing a smart tap on the opposite side. If the cavity formed, and con- 
taining the pus is very deeply seated, it often baffles the skill of the 
most experienced surgeon to determine its presence and exact location. 
The pus usually tends towards the surface which it reaches by a grad- 
ual thinning of the intervening tissues; but if these be very resisting 
it may travel in other directions, possibly to break into some of the 
natural cavities, lungs or abdominal cavity, when it will be likely to 
result in death. 

It is in these cases that an early incision by the surgeon is espe. 
cially called for before "pointing" has taken place. In chronic 
abscess the paii?, redness, fever, and increased temperature of the 
parts, may be absent, and for this reason it is, also, commonly known 
as cold abscess. In most cases, its progress is slow, and it may remain 
for a long time without any increase in size, or any tendency to open 
through the skin. Usually, it is necessary to open it ; this may be 
done by simply cutting directly into the cavity. 

Treatment is not surgical, except so far as the necessary slight 
amount of cutting into the cavity. In the first place, we have to try 
to scatter the inflammation before suppuration sets in, even if this 
cannot be accomplished in all cases, it is at all events certain that the 
spread of the inflammation may be prevented by appropriate treatment. 
The following is the best: 

ALLOPATHIC TREATMENT. 

Ulcers will be benefited by some of the following applications: Ten 
or twenty drops of Carbolic Acid in Glycerine, sometimes half a dram to a 
dram of Tannin should be added : a strong Solution of N it-rate of Silver 
— forty grains to the ounce — or the solid Stick ; a Solution of Sulphate of 
Copper, three to ten grains to the ounce : Powdered Iodoform dusted over 
the ulcer, is an excellent application, as is pure Solicylic Acid. An Alum 
Curd (Alum dissolved in white of an egg) may be used, or if it prove in- 
effectual the surface may be dusted with powdered burnt Alum. 

HOMCEOPATHIC TREATMENT. 

Bell, especially if the fever is accompanied by copious perspira- 
tion, and every motion aggravates the pain extremely. 

Rhus should be given if the fever consists of a burning, dry heat, 
with intense thirst, if the trouble seems to have originated in a cold, and 
the pains are worse at night, and when the patient is lying down, or 
at rest. 

If these two remedies do not effect an improvement, and the fever is 
mingled with chilly creepings, the pulse becomes very much accelerated, 
and the skin is at times very hot, and at other times drenched with per- 
spiration, we should at once give Mercurius, which is the only remedy 
that can at this stage arrest suppuration, if such a result can be accom- 
plished at all. 



524 DISEASES OF THE SKIN. 

If an abscess forms, we give Hepar Sulph. in order to promote the 
suppuration, for the main point now is to evacuate the pus as rapidly as 
possible, and by this means to heal the sore as soon as the pus is dis- 
charged, 

If the opening becomes fistulous, we must be prepared for a very 
tardy recovery. 

Sulphur is especially suited for chronic abscess, and for a tendency 
to suppuration, depending on a scrofulous constitution, when the pains 
are stinging in their character, and the pus of a healthy color. 



WHITLOW OR FELON. 

Is so well known that no dsecription is 'needed. As soon as it is sus- 
pected that one is beginning to appear on the finger, remove the kind of 
skin lining from the inside of an egg shell in as long a strip as you can 
and rap tightly around the affected finger. This will, if used in time, stop 
the further progress of the disease, but is painful. If it has gone on until 
pus is already formed, the lance applied clear to, and a little way along the 
bone at the seat of pain, being careful that the knife does not cut across 
any muscle. After it is lanced apply poultices. Among the best of which 
is a linen pad t saturated with cold water, frequently removed and covered 
closely with a piece of oiled silk, bladder or similar substance. 

ALLOPATHIC TREATMENT. 

The earlier the periosteum (membrane covering the affected bone) is 
divided with the knife, the sooner will the patient have relief. Saving 
the bone depends on the promptness of this measure, and serious difficul- 
ty is prevented by early resorting to it. Subsequent dressings are the same 
as for Carbuncles or Boils. 



CHILBLAINS. 

EXTERNAL TREATMENT. 

Tincture of Arnica may in many cases be advantageously applied 
externally to the parts affected simultaneously with the internal exhibi- 
tion of the same medicine, in repeated doses. 

Application: To five parts of water add one of the concentrated 
Tincture of Arnica, and bathe the parts freely with this lotion, three 
times a clay. 

Tincture of cantiiarides. In recent chilblains, induced by ex- 
posure to intense cold, this remedy may be applied externally with great 
success. It operates against the formation of vesicles or blisters, and aids 
in subduing the congestive action. 

Application : Add four drops of the tincture, to two tablespoonsful of 
water, and bathe the parts with the lotion three times a day. 

Tincture of Costicum is to be preferred to either of the foregoing, 
for broken chilblains of old standing, and for those cases in which the ul- 
ceiation has eaten deeply into the flesh. 

Application: Add four drops of the Tincture to two tablespoonsful 
of water, and apply the lotion as directed for Cantharides. 



FROZEN LIMBS.— CORNS. 525 

ALLOPATHIC TREATMENT. 

Useful applications for Chilblains are: Take of Carbolic Acid a dram, 
Simple Ointment (or Lard) two ounces. Mix for an ointment; the sur- 
face may be painted with Tincture of Iodine. 

Equal parts of Turpentine and Chloroform will give relief. 



FROZEN LIMBS. 

Application of Snow. In slight cases of "Frozen Fingers," or other 
limbs, or portions of the body, the well-known practice of applying snow 
to the affected parts, is beneficial. 

Camphor {Saturated Tincture). When Snow cannot be procured, 
this is a valuable substitute. For young children this is more particularly 
applicable, especially, when the face is the seat of the injury. 

Application : To five parts of Spirits of Wine add one of the Tincture 
of Camphor, and bathe the parts with this lotion freely twice a 
day. 

Acidum-nitricum is a most efficient remedy in severer cases, both 
for internal and external exhibition. 

Dose: Of a solution of six pills to the wine-glassful of water, give a 
teaspoonf ul every three hours. 

Acidum-nitricum (externally— second dilution). This remedy may 
simultaneously with its internal administration, be applied externally. 

Application : Add four drops of the Tincture, at the second dilution, 
to two tablespoonsf ul of water, and bathe the parts with this lotion 
three times a day. If convenient, it were preferable to saturate a 
piece of linen rag with the lotion, and to apply it to the frost-bitten 
part, covering the whole over with oiled silk. 

Diet and Regimen. Plain, wholesome, nutritious, but unstimulat- 
ing diet ; a sufficiency of active exercise in the open air ; free ventilation ; 
frequent change of linen; the free use of cold water. 



CORNS. 

That these troublesome excrescences not unfrequently arise from an 
inherent vice of constitution, is evident, from the fact of many individu- 
als who wear tight boots and shoes (unquestionably the principal exciting 
cause) escaping them, while others, with every precaution, suffer severely ; 
such being the case, the main object must be, by a course of properly-se- 
lected internal remedies, to eradicate the predisposing cause or condition. 
palliative treatment. 

Great alleviation of suffering has been found to result from bathing 
the feet in warm water, and from subsequently resorting to the following 
application : 

Tincture of Arnica. A lotion composed of a week solution, should 
be employed, the corn after it has been previously soaked in warm water, 
after being pared down with great care. The skillful reduction of the corn 
by an experienced operator, may likewise be mentioned as a ready and 
prom pt palliative treatment. 

Equal parts Spirits Ammonia and lemon juice applied twice daily afte r 
thoroughly soaking the feet in warm water is excellent. 



526 ACUTE CONTAGIOUS DISEASES. 



F*art Twelfth. 



CONSTITUTIONAL DISEASES. 



CHAPTER XXVIII. 



ACUTE CONTAGIOUS DISEASES. 
MEASLES. 

MORBILEI. 

Measles attack individuals of ev # ery age and sex, but least frequently 
very old people and infants. Inasmuch as almost everybody has an at- 
tack of measles in his early youth, they are on this account seldom met 
with among old people. One attack of measles generally protects per- 
sons against a second one ; exceptions, however, are not very rare, al- 
though it behooves us to guard against mistaking roseola for measles. 

The ordinary season for measles are the months when catarrhs are 
common, from October till April. 

Symptoms a:nd Course. The incubation-period of the measle-con- 
tagium, until the efflorescences break out upon the skin, is eleven or at 
most twelve days. The general health does not seem in the least dis- 
turbed in the first eight to nine days of this period, definite preliminary 
symptoms show themselves in the last two or three days. These prelim- 
inary signs are falsely said to have been noticed at an earlier period ; but 
as catarrhal affections are very prevalent during epidemic measles, it is 
very likely that purely catarrhal symptoms have been mistaken for the 
prodromi (premonitory symptoms) of measles. The prodromi proper 
begin with a slight catarrh of the nose, lassitude and some fever. This 
fever increases considerably on the second day, frontal headache super- 
venes, the eyes look red, are sensitive to the light, out the conjunctiva is 
seldom puffed up. On the third day there is another increase of fever, 
the patients feel unable to sit up, the tongue is thickly coated, the appe- 
tit< none, and in the night from the third to the fourth day, immedi- 
ately previous to the appearance of the exanthem, a hoarse, barking 
cough sets in resembling croup, which, however, is scarcely ever at- 
tended with the danger that generally characterizes croup, and never 
changes to true croup. These symptoms may increase to a considerable 
degree of intensity, may be associated with vomiting, delirium, sopor; at 
linns, however, they are entirely wanting or so slight that it is not deem- 
ed necessary to confine children to the room. This is the reason why 
tic measles spread so rapidly through the schools, for it is on the day pre- 
vious to the breaking out of the measles that the infectious principle is 
most active, and that the measles are most easily communicated. We 



MEASLES. 527 

account for this circumstance by the fact that in the last twenty-four to 
twelve hours previous to the appearance of the exanthem upon the skin, 
distinct, lentil-sized measle-spots are perceived, in almost every case, on 
the sides of the fauces. Without doubt, it is the extension of these spots 
to the larynx and trachea that causes the peculiar croupy cough, and we 
have always considered it an excellent diagnostic sign to find this cough 
associated with red spots on the palate, in which case we were able to 
positively predict the appearance of the eruption within twenty-four 
hours. In other respects the prodromi have no distinctive peculiarity 
from which the character of the exanthem might be inferred ; it can at 
most only be suspected after several cases had already occurred in the 
place, or in its immediate vicinity. 

The measle-exanthem breaks out gradually, in one case more rapidly 
than another. The first spots always show themselves in the face, most 
commonly on the cheeks and temples. They are of the same size of a 
bright redness and with rather sharp outlines ; after being out for a short 
time, they become somewhat raised above the skin and harder. With 
more or less speed, generally within twenty-four to thirty-six hours, the 
exanthem comes out over the whole body from above downwards, and is 
fully out in forty-eight to sixty hours, so that no new spots appear; up to 
that time, new spots had continued to break out in addition to the first 
spots that were more or less scattered and isolated. The spots keep grow- 
ing in size to such an extent that some of them run together, and the nor- 
mal skin, in the place of spots, exhibits here and there irregular red 
patches. 

In proportion as the exanthem comes out more profusely, its color 
generally grows darker, sometimes with a bluish tint. With the fuller 
development of the eruption the constitutional symptoms most common- 
ly increase in intensity. The catarrh of the conjunctiva and the cough, 
especially, grow much worse. The pulse sometimes increases to one 
hundred and forty beats . .Sometimes the skin is dry, but at other times 
covered with perspiration. In very rare cases the constitutional equilib- 
rium remains undisturbed, even during the eruptive stage ; however, in 
every considerable epidemic a child with measles is occasionally seen run- 
ning about the streets. 

If the exanthem runs a mild course, its decrease commences at the 
end of the third day, seldom before this time, and continues with great 
rapidity until the eruption has entirely disappeared. The spots grow 
smaller, assume a distinctly yellowish tint, which is especially marked on 
pressure with the finger, and within twelve to twenty-four hours the 
spots have completed their disappearance without leaving a vestige of 
their existence. Very frequently, however, the yellowish tint remains 
for several days. The fever declines very speedily, but the bronchial ca- 
tarrh most generally continues for a few days longer, and resolution, 
sometimes does not take place until a considerable quantity of mucus has 
formed. Not unfrequently the patient is, at this period, attacked with 
diarrhoea for one or two days. Profuse perspiration is not the rule, but is 
not by any means an unusual occurrence. 

Desquamation (peeling off) commonly commences on the seventh day 
but may delay until the fourteenth. The skin comes off in bran-shaped 



528 ACUTE CONTAGIOUS DISEASES. 

scales, very seldom in larger patches ; in the face and on the extremities 
the desquamation is most distinct. During this period, the general health 
is generally good ; except that the bronchial catarrh and still less fre- 
quently the diarrhoea may continue to some extent. 

Among the malignant deviations we name the following : 

The spots, when first coming out, are of a pale-red color which do 
not increase in intensity, nor does it acquire the yellowish tint. Within 
the spots hemorrhagic appearances are manifested, and between the spots 
ecchymoses are noticed. The spots fade away soon after their appearance, 
or else they fade very suddenly at the regular period or before. 

In the case of children the pulse exceeds 140 beats, and in the case of 
adults 120 beats ; moreover it is a small pulse. The tongue is dry. An- 
gina tonsillaris. Diphtheritic membranes form in the buccal cavity. 
The respiration becomes hurried and superficial. Sopor and delirium 
after the second day of the eruption. 

Of great importance are certain complications of measles, that are 
very apt to occur and which were formerly regarded as metastases, because 
the exanthem disappears with the appearance of these complications. 
Laryngitis with croupous exudation is of rare occurrence while the exan- 
them is still out ; it is more commonly met with after the exanthem has 
left the skin. A slight bronchitis is an accompaniment of every case of 
measles ; it only assumes a dangerous character, if it continues beyond the 
stage of decline, or reappears again during the stage of desquamation, or 
otherwise assumes a very acute form. It is very apt to run into an exceed- 
ingly obstinate chronic catarrh. 

Enteritis (inflammation of the bowels) is a rather frequent complica- 
tion in some epidemics ; it excites legitimate apprehensions, for the rea- 
son that other consecutive diseases, more particularly scrofulosis, are apt 
to follow in its train. Affections of the brain are rare ; their intensity is 
rarely such as to excite apprehensions ; the supervention of sopor is a bad 
sign, because it may usher in a fatal general paralysis. 

Of the highest importance are likewise the numerous and always ob- 
stinate sequelaB (result of the diseases) of the measles, which make this 
exanthem one of the most malignant, whereas, its ordinary normal course 
and character entitle it to be regarded as one of the most harmless. 
Among these sequelae we distinguish : 

Chronic conjunctivitis (inflammation of the eyes), with impaired vis- 
ion ; chronic ostitis, with deafness ; chronic ozaena; chronic inflammation 
of the lymphatic glands, mostly without suppuration ; chronic inflam- 
mation of the parotid and submaxillary glands. 

Chronic bronchial catarrh, which gives rise to a peculiar spasmodic 
cough; or real whooping-cough which is much more severe as a sequela 
of measles than when setting in at other periods, and which very often 
developes a most dangerous pneumonia. 

After measles, children arc very frequently attacked with scrofulous 
symptoms. It ig very likely that, in the cast; of little children, the mea- 
-!' - simply net as an exciting causeof scrofulosis; but it is likewise among 
larger children that, after an attack of measles, all sorts of phenomena 



MEASLES. 529 

make their appearance, which we are in the habit of designating as scrof- 
ulous, and which go to show that a morbid change has been impressed 
upon the whole activity of the organism. 

Tuberculosis (consumption) likewise frequently breaks out after 
meals. 

ALLOPATHIC TREATMENT. 

In mild cases of uncomplicated measles the treatment will consist of 
good hygiene and the relief of such symptoms as annoy or give trouble. 

The patient should be in a large well ventilated but somewhat dar- 
kened room, with a temperature which will be comfortable for attendants 
to sit in— 68° or 70°— and should be uniform day and night. Such a tem- 
perature is comfortable and in it there is no danger of taking cold from 
temporary or accidental uncovering of the patient. 

The diet should be light and simple, consisting of milk or milk and 
water, raw eggs beaten up with sugar and water, gruel, toast, and such 
other farinaceous articles as the patient desires. Any simple drinks, cold 
water, lemon- or orangeade, gum- barley- or ricewater, flaxseed tea, etc., 
may be allowed as freely as desired. 

Emetics and cathartics are not to be given, but if the bowels have 
not moved for a couple of days, an injection of warm water or a laxative 
dose of Castor Oil (a dessertspoonful) or Citrate of Magnesia (a teaspoonful 
to a dessertspoonful for older children.) The injection is to be preferred 
on account of the irritable state of the bowels. 

Remedies are indicated for the relief of bronchitis and cough or rest- 
lessness. Opium and Hyoscyamus are best suited for this. From five to 
ten grains of Dover's Powder with half a grain of the solid Extract of 
Hyoscyamus or fifteen to twenty drops of Laudanum with an equal 
quantity of Fluid Extract of Hyoscyamus may be given from two to six 
times in the twenty-four hours. For children opiates may be given as 
directed for bronchitis or pneumonia. Owing to the danger from severe 
bronchitis or pneumonia it is best in severe cases to have an oiled muslin 
jacket worn over a flannel shirt. 

A malignant form of the disease will require tonics and stimulants. 
Of these Quinine may be given in doses of half a grain to three grains, 
three to six times a day. If the pulse is weak Carbonate of Ammonia 
in doses of one to ten grains in half a teaspoonful to a tablespoonful of 
Spirits Mendereces two to six hours apart. Brandy is similarly indicated 
and should be given in liquid food in doses of half a teaspoonful to a 
tablespoonful, or more, according to the age of the patient and severity of 
the symptoms of prostration, and may be given from three or four times 
a day to hourly. 

For high fever, with a strong bounding pulse, no remedy acts better 
than Aconite. A drop of the Tincture can be given to an adult every 
hour until an impression is made on the fever, and then at longer inter- 
vals to maintain the effect. When the eruption is especially irritating 
much relief will be afforded by oiling the skin as in scarlet fever. 

Complications of any kind should be treated as directed for the spe- 
cial diseases, bearing in mind that supporting treatment onlv is appropri- 

34 



530 ACUTE CONTAGIOUS DISEASES. 

ate for serious complications. The precautions directed by the New York 
Board of Health against the spread of Scarlet Fever and Measles should 
be observed. 

An unusually high fever, when there is no sweating, will be benefited 
by a cool sponge bath or wet pack. 

Sleeplessness, which is not relieved by the Opium or Opium and Hyos- 
cyamus given for cough, may be relieved by giving to an adult twenty 
grains each of Chloral Hydrate and Bromide of Potassium in syrup and 
water in one dose at bed time. 

The Health Board of New York enforce the following Sanitary Regu- 
lations against Scarlet Fever and Measles : 

"Care of Patients. —The patient should be placed in a seperate 
room, and no person except the physician, nurse, or mother, allowed to 
enter the room, or to touch the bedding or clothing used in the sick room, 
until they have been thoroughly disinfected. 

"Infected Articles. — All clothing, bedding, or other articles not 
absolutely necessary for the use of the patient, should be removed from 
the sick room. Articles used about the patient, such as sheets, pillow 
cases, blankets, or clothes, must not be removed from the sick room until 
they have been disinfected, by placing them in a tub with the following- 
disinfecting fluid : eight ounces of Sulphate of Zinc, one ounce of Carbolic 
Acid, three gallons of water. 

"They should be soaked in this fluid for at least one hour, and then 
placed in boiling water for washing. 

"A piece of muslin one foot square, should be dipped in the same so- 
lution and suspended in the sick room constantly, and the same should be 
done in the hall way adjoining the sick room. 

"Feather beds and pillows, hair pillows and mattresses, and flannels 
or wollen goods, require fumigation, and should not be removed from the 
sick room until this has been done. AVhenever the patient is removed 
from the sick room inform the Bureau of Sanitary Inspection when the 
disinfecting corps will, as soon as possible thereafter, perform the work of 
fumigation . 

"All vessels used for receiving the discharges of patients, should have 
some of the same disinfecting fluid constantly therein, and immediately 
after use by the patient, be emptied and cleansed with boiling water. 
AVater closets and privies should also be disinfected daily with the same 
fluid, or a Solution of Chloride of Iron, one pound to the gallon of water, 
adding one or two ounces of Carbolic Acid. 

"All straw beds should be burned, but must not be removed from the 
sick room without a permit from this department. They will be removed 
by the disinfecting corps. 

"It is advised not to use handkerchiefs about the patient, but rather 
soft rags for cleansing the nostrils and mouth, which should be immedia- 
tely thereafter burned. 

"The ceilings and side walls of the sick room after removal of the pa- 
tient, should be thoroughly cleaned and lime-washed, and the wood-work 
and floor thoroughly scrubbed with soap and water. 

"As a fumigating, antiseptic, and disinfectant, Chlorine Gas stands 
unrivaled. The ingredients used in its production should be in glass or 



MEASLES. 531 

earthen deep dishes or saucers placed in the higher parts of the room. The 
Gas will descend, being heavier than the air, and becomes mixed with sur- 
rounding air. The following articles are used for its production : One 
part of common Salt mixed with one part Black Oxide of Manganese, and 
placed in shallow earthen vessels ; two parts Sulphuric Acid previously 
diluted with two parts by measure of water, is then to be pourd over it 
and the whole stirred with a stick. The room with the infected articles, 
should be then shut up tightly, and remain closed for several days. The 
cleaning, scrubbing, and white washing can then follow. 

HOMCEOPATHIC TREATMENT. 

Aconite,— which is particularly indicated when the fever assumes an 
inflammatory form, attended with dry heat of the skin, heat in the head, 
with confusion and giddiness, redness of the eyes, intolerance of light, 
general weakness or prostration ; whenever marked febrile or inflammatory 
action becomes prominent. 

Dose : Six pills every two to four hours, in water. 

Pulsatilla is also very efficacious in this affection, and is frequently 
indicated in the commencement, by the striking predominance of the 
characteristic catarrhal symptoms attendant upon measles, further quali- 
fied by aggravation towards evening. This remedy is of great utility in 
bringing out the eruption, when it is longer than the average period in mak- 
ing its appearance. Pulsatilla is also valuable when any derangment of 
the stomach is present, or when the cough, which so generally accompa- 
nies the disease, is worse towards evening or in the night, and is attended 
with considerable rattling of phlegm in the chest, or copious, thick, yellow- 
ish or whitish expectoration, sometimes followed by vomiting, or symp- 
toms of approaching suffocation; further, when there is cold in the head, 
with a thick, yellowish or greenish nasal discharge. 

Dose : Six pills every four hours, in water. 

Bryonia is an excellent remedy, when the eruption is faint, retarded, 
or imperfectly developed, and the respiration much repressed andlaborious, 
attended with achings in the limbs ; also, when there is a dry cough and the 
patient complains of shooting pains in the chest, increased by a full inspi? 
ration, 

Dose : As for Pulsatilla. 

Sulphur is, in general highly beneficial after the active symptoms of 
the disease have yielded to the action of immediate treatment, and esper 
cially after the previous administration of Pulsatilla, particularly when 
we have reason to suspect a scrofulous or other constitutional taint. Sul? 
phur will, frequently, in such cases, be most effective in eradicating the 
predisposition to Chronic affections engendered by measles. 

Dose: Six pills in a tablespoonful of water, every morning (fasting) 
for ten days. 

CHECK OF THE ERUPTION. 

The disease has frequently terminated fatally, from the eruption be? 
ing driven in by sudden exposure to cold or change of temperature, 



532 ACUTE CONTAGIOUS DISEASES. 

Bryonia is generally found efficacious in re-evolving the eruption, 
and preventing disastrous consequences. 

Dose : As directed above. 

Pulsatilla is indicated, if looseness of the bowels, with mucus 
discharge, follow the suppression. 

Dose : As directed for Bryonia. 

AFTER-EFFCTS OF MEASLES. 

COUGHS. 

Jn general the treatment of such affections will be most effectually 
conducted by following the instructions furnished separately in the arti- 
cle on "Coughs.'' 

looseness of the bowels. 
Explicit directions on this subject will be found in the article on "Di- 
arrhoea." 

inflammation of, or discharge from, the ears. 
(See page 199.) 

TENDERNESS OF THE SKIN. 

Mercurius. This remedy, administered for a brief time is generally 
sufficient to remove the tenderness which is so peculiarly apt to result 
from measles. 

ERUPTIONS ON THE SKIN. 

Nux- vomica is indicated, in cases of this kind resulting from mea- 
sles, by the presence of an eruption of minute white grain-like eleva- 
tions. 

Dose : Six pills every evening for a week. 



SCARLET FEVER. 

SCARLATINA. 

This is distinguished from other eruptive fevers by the fact of the 
eruption being an exanthema, an efflorescence, or a rash ; these terms 
not being strictly applicable to vesicles and pustules. Scarlet fever is 
highly contagious, and it may be communicated by means of fomites 
(producers of contagious disease). The infectious material remains for a 
long time in garments, bedding, carpets, wall-paper, etc., preserving its 
power of producing the disease. It is, doubtless, occasionally transmit- 
ted through the air at great distances; and, hence, sometimes breaks out 
spontaneously without any agency of affected individuals, or clothes of 
any kind. It is difficult to determine the duration of the period from 
the time of exposure to the contagious principle to the full development 
of t lie first well-marked symptoms. Austin FLINT, and other recog- 
nized authorities, argue that 24 hours, often, is the extent; but 8 days is 
generally allowed to he the period in a vast majority of cases. Asa rule 
the disease i^ experienced hut once; but exceptions are not very rare; the 
author has known of a case where the same individual has been attacked 



SCARLET FEVER. 533 

four times. The contagion is most freely active soon after the appearance 
of the exanthem. As soon as the fever has subsided, the contagious nature 
of the disease has, most probably, become extinct. Children are much 
more susceptible to the special cause than adults. After 40 years, very 
few persons are attacked; also children, under two years, rarely contract 
the disease, and many persons appear to be entirely free through life, 
notwithstanding numerous exposures. The largest nuniber, and most 
malignant cases occur between the second and seventh year; a much 
smaller number between the eighth and twenty-fifth year ; from twenty- 
five to forty it is very rare. 

Scarlatina very often occurs in a neighborhood, either in company 
with or immediately after, epidemic measles. It also, not unfrequently 
occurs in company with small-pox. 

Symptoms and Course. — The disease is variable, both in its symp- 
toms and course, and we will now endeavor to point out the fixed types 
of scarlet fever : The patients exhibit the symptoms of a severe cold 
(catarrhal fever), which, unlike measles, is not often attended with 
a cough, but with inflammation of the throat, and loss of appetite and 
generally, occasional vomiting; the pulse is very rapid; the skin seldom 
moist. After the preliminary stage has lasted two days, the exanthem 
makes its appearance, generally with a marked increase of the fever, and 
other preliminary symptoms. Children are attacked with convulsions at 
this stage more frequently than at any other. The eruption is first visi- 
ble in the throat, on the tonsils, etc.; externally, on the neck, whence it 
spreads downwards over the rest of the body. First, we notice closely- 
crowded red spots (stigmata), these very speedily run into each other, 
causing a homogeneous, faintly-dotted redness, or else they grow in size, 
and running together form single spots of a darker color, seated upon a 
faintly-red skin ; or, finally, small vesicles spring up upon the red surface, 
most generally in consequence of the intense character of the skin affec- 
tion. The exanthem is, in cases running a natural course, generally fully 
out in twenty-four hours after the first external appearance ; during all 
this time the fever has continued as high, or even more intense, 
than before ; the thirst great, the tongue coated, or, cleared of its coat, 
showing a dark strawberry appearance. One of the most constant of the 
symptoms of this fever is this strawberry tongue. The urinary secretion 
is much less ; sometimes a little cough makes its appearance now, but 
rarely assumes a violent form. The throat is very sore, dark red, and 
swollen ; the surface of the body is also swollen. On the fifth or sixth 
day after the appearance of the eruption, it begins to pale ofT, with less- 
ening of the fever and much more so the sore throat {angina). 

Soon after this, the process of desquamation (peeling off), begins. It 
always begins on the neck with small scales ; on the body, and more par- 
ticularly on the hands, the skin peels ofT in large patches ; the itching 
is now severe, and may be allayed by rubbing the itching parts with 
some pure clean oil ; the appetite now speedily returns and the patient 
feels quite well ; in fourteen days at the latest the desquamation is com- 
pleted. 

Such is a plain case, and unless some important variation takes place 



534 ACUTE CONTAGIOUS DISEASES. 

frequent sponging of the whole body, cooling drinks and pure air, are all 
the remedies needed. But variations are so frequent that too much watch- 
fulness is impossible. As soon as a change takes place in any symptom, 
study, at once, its meaning, and if not fully satisfied as to the result being 
favorable, call aid without delay. 

ALLOPATHIC TREATMENT. 

Rigid isolation should be provided in all cases of Scarlet Fever, as a 
precaution against its spreading. They must be watched most carefully 
in every instance, for some of the most dangerous complications (co-exist- 
ing diseases) and sequelae (resulting diseases) occur in those cases, which, 
from their very mild character, have been left almost, if not entirely, to 
themselves. Competent medical aid should, in all cases, be called upon 
the first appearance of a serious symptom, or one that is not wellunder- 
stood or certain to result favorably. 

Mild cases of scarlet fever do not call for active measures of treatment^ 
but whether the disease is mild or severe, the strictest attention should be 
paid to hygiene (health rules). To this alone mild cases can be safely 
trusted. The room ought to be large and freely ventilated. The temper- 
ature of the room should be carefully kept at 70,° except when the fever is 
extremely high it may be as low as 65°. The clothing on the bed should 
not be heavy enough to increase the heat of the body or to be disagreeable 
to the patient, nor light enough to cause chilliness. The body linen and 
the bed linen must be changed every day. After the fever has begun to 
decline and the heat of the skin greatly diminished during the latter part 
of the disease, the heat of the room should not fall below 70° day or 
night. If the child is pale, weak, and chilly, the temperature of the 
room should be kept as high as 72°. 

Chilliness and taking cold must in all cases be avoided after the fever 
has begun to decline and the scarf skin shed off' (disquamation) on account 
of the liability of causing inflammation of the kidneys and dropsy, the 
most dangerous complications and sequelae we have to contend with. The 
patient should be kept in bed until the disquamation entirely ceases, nor 
should he be allowed to leave the house within four weeks. f 

At first light food only should be given, such as milk and its prepara- 
tions, meat broths, egg beaten up with sugar and water, given raw, 
arrowroot prepared with milk and water, and gruels, but nothing more 
substantial should be given during the earlier stages of the disease. Cold 
water, lemonade, and juice of fruits may be freely allowed, As the fever 
declines and the patient recovers, the regular diet should be gradually 
resumed. If, however, there is great weakness or the case has run some 
time beef essence, juice of meats, egg beat up with sugar and milk should 
be given frequently and in such quantities as the child can be induced to 
take. Small quantities of wine, wine whey, milk punch or egg-nog should 
also be given. A teaspoon ful of whisky or brandy and two or three table- 
spoonsful of sherry wine, is a dose for a child one to three years old. One 
or two tablespoonsful of whisky or brandy and a wineglassful of wine is a 
dose for an adult (grown person.) 

In general a tepid bath should be given twice a day, the temperature 



SCARLET FEVER. 535 

of which should be 90°, if the fever is moderate, or 80° if very high. The 
patient is undressed and immersed in the water for fifteen minutes or 
half an hour, until the heat of the body is reduced and the patient qui- 
eted. If the bath is not practicable, frequent sponging of the whole body 
with tepid or cool water, as the fever is moderate or high, every two, 
three or four hours, or the application of the wet sheet- -wet pack— once a 
day, should be practiced. In the applications of the wet sheet, the sheet 
should be wrung out of cool water of 60° or 70°, according to the degree 
of fever, and the patient, stripped of all clothing, is enveloped in the 
sheet and then surrounded with several blankets. Usually, after remain- 
ing in the pack for about an hour, free sweating takes place. The pack 
is then removed, the patient wiped dry and placed in bed. When the 
heat of the body is 104 degrees, or higher, the cold wet pack should always 
be used, and will render most signal service. If not as high, frequent 
sponging is preferable in domestic practice. 

In no case should the bath with water, in any form, be given when 
the patient is sweating, or the skin moist. 

When the body is wiped dry, after each bath, sponging, or pack, it 
should be well rubbed with oil, from head to foot, except the face and 
scalp. One of the best ointments for this purpose is the following : Take 
of Glycerine one dram, Rosewater Ointment one ounce. Mix. Only that 
part of the body which is being rubbed should be uncovered at a time, or 
the whole can be done under the bedclothes. Glycerine one part and 
Sweet Oil four parts is a good application, or pure Lard may be used alone 
for the purpose. This oiling of the body relieves the itching and burn- 
ing of the skin, keeps it moist and soft, and is, in a general way, benefi- 
cial, as is shown by the lowered temperature and pulse. It should be ap- 
plied at least twice a day, even if a bath is not given as often, and contin- 
ued during the stage of disquamation. As a rule, cathartics should not 
be given, but constipation should be relieved by injections of warm 
water . 

For the sore throat, a solution of Chlorate of Potash one dram to the 
pint of water, of which the patient can drink at will, is probably all that 
is needed to be done in mild cases. This remedy is beneficial in a. general 
way, as well as giving relief to the throat. If the glands are enlarged 
(hard lumps about the neck), Tincture of Iodine may be applied with a 
camel's hair brush or feather. When the throat is severely inflamed, 
compresses wet with cold water should be applied to the sides of the 
neck. They should be changed often, to maintain a uniform degree of 
cold. Pounded ice may be applied to the sides of the neck in little bags, 
if the inflammation of the throat is so violent and the fever high. The 
solution of Chlorate of Potash, kept cold, should be given often as a drink 
and a gargle, if the patient is old enough. Small lumps of ice may be 
held in the mouth, or ice water frequently swallowed. When the vio- 
lence of the inflammation has begun to decline, or the cold becomes disa- 
greeable to the patient, or if suppuration (forming pus or matter) begins, 
the cold should be displaced by warm applications ; warm poultices kept 
on the neck by a light kerchief, or a flannel cloth wrung out of hot water 
and applied to the neck well covered with cloths to retain the heat. I 



536 ACUTE CONTAGIOUS DISEASES 

the discharge accumulates in the throat and nose, it should be removed 
by a soft cloth swab or feather wetted in a solution of Alum, in green tea 
or sage tea, or Borax mixed with honey and water. When the discharge 
is of a fetid or suppurative (pus-like) character, the following application 
should be made to the throat, with a soft swab, three or four times a day: 
Take of Carbolic Acid twelve drops, Glycerine one ounce. Mix. If the 
nose is invaded with the inflammation, it should be carefully cleansed 
and the same mixture carefully and thoroughly applied with a feather or 
camel's hair brush. 

Quinine should be given through the whole course of the disease, 
from the beginning of high fever until recovery is well established, and 
the appetite good. The dose is from one to two grains, for a child, three 
or four times in the twenty-four hours ; and three to five grains for a 
grown person, at the same intervals. 

As soon as the desquamation (shedding off of scarf skin) begins, the 
Tincture of the Chloride of Iron should be given in five-drop doses to a 
child, and from fifteen to twenty drops to an adult, three times a day. It 
should be given well diluted in water. 

In malignant cases, in which the system is overspread by the disease, 
denoted by excessive frequency of the pulse, the chief reliance is on alco- 
holic stimulants, in the forms before mentioned, and they should be free- 
ly given. 

Uremia (Urea, constituent of urine remaining in the blood) is the most 
serious result of diseased kidneys, and is indicated by prolonged convul- 
sions, headache, disturbance of the sight, or insensibility, and should be 
promptly met by a cathartic dose of Epsom Salts— two tablespoonsful for 
a grown person, and one to two tablespoonsful for a child. Free sweat- 
ing should be produced quickly, by the use of the warm wet pack, or 
better, by the hot-air bath, once or twice a day. The hot air-bath can be 
given by putting the patient, stripped of clothing, in a cane-seated chair, 
then wrap a large blanket around both the patient and the chair, from 
his neck to the floor, covering the whole in tightly, except the patient's 
head ; then burn alcohol in a saucer under the chair until free sweating 
is produced. Hot flannels should be applied constantly to the loins. The 
physician should be promptly sent for upon the first appearance of any 
of these symptoms. He will probably give Elatereum for a cathartic. 

Dropsy will be treated by hot-air baths, or the hot wet pack, once or 
twice a day. The bowels should be kept open by Rochelle Salts or Castor 
Oil, in doses of a teaspoonful for a child, or a tablespoonful for an adult, 
repeated every six hours until the bowels open. The Quinine and Iron, 
before mentioned, should be given through this complication. The fol- 
lowing mixture, to act on the kidneys, is useful: 

Take of Acetate of Potash one dram, or half an ounce ; Tincture of 
Digitalis one dram, or half an ounce; Syrup of Squills three drams, or 
an ounce and a half; Water two ounces or eight ounces. Mix, and give 
a teaspoonful every four hours, to a child; or a tablespoonful, for an adult. 
Use the smaller quantities in filling the formula for a child, and the lar- 
ger for a grown person. In the absence of this mixture, the patient may 



SCARLET FEVER. 53? 

drink quite freely of a decoction (tea) of Juniperberries or Watermelon 
Seeds. 

If discharge from the ear occurs, it should be frequently syringed 
with warm castile soapsuds, and the Carbolic Acid in Glycerine, before 
mentioned, applied. 

As a preventive of Scarlet Fever, Belladonna has some reputation. 
Take of Extract of Belladonna three grains, Alcohol one dram, water half 
ounce. Mix. A drop morning and evening, for each year of the child's 
age, is the dose. 

Clothing, and other articles, which have been exposed to the poison of 
Scarlet Fever can be cleansed by immersing them in boiling hot water, or 
exposing them to a heat of over 200°. All unnecssary articles of furniture 
or clothing should be removed from the room, before the Scarlet Fever 
patient occupies it. 

HOMOEOPATHIC TREATMENT. 

In those cases in which the disease appears in its simple form, the 
skin presenting the characteristic hue, with a smooth and glossy surface, 
Bell, is a specific remedy. 

Even in the severer forms of Scarlet Fever, when the throat is con- 
siderably affected, and high fever or congestive symptoms set in, and 
which, if not properly treated: or if they occur in a bad habit of body, may 
assume the malignant type, attended with ulcerated sore throat, extension 
of the inflammation to the air-passages, delirium, spasm, etc., Bell, is a 
very valuable remedy. It should be given as soon as the throat and tongue 
become affected with dryness and burning, and there is a desire, but com- 
plete inability to swallow even drinks or saliva; with sense of suffocation; 
further, when the throat is of a bright-red color, having its surface ex- 
coriated, or covered with white specks, or stringy mucus, or presenting the 
appearance of thrush; the tonsils swollen, and the tongue of a bright fiery- 
red hue, sometimes interspersed with dark-red patches at a later period of 
the disease; also when delirium exists. If the disease have taken a fa- 
vorable turn, we may allow Bell, to continue its action; but if, after twenty- 
four or thirty-six hours, the swelling and inflammation increase rather 
than diminish, as is the case sometimes in strumous constitutions, or if we 
already perceive an appearance of ulceration commencing, with increase 
of mucus, give at once Mercurius. If. on the other hand, the ulcers pre- 
sent a livid appearance about the edges, and emit an offensive odor, or, 
when there is an excessive thirst for small quantities of water, and an ex- 
treme prostration of strength, Arsenicum is to be preferred to Mercurius, 
and if this medicine prove inadequate to a complete cure, it should be fol- 
lowed by Nux-v., (see ulcerated sore throat). Nux-v. is moreover of consid- 
erable efficacy, when a large quantity of viscid mucus is secreted from the 
inflamed and tumefied lining of the fauces, which adheres so tenaciously, 
that it is with difficulty expelled, and sometimes even threatens suffoca- 
tion. Pulsatilla is also useful in such cases. 

When the fever assumes a clearly inflammatory type, and the pulse 
runs high, we may administer Aconite in the same manner as given under 
Inflammatory Fever, which see. 



538 ACUTE CONTAGIOUS DISEASES. 

When the quickness of the pulse, and other febrile inflammatory symp- 
toms are subdued, and the affection of the throat again appears most 
prominent, we may return to Bell., especially if the skin retain the peculiar 
scarlet hue . 

Opium may follow the Bell, when there is burning heat of the skin, 
drowsiness, stupor, heavy breathing, open mouth, eyes half closed, restless- 
ness with vomiting, or convulsions. 

Pulsatilla is indicated when derangement of the stomach and diges- 
tive organs is a prominent symptom, the face pale, red, or bloated; dispo- 
sition fretful and sensitive, or melancholy, with crying or tears without 
sufficient cause. 

COMPLICATED FORMS OF SCARLET FE VER. 

Varieties of Scarlatina not unf requently occur in which the character- 
istic peculiarities of the efflorescence are wanting, namely the color, which 
is not a bright scarlet but of a darker hue, and the effect of pressure which 
does not leave the white impression after it. There are, also, cases in which 
small granular elevations appear upon the surface of the red patches. 
These variations from the foregoing description of the manifestations 
afforded by Scarlet Fever are not to be mistaken for indications of a dif- 
ferent disease, but should be accepted as signs of a different type of the same 
disease, There are also instances in which the eruption is confined 
to internal parts, when, with the characteristic acceleration of pulse, 
there is sore throat, and the mouth and throat are bright, red, hot 
swollen, and often very dry. This variety will be subject to treat- 
ment, such as that already detailed, according to the special indications 
present. 

Other instances, again, occur of a yet more insidious character, which 
are not distinguished until the dropsical swellings supervene, and which 
either evince no eruption at all, or so slightly as to escape notice. 

This variety, must in all instances, be treated as directed for the like 
symptoms supervening, as the after-effects of the disease when the erup- 
tion has been struck in or imperfectly developed. Another very danger- 
ous complication, which is frequently associated with scarlet fever, con- 
sists of inflammation of the upper part of the windpipe. 

This variety should be subjected to the treatment prescribed in the 
article devoted to the consideration of that particular disease, so long as 
symptoms of this nature continue— returning, however, to the specific 
treatment of the primary disease (Scarlet Fever) as already directed in 
this chapter, as soon as the complication is subdued. 

Another variety is characterized by degenerating into a low typhoid 
type, in which cases the following treatment becomes requisite. 

Ammonicum-carb., Aresincum, Acidum-phosph., Secale-corn. 

From amongst these remedies a selection should be made by accurately 
studying the symptoms of the case, and by comparing them with the indi- 
cations afforded under the head of each symptom respectively, in the 
article "Repertory." 

Cases in which the throat becomes the chief seat of danger, require 
the following treatment : 



SCARLET FEVER. 539 

Arsenicum is indicated in the majority of cases in which severe and 
dangerous sore-throat accompanies Scarlatina, the tonsils being swollen 
into hard tumors, often as large as apples, attended with snorting and dif- 
ficult breathing, enlargement of the adjacent glands, remittent pulse, and 

Dose: Six pills every two to four hours. 

ACIDUM-NITRIC., ACONITUM, LYCOPODIUM, BELLADONNA. —If little 

or no improvement should have followed the administration of Arsenicum 
within the time just stated, proceed with these remedies in succession in 
the order in which they are placed, (dose as for Arsenicum). 

AFTER-EFFECTS OF SCARLET FEVER. 

Scrofulous subjects in particular are subject to a multitude of consecu- 
tive ailments of Scarlet Fever, w T hich are often of an obstinate character, 
and require careful treatment and great precaution. 

Excessive Susceptibility to take Cold. 

In general, also, we may number amongst these after-effects, when the 
skin has been cast, an exceeding susceptibility to take cold, which, if not 
obviated, may entail serious consequences. 

Treatment. — As accessory precaution we may mention great care as 
to diet, sufficient exercise out of doors, if possible, but only in very dry 
weather, warm clothing, and avoidance of drafts, without, however, re- 
sorting to the extreme of coddling or the exclusion of free ventilation, 
which is as essential to thorough recovery as medicine. 

Calcarea should, in the majority of eases, be administered (unless 
there be symptoms which distinctly point to other remedies) in repeated 
doses. 

RAWNESS OF THE FACE. 

Chamomilla, Belladonna, Aurum-trip. Chamomilla may, in 
most cases, be employed singly with perfect success against this trouble- 
some consequence. When, however, an inflammatory tendency continues, 
and the affected parts are much swollen and painful, etc., it will be desir- 
able to resort to alternate administration of Chamomilla and Belladonna 
as follows ; and if no relief follows take Aurum-trip. Four doses daily. 

offensive discharge from the nose. 

Aurum is indicated by offensive discharge of matter, from the nose, 
with soreness and swelling of the interior, following Scarlet Fever. 

soreness of the nose, etc., with swelling of the glands. 

Mercurius and Hepar-s., Silicea, Sulphur, Calcarea.— Mercu- 
rius is required when there is soreness ot the nose and face, with swelling 
of the glands on the inner side of the lower jaw, followed, if necessary, 
by one or more of the other remedies named. 

puffiness and swelling of the face and extremities, etc. 

Belladonna is in most cases sufficient to overcome the following 



540 ACUTE CONTAGIOUS DISEASES. 

symptoms, occurring as the after-effects of Scarlet Fever, nameiy : — 
Puffiness of the face, swelling of the hands and feet, lingering fever in the 
evening, gladular enlargements, chaps about the mouth, severe headaches, 
stammering, etc. 

dropsical swellings, etc. 

Arnica, Belladonna, Helleborus, Acidum-Phosph., Gelsemi- 
num. One or more of these remedies respectively acccording to the de- 
tailed indications afforded respecting them in the Repertory should be 
administered, when symptoms of Water on the Brain supervene, such as 
dullness of the mental faculties, with evident painful effort to think dear- 
ly ; excessive drowsiness ; weakness of the feet and repeated falling down ; 
squinting dilation of the pupils, etc., etc. 

Arsenicum, Helleborus, Digitalis. Selection should be made from 
these remedies, particularly when symptoms of Water on the Chest super- 
vene, such as : painful oppression of respiration aggravated by motion or 
by lying on the back ; the patient is suddenly disturbed in sleep by a suffo- 
cative sensation, which compels him to sit up, or even to get up, and seek 
for air ; or even inability to lie down, necessitating a sitting or even a 
perfectly erect posture ; shoi't, dry, and even spasmodic cough, and stitching 
crampy pains between the shoulders ; excessive anxiety, etc. 

MUMPS. 

Mercurius, Cabo-veg-. Mercurius is specific in the majority of 
cases of Mumps under these circumstances. 

Dose: Four globules in a teaspoonful of w T ater every six hours, until 
amelioration or change ; but if no improvement whatever should 
ensue within four hours after the second dose, or especially if there 
be reason to believe that the patient has been treated with Mercury, 
proceed with the next remedy. 

Carbo-veg. This remedy is required in cases in which a few doses 
of Mercurius produce no effect whatever, and more particularly when the 
patient has been subjected to doses of Mercury, or if induration begin to 
be developed. 

Dose : In every respect as stated for Mercurius. 

Calcarea, Kali-carb. These remedies are invaluable in very obsti- 
nate and continuous cases, and should be selected, if the symptoms be 
conformable to those recorded of these medicines in referring to the 
" Repertory." 

Dose : Of either remedy, as selected, give six globules in a tablespoon- 
ful of water, morning and evening for ten days (if the malady does 
not sooner yield.) 



SMALLPOX. 



This disease is, by medical practitioners of the present day, divided 
into two varieties:— the distinct, when the pustules on the face are clearly 
defined, and do not run into each other,— and the confluent, when they 
coalesce and form one continuous whole. 



SMALLPOX. 541 

When the symptoms are less severe than those properly characteristic 
of the disease, and the eruption on the face slight, it is called the modified 
smallpox. We generally rind this description in such persons as have been 
properly vaccinated, — a precaution, which, although not always a preserva- 
tive against the attacks of smallpox, greatly lessens its virulence, and 
gives a milder character to the complaint, when taken. 

Symptoms.— The disease is frequently very sudden in its attacks, com- 
mencing with chilliness and shivering, followed by symptoms of fever 
headache, severe pains in the small of the back and loins, languor, weari- 
ness and faintness ; the patient also complains of oppression of the chest, 
and acute pain in the pit of the stomach, increased by pressure. The 
eruption makes its appearance at the close of the third day, first on the 
face and hairy scalp, then on the neck, and afterwards spreads over the 
whole body. Symptoms of cold— as sneezing, coughing, wheezing, and fre- 
quently difficulty of breathing, often accompany this disease. 

The eruption first displays itself in the shape of small, hard-pointed, 
red elevations, which can be felt under the skin of the forehead, before it 
is possible to discover any eruption with the eye which, in about three 
days, present a bladder-like appearance, surrounded by an inflamed cir- 
cular margin, and become depressed in the center as they enlarge. About 
the sixth or eighth day, the watery secretion in the pustule becomes con- 
verted into matter, and the depression in the center disappears. 

When the pustules are very numerous on the face, it generally be- 
comes much swollen, and the eyelids are frequently closed up. On the 
first day, a small lump, like a millet-seed, may be felt in each of the eleva- 
tions above noticed, distinguishing this eruption from all others. The 
pocks continue coming on during the first three eruptive days, and each 
pock runs its regular course ; thus, those which first appeared are forming 
into scabs or drying off, whilst the others are suppurating. The drying 
off commonly takes place on or about the eighth or fourteenth day, accord- 
ing as the pustules may happen to be distinct or confluent. 

When the pustules have obtained their full development, they gener- 
ally burst, in mild cases emitting an opaque, watery discharge, which dries 
into a crust and falls off ; whilst, in severe ones, we find a discharge of 
thick, yellowish matter, forming scabs and sores, which leave, on their 
healing, permanent marks or pits. Red stains, caused by increased vascu- 
lar action, always remain for a while after the eruption; but if no ulcera- 
tion has taken place, they disappear in process of time. 

In Confluent Smallpox, all the precursory symptoms are more severe, 
the fever runs high, and frequently continues so throughout the course 
of the disease; the pain in the pit of the stomach and difficulty of breath- 
ing are more complained of, and in children the eruption is frequently 
preceded by convulsions and delirium ; the latter symptom, indeed is fre- 
quently present with adults, during the suppurative or secondary fever, 
which not uncommonly assumes a character akin to typhus, and sometimes 
carries off the patient on the eleventh day. All cases in which we have 
generally a deeply-rooted morbid constitutional taint to contend against, 
require the utmost skill of the experienced practitioner to ward off a fatal 
result. An extensive inflammatory blush of the face or trunk almost in- 
variably precedes the eruption in the confluent variety of smallpox. 



542 ACUTE CONTAGIOUS DISEASES. 

Salivation, with soreness of the throat and small white ulcers or pus- 
tules on the tongue and in the upper part of the gullet, frequently declares 
itself in both forms of this disease, but more particularly in the confluent. 

Before we come to the medicines to be administered in the different 
stages of the disease, we may say a few words upon the general treatment 
of the patient. 

Cool and fresh air are our best auxiliaries, the emanations from the 
patient in this complaint being of a nature to react upon the organism, 
and warmth being calculated to increase its activity. So beneficial is cool 
air found in this malady, that taking a child to an open window when at- 
tacked with the convulsions, frequently present, will generally be found 
to afford immediate relief. Great cleanliness must also be observed, and 
the linen frequently changed. 

When the vesicles declare themselves, and begin to form into pustules, 
the room ought to be kept as dark as possible, to aid in preventing the 
risk of disfigurement, a precaution deducible from common experience, 
since we find that the parts of the frame exposed to the action of light 
are always those most strongly marked by the ravages of the disease. 

To avoid the pits, and consequent disfigurement left by this disease, 
many physicians have adopted a mask or plaster for the face, of different 
substances, such as gum, mucilage, calamine, etc. The application of 
collodion to the face, or of oil when the collodion cannot be tolerated— 
has been found of service in preventing disfiguration from pock-marks, 
but the most successful of all means so far employed is that followed by 
physicians of the Regular Homoeopathic school. 

ALLOPATHIC TREATMENT. 

As there are no specific remedies for smallpox, its treatment will be 
palliative and supporting. If the person has not been vaccinated, this is 
the first thing to be done after exposure. Five or six points should be in- 
serted in each arm. It is good practice to resort to this in any one whether 
vaccinated or not, at any time before the appearance of the eruption. It 
will mitigate, if not prevent the disease. Aside from this, the treatment 
is the same as in other continued fevers. The room should be large and 
well ventilated, and all unnecessary articles removed from it, that they 
may not be infected and act as conductors of the disease (fomites). car- 
pets, curtains, etc. The best disinfectant in this disease is Iodine. A 
couple of drams should be placed in the vessels which receive the sputa 
or other excretions, and three drams of the scales may be put in a chip- 
basket and hung over the patient's bed. If the room is not kept free 
from smell, the number of vessels containing Iodine maybe increased, oy 
a few scales may be vaporized by sprinkling them on a hot shovel, 

Carbolic Acid may be used with the Iodine by moistening one or two 
cloths, a little over a foot square, with a solution of Carbolic Acid in wa- 
ter, and hanging them up in the room, and adding a quarter part of Car- 
bolic Acid to the Iodine in the vessels receiving the excretions. 

Chlorinated Lime and Labarraque's Solution, Quick Lime and Per- 
manganate of Potash in solution, are also useful disinfectants, and may 
be employed on account of cheapness, The nurse should, after waiting 



SMALLPOX. 543 

on the patient, wash his hands in clear water with soap, and then wash 
them in a disinfectant fluid. 

Complete isolation is the only real safeguard against a spread of the 
disease. Destruction of clothing used about the patient, and in the sick- 
room, is necessary. 

During the invasion of the disease, the febrile movement may be 
lessened by frequent tepid sponging, cool drinks, such as cold water, lem- 
onade or orangeade, or cold barley or rice water. 

The writer favors full doses of Quinine, five to ten grains every four 
hours, until the fever is lessened, and if the pulse be bounding, strong 
and frequent, Tincture of Aconite may be given in doses of one drop ev- 
ery hour, to an adult, until the fever and pulse are comfortably reduced. 

Emetics and cathartics are not to be given, but constipation is to be 
relieved by injections of warm water, or the mildest laxatives. 

During the eruption, and before suppuration, the measures before 
mentioned are to be continued or not, according to the severity of the 
symptoms. 

Nausea and vomiting will be relieved by five to ten grain doses of 
Bismuth, with five grains of Oxalate of Cerium, or five-drop doses of 
Dilute Hydrocyanic Acid, or one drop-doses of Carbolic Acid or Creo- 
sote in water every hour, until relief follows. Cold or possibly heat ap- 
plied over the stomach will aid. 

Diarrhoea is to be relieved by Bismuth in ten to fifteen grain-doses in 
milk, with, if necessary, an opiate, as a desertspoonful of Paregoric or 
ten or fifteen drops of Laudanum. 

Restlessness and watchfulness will be relieved by a grain of Opi- 
um, and one or two grains of Extract of Hyoscyamus Acid, or twenty 
grains each of Hydrate of Chloral and Bromide of Potassium, given in 
solution with sugar, given at bed time. This will insure a night's sleep 

It is to be expected that Dilute Hydrochloric in doses of ten to twenty 
drops, or Dilute Phosphoric Acid in doses of half a teaspoonful largely 
diluted in sweetened water, and taken three or four times in course of the 
day, as a drink, will prove beneficial, as it has done in other continued 
fevers. 

Systematic feeding should be begun in this stage and should consist 
largely of milk, eggs beat up with sugar and milk, or water (as directed 
in scarlet fever) strong beef tea or essence, poached eggs or cooked in the 
shell in hot (not boiling) water, toast, rice and water, simple farinaceous 
food may be given. The patient should be fed during this stage four times 
a day, and oftener if there is any appearance of the strength failing, 
when food, such as milk or eggs should be given at not longer intervals 
than four hours. Feeding is most important during the suppurative stage. 
Upon any appearance of exhaustion alcoholic stimulants should be given ; 
from one to three teaspoonsful of brandy or whisky may be given with 
three or four ounces of milk or egg and water, a couple of hours apart. If 
the symptoms of prostration increase the stimulant may need to be 
increased. It is beneficial when it renders the pulse fuller, slower, softer, 
and regular. 



544 ACUTE CONTAGIOUS DISEASES. 

Complications require treatment appropriate to those diseases. Lo- 
cal treatment consists of measures to prevent the pitting and to relieve 
itching, which becomes intolerable. 

For the former purpose the following have been found, in a degree, 
useful : Careful evacuation of the vesicles with a fine needle; it is a tedi- 
ous thing to do. Second, after rupture inserting into each vesicle a fine 
point of Nitrate of Silver. It is claimed to be most successful if done on 
the second day of the eruption . Third, the application of the Tincture 
of Iodine twice a day during the papular stage of the eruption. Fourth, 
exclusion of the light and air by means of a plaster. A mixture of Tan- 
nin and Iron is employed in cases in the N. Y. Hospitals. It produces a 
black mask. Coating the face with Olive Oil and dusting upon the oiled 
surface twice a day with equal parts of the Sub-Nitrate of Bismuth and 
prepared chalk. Pulverized Charcoal made into a paste with Olive Oil or 
Glycerine is a simple application and as effectual as any. Calamine is 
used in the same way as the pulverized charcoal. 

The application of Collodion once or twice daily with a camels' hair 
brush while the eruption is papular, is said to be successful. It should be 
begun when the eruption first appears, and acts by excluding the air and 
compressing the papule. The application of gutta-percha dissolved in 
Chloroform acts in the same way . These applications are made usually 
to the face only. 

The terrible itching is thought to be greatly relieved by smearing the 
pustules with cold cream, a mixture of equal parts, by bulk, of lime-water 
and Linseed or Olive Oil or a mixture of one part of the solution of the 
Subaeetate of Lead to seven parts of Almond Oil. 

When the pustules burst they should be dusted and kej^t coated with 
Oxide of Zinc in powder, or mixed with pulverized starch. If fissures 
(cracks in the skin) and excoriations occur a mixture of Oxide of Zinc in 
Glycerine or Olive Oil two drams to the ounce should be made. 

Thorough vaccination at four or five points is an almost sure protection 
against smallpox and a certain protection against the disease proving 
fatal. Children should be vaccinated in infancy and revaccinated not later 
than six or eight years, andjstill again before childhood passes. When epi- 
demics of smallpox occur all persons who have not been vaccinated within 
three or four years should be revaccinated. 

HOMCEOPATHIC TREATMENT. 

ACONITUM may be required in the first, and early in the second stage; 
if the fever runs high, the thirst is excessive, the skin very hot and 
dry, the pulse quick, hard and full, and the breathing laborious and 
rapid . 

Aconite should also be resorted to as an intermediary remedy, at any 
stage of the disease, when distinctly indicated by symptoms of this de- 
scription. 

Dose: Six pills every two to four hours. 

Antimomim-taut., (Tartar Emetic) is well indicated in this disease, 
from the close analogy which the eruption it is capable of producing 



SMALLPOX. 546 

bears to that of smallpox, and may, therefore, be also administered with 
advantage during all stages of the disease, unless some other remedies 
should be more urgently called for by the nature of the symptoms; this 
should be a constant remedy, tightness across the chest, perhaps attend- 
ed with nausea and vomiting or diarrhoea before the eruption is fully 
out and the existence of a hollow, sounding cough, with loud, mucus rat- 
tling, is an additional index tor the employment of Antimonium-tartari- 
cum. 

Dose: Dissolve ten pills in two tablespoonsful of water, and give a 
teaspoonful of the solution every three hours, until amelioration or 
change. 

Chamomilla is sometimes of great service during the course of the 
disease in children, when the following distinctive symptoms appear:— 
difficulty of breathing, with predominant looseness of the bowels, deep 
green stools, severe colic, tenderness of the belly, and vomiting; it is like- 
wise calculated to be useful during the maturative stage, when much 
restlessness and whining prevail, and the rest is much disturbed by a 
troublesome cough at night. 

Dose: Four pills in a teaspoonful of water, every two hours. 

Belladonna. — This remedy may follow Aconite or Chamomilla, 
when either of the latter ham been indicated, should symptoms of disturb- 
ance of the brain have set in, characterized by flushed countenance, 
intolerance of the eyes for light, headache and delirium, great thirst, 
nausea and vomiting, or, when there is redness of the tongue at the tip 
and margins ; belly tumid and painful, particularly about the region of 
the stomach, with sensibility on pressure; prostration of strength and 
stupor. 

Dose : Of a solution of four pills to two tablespoonsful of water, give 
a teaspoonful every two hours. 

Opium is useful, when there are symptoms of stupor or strong inclina- 
tion to sleep ; it may be employed after Belladonna, or even preferred to 
the latter remedy, in cases in which there is continuous lethargy, with 
open mouth, half-closed eyes, and snoring breath ; or again, when there 
is violent delirium, with incessant tossing about of the hands. 

Dose : Six pills carefully placed upon the back part of the tongue, 
every three hours until change. 

CONFLUENT SMALLPOX. 

Aconite is indispensable when the fever runs high, and threatens to 
continue, as it usually does in this more malignant form of the disease; 
and it will be necessary to diverge even from other important considera- 
tions from time to time (having commenced with the administration of 
this remedy), to return to it for the purpose of effectually acquiring an 
ascendency over the fever. The alternate administration of Sulphur is 
often necessary when the fever does not appear to be the least modified, 
within two hours after a second dose of Aconite. 

Mekcurius is highly serviceable in confluent smallpox, after the pre- 
vious administration of two doses of Aconite, as above directed, when the 
following symptoms predominate :— Inflammation of the eyes, soreness 
of the throat and nose, offensive breath (salivation), cough, hoarseness 

35 



546 ACUTE CONTAGIOUS DISEASES. 

tenderness of the stomach, excessive looseness of the bowels, particularly 
characterized by incessant straining, and, sometimes, bloody evacuations. 
Dose: As for Chamomilla. 

Pulsatilla is highly useful in confluent smallpox, characterized by 
the presence of an efflorescence analogous to that of measles, before or du- 
ring the development of the eruption, especially when nausea or vomit- 
ing, and marked aggravation towards night, additionally qualify the 
general symptoms. 

Lose : Six pills every two hours. 

Arsenicum should be administered after the second dose of Pulsa- 
tilla, (or even of Antimonium-tart. or Ipecacuanha, in the event of nei- 
ther of the others having proved efficacious), when the nausea and vom- 
iting continue unallayed, especially if the patient complains of excessive 
thirst and dryness of the mouth, tlie tongue being foul and dark, and the 
prostration of strength severe. 

Arsenicum is also of great value in cases of a hard type, and when 
livid spots are observed on the skin before the eruption is out, or when — 
other symptoms corresponding — the scabs are of a dark brown color and 
very offensive, more particularly if this manifestation be further charac- 
terized by intense weakness and languor, thirst, nausea, or vomiting, with 
more or less severe pain in the region of the stomach, — or, again, when 
the fever assumes a putrid typhoid character. 

Dose : Six pills every two hours. 

Carbo-veg. should be administered when the eruption assumes a 
gangrenous appearance ; or when the pustules are thin and unhealthy, 
and the scabs and incrustations are of a dark-brown color, and emit a 
very offensive smell. 

Dose : As directed for Arsenicum. 

Acium-muriaticum may be employed with great advantage in cases 
of a bad type, in which the fever assumes a typhoid character, and when 
the patient exhibits a continual tendency to sink downwards (towards 
the foot) in bed . 

Dose : As for Arsenicum. 

China may be advantageously administered against the debility re- 
sulting from profuse diarrhoea or discharge from the pustules. 

Lose: Six pills every four hours. 

Sulphur is a useful remedy at the maturity of the eruption, and as 
the drying process is about to set in; it will often tend materially to 
forward the total disappearance of lingering traces of the disease, as 
well as to overcome any latent mischief which has been left to rankle 
in the system by this virulent disorder. The alternate administration of 
Rhus at this period will be required, if there be aching pains in the back 
and extremities, aggravated towards night, but somewhat relieved by 
motion. 

Dose: Of Sulphur, singly, six pills (for adults), or for young per- 
sons lour pills in a wineglassful of water every morning the 
first tlii hut (fasting), continuing this course for a week ; if in alter- 
nation with Rhus, give three globules of either medicine in rotation 
the one six hours after the other, until amelioration or change. 



SMALLPOX. 547 

CHECK OF THE ERUPTION. 

Bryonia, Antimonium-tart.-— The administration of either of these 
remedies, according to special indications, will become requisite when the 
eruption is checked and the chest is more prominently affected. 

Dose: Of either remedy, six pills every two hours. 

MODIFIED SMALLPOX. 

VARIOLOID. 

This is merely a mild description of the above, and, as we have before 
said, is the form which the disease generally assumes when it attacks 
those who have been properly vaccinated. "We must regulate our treat- 
ment according to the symptoms, being guided in the selection of the 
remedies by the indications before given. 

COMPLICATIONS AND AFTER-EFFECTS OF SMALLPOX. 

We should watch closely, during the progress of the disease, for symp- 
toms of "Inflammation of the Lungs," or of their enveloping membranes 
(pleurisy), and the treatment, in cases in which such complications 
occur, should be regulated according to the directions especially afforded 
under the head of those particular maladies respectively. 

BOILS, GLANDULAR SWELLINGS, ETC. 

Amongst the many severer after-effects of smallpox, we may number 
glandular swellings and other scrofulous affections, developed by the 
malignancy of the disease, inflammation of the eyes, boils, etc., which 
will be most effectually treated by reference to the separate articles de- 
voted to these subjects respectively. 

COUGH. 

In this respect the reader is recommended to refer to the separate arti- 
cle on this subject. 

ASTHMATIC AFFECTIONS. 

Antimonium-tart., is, in the generality of cases, the most available 
remedy in cases of this kind, resulting from the smallpox. 

Dose : Four pills night and morning, until amelioration or change. 

LOOSENESS OF THE BOWELS. 

China, Phosphorus. — China is, in the majority of cases, more avail- 
able when there has previously been excessive loss of animal fluids, 
especially if the symptoms assume an intermittent character. 

Dose : Six pills in a wineglassful of water daily, the first thing in the 
morning, until change. 

Phosphorus is especially adapted for the treatment of blond subjects 
or of a spare, slender habit of body and fragile frame, when this relaxa- 
tion continues any length of time. 

Dose : As directed for China. 

Diet and Regimen. — In these particulars we should be guided by 
the virulence of the attack ; but, in all instances, the beverages should be 



548 ACUTE CONTAGIOUS DISEASES. 

cold, as a warm diet, and neglect of the precautions before mentioned 
may convert the mild into the malignant form. Whilst the fever runs 
high, water, or toast and water should alone be allowed; but when the 
affection is going off mildly nutritious food, such as lean meat, farinaceous 
food, cocoa, and plain broths, or beef tea, are allowable. In mild cases 
thin gruel or farinaceous food, in small quantities, may be allowedt 
throughout. Even after recovery in some eases, it is necessary tha 
the patient abstain, for a considerable time, from animal food in large 
quantity. 

It should not be omitted, that a plain, nutritious, and even generous 
diet, taken in small quantities at a time, and at regular periods (when 
there are no lingering after-effects), combined with regular habits in other 
respects, and with the bracing effects of the open air, tend greatly to per- 
fect the cure. The general regulations in respect of diet and regimen, 
which apply to other eruptive fevers, or to fevers in general, hold good 
with regard to smallpox . 

It may be remarked that, after recovery from an attack of malignant 
smallpox, the patient's constitution often requires a thorough renovation 
and that he should, therefore, be put under a course of medicine best cal- 
culated to attain that result. 

ACCESSORY MEASURES. 

In severe cases, when the pustules are very troublesome, they may be 
anointed with Oil of Almonds, or gently sponged with tepid water, when 
they become hard,— or dusted with pure starch, when a thin, acrid, or 
otherwise unhealthy discharge runs from them. The hair of the head 
should be clipped, for the sake of the cleanliness and comfort of the pa- 
tient; and the hands should be muffled, to prevent injury to the pustules 
from scratching. 

CHICKEN-POCK. 

Symptoms.— A disease, bearing a considerable resemblance, in its ex- 
ternal character, to smallpox, but differing in its duration, and symp- 
tomatically, being considerably milder, generally requiring no medical 
assistance, but merely attention to diet, and but rarely becoming danger- 
ous, except when it extends itself to the lungs or brain. The fever, how- 
ever, occasionally runs high. 

When this affection attacks an individual, and smallpox is epidemic, 
which is not unfrequently the case, it is often mistaken for that disorder, 
but it soon discovers its real character, by the rapidity with which the 
eruption declared itself, the vesicles (in many instances closely resembling 
the pustules of the smallpox) being generally fully matured by the third 
day, and the whole eruption disappearing at the end of the fourth or fifth, 
without leaving any mark. 

HOMOEOPATHIC TREATMENT. 

Aconite is required when much fever is present. 
Dose: Of a solution of four pills to two tablespoonsful of water, give 
a teaspoonlul every six hours, until amelioration or change. 

Coffea is to be preferred when extreme restlessness and anxiety are 
present without a great degree of fever. 



FEVER AND AGtTE. 549 

t>ose : A solution of four pills, as directed for Aconite. 
Belladonna should be given if the brain become evidently affected. 
Dose : A solution of four pills, as directed for Aconite. 
Antimonitjm-tartaricum may be given to accelerate the develop- 
ment of the eruption, when it is slow in making its appearance. 

Dose : Dissolve six pills in two tablespoons!' ul of water, and give a 

teaspoonful of the solution every four hours, until the eruption is 

thoroughly evolved, and the fever subsides. 

Mercuritjs may be given, when the watery secretion of the vesicles 

becomes converted into thick, yellowish matter, as in the smallpox, and is 

also beneficial, if strangury be present. 

Dose: Two pills in a teaspoonful of water, every four hours, until 
amelioration or change. 

check of the eruption. 
This should be treated as directed for smallpox under similar circum- 
stances, (see page 547 ). 

Cases, in which this disorder appears with manifestations closely re- 
sembling many of those which characterize smallpox, may be similarly 
treated, according to the particular indications present. 



CHAPTER XXIX 



EPIDEMIC AND ENDEMIC INFECTIOUS DISEASES. 



FEVER AND AGUE. 

INTERMITTENT FEVER. 

We have now to enter upon a class of fevers differing essentially from 
those already considered, in possessing a marked character of their own, 
in the simplicity of their form, the periodicity of the different stages, 
(although the periods of fever-fits are not, necessarily, regular), and the 
uncertainty of their duration; at the same time it maybe noticed that 
one of the distinctive features of intermittent fever consists in the fact 
that the febrile action does not individually constitute the disease, but 
appears rather as an occasional development of other morbid processes. 

Intermittent fevers cannot be better described than as a compound of 
acute and chronic disease ; acute during the continuance of each attack, 
and chronic in the continuance of liability to the attacks. 

Symptoms. These must be classified in three distinctive stages ; (1) 
a chill or cold fit (2) followed by heat, and terminating (3) in perspira- 
tion more or less profuse ; these three stages constitute a paroxysm ; after 
which, for a certain period, called the interval or respite, the patient is 
generally free from suffering. The fever-fits are characterized by the red 
deposit in the urine. 



550 EPIDEMIC AND ENDEMIC DISEASES. 

These periods are generally of definite duration ; but occasionally in- 
definite and irregular. If the paroxysms return at regular intervals of 
twenty -four hours, the fever is termed a Quotidian, — of forty-eight , a Ter- 
tian, — of seventy-two, a Quartan ; even longer intervals have been observed 
between the attacks, as that of seven days, which is somewhat inappro- 
priately terrned an eight-day intermittent fever. If two fever-fits take 
place within each period, the ague is said to be doubled; as a double Quo- 
tidian, or Tertian, etc. 

These fevers are sometimes found existing in the simple form above 
noted ; that is, that each fever-fit (as it occurs) assumes the character 
of simple fever ; in other instances, however, the fever-fits, (as 
they occur) assume the characteristic features of inflammatory 
or typhoid fever, or of complications involving the respiratory or digest- 
ive functions respectively, etc., etc. The absence of continuity or regular 
process to a crisis will then identify the febrile symptoms as appertaining 
to this class in general, whereas the peculiar implication of particular or- 
gans will qualify the specific character of any particular variety. 

They are exceedingly indefinite in duration, and frequently assume a 
tediously chronic form. An individual once attacked with ague, is fre- 
quently liable to a return of it in after life, if the disease has not been 
radically extirpated in the first instance ; nay more, any attacks of dis- 
ease to which he may afterwards be subjected are peculiarly apt to assume 
the intermittent form. 

Ague is rarely dangerous in this country, except when of long con- 
tinuance, and then, owing to the weakness which it occasions, and the 
injury which it inflicts upon the constitution; it may, however, lead to 
obstructions and indurations of the more important organs, particularly 
of the liver and spleen, or may induce dropsical affections. 

It should not be omitted, however, that the sudden development of 
peculiar symptoms in connection with the fever-fits may be more or less 
ominous, and should be watched and treated with especial care. Some- 
times, however, intermittent fevers appear (as a wholesome crisis) in the 
last effort of the constitution to expel morbid humors which have long 
preyed upon the system ; and in such cases, 'if treated with due care by 
homoeopathic means (which will assist in their development), they will 
serve to carry off the causes of tedious chronic disorders. 

But in hot climates, or in low, marshy countries, this disease is ex- 
ceedingly fatal, in consequence of the brain and its tissues, the lining 
membrane of the stomach and bowels, the lungs, and the investing 
membrane of the stomach and bowels becoming affected : in such in- 
stances, when the disease gains ground, the patient loses strength and 
becomes emaciated, every fresh paroxysm entails an increase of suf- 
fering, and the perspiration fails to relieve; he complains of a sense of 
weight in the region under the false ribs, particularly the right, with 
griping pain in the bowels, flatulent distention of the belly, looseness 
of the bowels or constipation, and constant thirst; or of headache, cough, 
and shortness of breath; the tongue is furred, and dry at the tip; the skin 
hot, harsh, and dry ; the urine scanty, the belly tumid, the extremities be- 
come dropsical, and sleep is restless or broken. 



INTERMITTENT FEVER. 551 

Death may ensue from collapse in the cold stage, from the absence of 
perspiration, and from the disease passing into continued or remittent 
fever, or from disorganization of some important part, such as the brain, 
lungs, spleen, or liver. 

We shall now proceed to a general consideration of the three stages of 
the disease, premising that the various modifications of the symptoms will 
be found more in detail, under the medicaments, when we enter upon the 
consideration of the remedial treatment. 

PREMONITORY SYMPTOMS. 

Sense of languor, or general uneasiness; yawning, headache^ stupor, 
pains in the limbs or back; the toes and fingers becoming numb, and the 
nails blue. 

1. THE COLD STAGE (CONGESTIVE STAGE). 

Coldness of the extremities, with a feeling as of stream of cold water 
running down the back, and extending itself to the chest and belly; general 
prostration of strength, insupportable coldness, external and internal tre- 
mors, chattering of the teeth, respiration labored and hurried, with ina- 
bility to draw a full inspiration, and oppression at the chest. The head is 
variously affected, sometimes with headache, at others with drowsiness, 
stupor, or delirium ; the pains noticed in the premonitory symptoms are 
generally present, and, in some instances, the patient complains of pain all 
over; the tongue is moist, the eyes are heavy and sunken, the features 
pinched, and the lips and cheeks livid ; the rigors sometimes run on to 
convulsions. 

The pulse is weak and oppressed, sometimes slow, at others quick, and 
frequently intermitting, and often, from the severity of the rigors, scarcely 
perceptible. 

The heat of the body, except at the extremities, is generally above the 
natural standard, while the patient complains of cold. 

Sometimes the patient feels only a slight degree of cold, without tre- 
mors, but accompanied with symptoms of functional derangement, and in 
a few hours the hot fit declares itself. The duration of the cold stage is 
from an hour to four hours ; and it runs into the hot without any marked 
interval . 

2. THE HOT STAGE. 

Presents all the characteristics of a modified inflammatory attack, with 
hot, dry skin, and thirst, oppression at the chest, hurried and anxious 
breathing, and acute pains in the head, regions of the spleen, liver, etc. ; 
there is also occasionally a degree of disturbance about the brain, or even 
delirium . 

The general duration of the hot fit is from four to twelve hours, when 
it terminates in the sweating stage ; when this does not take place, it is 
apt to run on to continuous fever, or take the form of a remittent, — a not 
uncommon issue of this disease in warm climates. 

3. THE SWEATING STAGE. 

After the hot fit has continued a longer or shorter period, profuse 
perspiration sets in, commencing in the forehead and extremities, and 



552 EPIDEMIC AND ENDEMIC DISEASES. 

quickly diffusing itself over the whole body ; as soon as it makes its ap- 
pearance, the uneasiness and other symptoms begin to disappear, and 
the patient, in simple ague, continues free from suffering until the next 
paroxysm. 

Causes. Marshy districts are noted as being the hotbeds of this mal- 
ady; the presence of stagnant water in the immediate vicinity of dwel- 
lings will provoke it: as occasionally, also, conditions which will engender 
low typhus; the continued prevalence of epidemic disorders may also be 
cited amongst the causes of intermittent fever; a continuance of fish or 
farinaceous diet is also apt to produce it; it may, moreover, arise from 
taking cold, indigestion, internal obstructions, the presence of inactive 
humors which oppress particular organs, from peculiar constitutional ten- 
dency or the like, occasioned by acute diseases, or by difficult chronic af- 
fections, or even from purely local irritation. 

Nervous or inflammatory fever may change into an intermittent, or 
the latter take upon itself, if it continue, the character of either of the 
two former, or become remittent; this frequently happens in hot cli- 
mates. 

METHOD OF TREATMENT, PECULIARLY ADAPTED TO INTERMITTENT 

AFFECTIONS. 

The medicines should generally be administered in the interval be- 
tween the paroxysms, but when these are extremely short, or when they 
are attended with after-pains of the preceding paroxysms, they should be 
administered when the sweats, or other concluding features of the attacks, 
begin to subside. 

ALLOPATHIC TREATMENT. 

The principles of treatment of Intermittent Fever may be briefly 
given as follows : When there is violent derangement of the functions of 
the bowels or in cases of long standing intermittents, it is well to begin 
treatment with a cathartic. 

In the former condition a healthy actionofthe bowels is to restore, 
and, in the latter case a cathartic unloads from the intestines and intes- 
tinal glands the accumulated diseased secretions and leave the intestinal 
tract, free and active to absorb the anti-malarial remedies. 

Two to four Compound Cathartic Pills, or such other laxatives as will 
move the bowels thoroughly without being severe, may be used equally 
as well. The calomel has no special application beyond its action as a 
cathartic. 

If, however, there is not time to move the bowels and get the system 
under the effect of the antimalarial remedies, time ought not to be lost by 
waiting for the action of a cathartic, but the specific treatment should be 
begun at once. An efficient cathartic lor this purpose is five grains of 
Calomel with half a grain to a grain of Resin of Podophyllum, followed 
in six hours by a Seidlitz Powder or a tablespoonful of Citrate of Magne- 
sia or Castor Oil (the Oil mixed with an equal part of Glycerine and 
flavored with Oil of Cinnamon or Wintergreen). 



INTERMITTENT FEVER. 553 

The remedies which act with complete certainty against this disease 
are the preparations of Peruvian Bark, preferably the Sulphate of Quin- 
ine. The system comes fully under the effect of Quinine in five or six 
hours after it is taken . It is a point in the proper treatment that suffi- 
cient of the remedy be given before five hours of the time of the next 
expected paroxysm, to thoroughly effect the system. To do this, a safe 
and effectual plan is to give ten (10) grains of the Sulphate of Quinine as 
soon as the fever of a paroxysm has passed and another dose of ten (10) 
grains six hours before the time of the next expected paroxysm. A better 
effect is obtained by giving with the Quinine on this plan an eighth to a 
quarter of a grain of Morphine. The Quinine may be given in black coffee, 
with chocolate and sugar, or liquorice and sugar. One of the nicest ways 
of giving Quinine is to envelop the powder in a moistened medicine 
wafer when it is easily swallowed. It may also be given in capsule or in 
Gelatine or Sugar Coated Pills. 

These pills should always be examined before purchasing, by cutting 
one of them open with a knife to see that the interior is fresh and soft. 
Quinine is most active when given in solution. This is effected by 
adding to a mixture of Quinine and water a minim drop of Aromatic 
Sulphuric Acid or each grain of Quinine. If generally have the 
acidin excess as in the following prescription : Take of Sulphate 
of Quinine forty grains, Aromatic Sulphuric Acid one dram, water 
to make four ounces. Mix. Each tablespoonful contains five grains 
of Quinine. If this mixture is used chewing a little liquorice or 
chocolate until the mouth is well coated just before taking the mixture, 
will mask the taste of the Quinine. If taken in some of the previous 
ways the efficacy of the Quinine will be increased by a dose of Aromatic 
Sulphuric Acid two or three times as many drops as there were grains of 
Quinine taken diluted in sufficient sweetened water to make a pleasant 
drink. 

If sufficient Quinine is taken to produce a ringing of the ears before 
an expected paroxysm, that paroxysm will in all probability be prevented. 
Other plans of administering this drug are : in doses of three to five 
grains from two to four hours apart until the ringing of the ears (called 
cinchonism) is produced. It is also an effectual plan. 

The tendency of the disease is to recur at its regular periodical peri- 
ods — the third, fifth and seventh days. After a week has passed, the ten- 
dency of the disease, generally, is to return every seventh day until 
three or four septenary (seventh day) periods have passed. It is advis- 
able, therefore, to continue the use of the Quinine in daily quantities of 
three to five grains, until ten days have passed ; but on the seventh day, 
or late in the sixth day, a full dose of ten or fifteen grains should be taken 
and every seventh day thereafter until four septenary periods have 
passed. Even then it is not safe to abandon the use of the remedy unless 
the patient has become strong and hearty. 

It should be remembered that the remedy is just as effective against 
the next seizure, if given during a paroxysm, as if given during the in- 
terval, so that if paroxysms occur with great frequency, no delay ought 
to be allowed before giving the remedy, but it should be given at once. 



554 EPIDEMIC AND ENDEMIC DISEASES. 

If only five to twelve hours can elapse before an expected seizure, twenty 
grains of Quinine ought to be given in two doses in the latter case, and 
fifteen or twenty grains in one dose in the former. 

Ten grains of Quinine possess a greater anti-periodic effect if given at 
one dose than twenty grains given in small doses at short intervals dur- 
ing the intervals between paroxysms. 

Other preparations of Peruvian Bark are effective, given in the same 
way, but less so than Quinine. Quinidia, Cinchonidia, Cinchonia, the 
two latter have the advantage of being cheaper than Quinine. The pre- 
cipitated Extract of Bark given in double the quantities of Quinine is 
also efficient, and is very cheap. The Cincho-Quinine is also an effectual 
remedy, is less bitter than Quinine, and costs about one-third less. The 
impure alkaloid is comparatively tasteless, especially when mixed in 
three-fifths its quantity of Tannin — sugar may be added — and taken in 
powder, dry on the tongue, and swallowed with a drink of water. All 
these preparations, not taken in solution, should be followed by a dose of 
Aromatic Sulphuric Acid, as directed above under the directions for 
Quinine. 

When a tonic effect of Bark is needed, the other preparations are 
generally to be preferred to Quinine. The dose for this purpose is gen- 
erally two grains three times a day. In case they are used in this way, 
it is generally advisable to give an anti-periodic dose of Quinine at the 
weekly periods, as before mentioned. 

In all cases where ague has existed for some time, the blood has be- 
come impoverished, of poor quality— the patient is anaemic, and requires 
the use of Iron. It is avisable to give it in connection with tonic doses 
of some of the preparations of Bark. The Citrate of Iron and Quinine 
or Cinchonidia, in doses of from three to five grains, generally meets the 
required indication. The Sulphate of Cinchonia may be given in pill 
with Iron, as follows : Take of Sulphate of Cinchonia a dram, Reduced 
Iron half a dram. Make into thirty pills. Take one three times a day. 
The other Alkaloids of Bark, and the Precipitated Extract of Bark may 
be used instead of the Sulphate of Cinchonia. 

Other Salts of Iron, as the Dried Sulphate of Iron, may be used in- 
stead of the Reduced Iron. The Muriate Tincture of Iron is one of the 
best preparations of Iron in these cases in doses of fifteen or twenty 
drops given in sweetened water three times a day, or other preparations of 
Iron may be used alone, in which case the tonic doses of the preparations 
of Bark should be given separately. In some cases I have found the Ci- 
trate of Iron and Strychnine in doses of two or three grains three times a 
day, a most useful tonic. 

Other medicines sometimes have to be resorted to in the cure of ague, 
from force of circumstances, or other causes. 

The one most useful after the preparations of bark is Arsenic. The 
most eligible form for giving this remedy, is in Fowler's Solution. It is 
not very suitable as a sole remedy against Ague, but if given for this pur- 
pose, the dose is ten or fifteen drops in water, three times a day after 
meals, when given as the sole cure for Ague. Puftiness of the eye lids 



INTERMITTENT FEVER. 555 

and watering of the eyes may be disregarded, if the stomach or bowels do 
not become disordered, after a few days — three to five, according to the 
susceptibility of the patient— the dose should be decreased by two drops 
each day, until a dose of two drops is reached. 

The most important part which Arsenic plays in the cure of intermit- 
tents, is in the cure of chronic malarial infections, and to prevent relapses, 
when the paroxysms are broken up by the preparations of bark. For this 
purpose it is often combined with Tonic doses of Bark and Iron, as in the 
following: Take of Quinine a dram, pallet's Mess of the Carbonate of 
Iron, Arsenious Acid one grain. Make into thirty pills according to art. 
It is advised, however, that the Arsenic be always given seperately in the 
form of Fowler's Solution, (because it may be necessary to suspend its use 
for a time, when the other Tonics ought to be continued; another reason, 
the Arsenious Acid may not be properly mixed in the mass, on account of 
unskillful druggist's, and, serious consequences might follow), and Iron 
and Tonic doses of Bark given, also, seperately. The dose of Fowler's So- 
lution for this purpose, is three to six drops after meals, upon puffiness, or 
watering of the eyes, or derangement of the stomach or bowels occurring, 
its use ought to be suspended for two or three days, (until these symptoms 
disappear), and then began again. Full doses of Quinine should be given 
at the septenary periods as before directed. 

The Sulphate, or Muriate of Berberina and Hydrastis, probably rank 
next to the preparations of Bark, in the cure of intermittents. The dose 
of Berberina is fifteen to twenty grains given in Capsules, Medicine wafers 
of pills on the same plan as directed for Quinine, or in five grain doses every 
three hours, until twenty grains are taken. Hydrastia, which is really a Mu- 
riate of Berberia, may be given in the same way. It may be combined with 
Iron in pill. Salaciu (Alkaloid of Willow Bark), is sometimes successfu 
in arresting the paroxysms. Thirty to forty grains should be given in the 
intervals. Eight or ten teaspoonsf ul (even), of common Salt, taken with 
intermission, will often arrest the disease. Ten drops of Xitric Acid in a 
glass of sugar and water taken every six hours, will sometimes succeed 
The Hydrochlorate of Ammonia a dram between paroxysms, will often 
arrest the disease. The Carbagolate (picrate), of Ammonia in doses of a 
quarter to half a grain in pill three times a day, is an old remedy which 
often succeeds. 

Just previous to an expected paroxysm a hypodermic injection of a 
quarter of a grain of Morphine will often arrest or mitigate it. A full 
dose of Opium by the mouth is in a less degree efficacious. 

During the hot stage cold drinks and cold bathing may be freely in- 
dulged in. If any medicines are needed in this stage a half a drop to a 
drop of Tincture of Aconite may be given every half hour until the pulse 
and fever is reduced, when its administration should be stopped. Taking 
the bed before the expected chill, covering the body and keeping it warm 
with hot bottles has warded off " the chill." A teaspoonful of Chloro- 
form swallowed with mucilage or syrup has prevented the paroxysm. 

The difficulty of effecting a cure, especially in chronic cases, is experi- 
enced by the patient remaining in the malarious district where he is con- 
stantly receiving additional doses of the poison. So that sometimes it is 



556 EPIDEMIC AND ENDEMIC DISEASES. 

necessary for the patient to remove to a locality where malaria is un- 
known. 

The best preventive of ague, aside from removal from the malarious 
district, is frequeut doses of Quinine from daily to twice a week of two to 
five grains each, and the use of iron to overcome the anaemia. The pre- 
judice against taking Quinine for a long time, for fear of injury, is wholly 
without foundation. 

Poisoning by malaria is most apt to occur in the evening, night, and 
early morning. It is obvious, then, that remaining in the house during 
these parts of the day is advisable, preferably in an upper room (it is pro- 
bable that the poison does not rise as high as the second story of a house 
which is high — 10 or 12 feet between joists.) It is also claimed that if the 
open doors and windows are closed with fine muslin screens from sunset 
until the dew is off in the morning the occupants of the house are in no 
danger— the poison cannot pass through these screens. 

The enlarged spleen from ague, will generally yield to the remedies 
which cure the ague. This difficulty is treated of in diseases of the spleen 
(Chap. XV). The ointment of the Red Iodide of Mercury seems particu- 
larly applicable in cases of chronic enlargement. A Belladonna plaster 
worn£over the side generally relieves the pain materially. 

The anaemia and dropsy occasioned by chronic ague will be relieved 
by the tonic treatment recommended to prevent relapses. 

In pernicious (congestive or sinking chills) intermittent, no time 
should be lost in giving an anti-periodic, and nothing but Quinine is to 
be relied on. Twenty grains should be given at once, by the mouth, or 
forty grains by injection into the rectum. The dose should be repeated 
every five hours during the intervals, unless marked Cinchonism (ringing 
of the ears) is produced. This effect has, in some instances been kept un- 
der this effect of the remedy for a long time subsequent; subsequent doses 
after the patient merges from the paroxysm, will vary from ten to twenty 
grains. The hypodermic injection of Quinine is sometimes necessary 
here. From five to ten grains may be given at a dose. Take of Sulphate 
of Quinine a dram, Sulphate of Morphine a irain, Dilute Sulphuric Acid 
forty minims, ^^Vater one ounce. Mix and filter. A dram contains seven 
and a half grains. The dose may be repeated, given in this way, in half 
the time given by the mouth or bowel. 

Excessive Cinchonism is not necessary, but promptness and intelli- 
gent boldness are necessary for success. Large doses must be given for a 
longer period than for the milder disease, but the treatment is governed 
by the same principles. 

HOMOEOPATH EC TREATMENT. 

In the treatmnt of Ague, the type, although by no means to be held 
as unimportant, is yet of very secondary consideration to the other features 
of the malady. 

PARTICULAR INDICATIONS. 

For the use of Remedies generally culled for in Ague. 
China or Q i;i nix k.— This well-known but too frequently abused 
remedy is undoubtedly of great efficacy in those fevers which owe their 



INTERMITTENT FEVER. 657 

origin to the influence of marsh miasm, and are peculiarly prevalent at 
particular seasons of the year. It may be given when the fever com- 
mences with a sense of languor or general uneasiness of the heart, anxi- 
ety, headache, sneezing, great thirst, craving hunger or nausea, and pain 
in the bowels. It is also indicated when the fever has set in with absence 
of natural thirst — during the cold stage — but thirst is experienced after 
the heat and daring the sweating, or thirst between the hot and the cold 
stage, and when the chill and fever are followed by a copious sweat. It is 
contra-indicated when thirst exists during the hot stage. Turgidity of the 
veins, with heat in the head, and natural warmth or increased heat of the 
body, with or without increased heat of the surface. Or, again, deter- 
mination of blood to the head, commonly with redness and heat in the 
face, with chilliness of all the other parts of the body, and even external 
coldness, or only a feeling of internal heat in the face, with coldness of 
the cheeks to the touch, and cold sweat on the forehead, are further indi- 
cations for the employment of this remedy. In many cases, China, 
although not capable of effecting a radical cure, is yet of great utility as 
a palliative; it should, under such circumstances, be exhibited immedi- 
ately before the cold stage. In such instances, the consecutive treatment 
should be adapted to the remaining or supervening symptoms. 

Dose: Of China. Four drops in a teaspoonful of water every hour 
in the interval between the fever-fits — the same dose being repeated 
as long as the symptoms occur in like manner. When directly spe- 
cific, however, a single dose of this medicine will generally remove 
the fever. Of Quinine. One grain in the same intervals. 

Lobelia-inflata.— This remedy promises to be of equal efficiency 
with China in the treatment of ague, and may be particularly selected, in 
many instances, even in preference to China ; but in the majority of 
cases which appear to indicate the latter remedy, when that, however, 
has been productive of only temporary relief, and particularly when 
derangement or foulness of the stomach is present. 

Dose : Of a solution of ten pills to four tablespoonsful of water, give 
a teaspoonful every three hours, until amelioration or change ; or a 
dose in the like proportions two hours before the anticipated return 
of the attack . 

Arsenicum is one of the most important remedies in intermittent 
fevers. It is indicated when the different stages are not definitely marked, 
but the fever and heat and shivering appear simultaneously — or when 
we find cold shuddering alternately with heat, or a sensation of cold in- 
ternally, with heat, or an imperfect development of the paroxysms ; or 
burning heat, as if molten lead were coursing through the veins, commu- 
nicating an unpleasant sensation of heat to the hand, when placed upon 
the body of the patient ; great restlessness ; excessive, almost insatiable 
thirst, obliging the sufferer to drink constantly, although but little at a 
time; depression, marked prostration of strength and anxiety; nausea, de- 
sire to vomit, retching, and even vomiting ; severe and burning pains in 
the stomach, and insupportable pains all over the body, especially 
in the limbs. One marked characteristic of Arsenicum is, that all the suf- 
ferings of the patient, pains in the limbs, etc., increase in intensity during 
the paroxysm, and others develop themselves; another is, its marked 



558 EPIDEMIC AND ENDEMIC DISEASES. 

periodicity, generally either Tertian or Quartan, and the rigors gener- 
ally setting in towards evening. It is therefore called for in these 
cases, where we meet with a well-marked periodicity of imperfectly devel- 
oped paroxysms, with some or any of the symptoms above mentioned. It 
is the remedy when large doses of Quinine have been used with no good 
result. 

Dose : Six pills in a tablespoonful of water, administer during the in- 
terval between the fever-fits, three doses, as often as they continue 
to recur. Or in cases of the continuance of the cold fit, or of ex- 
haustion so severe that the patient is unable to rally, even during 
the intervals, — of a solution of twelve globules to three tablespoons- 
ful of water, give a teaspoonful at intervals varying from a quarter 
of an hour to two hours, according to the severity of the case, 
doubling the intervals, or suspending treatment as soon as reaction 
sets in . The 30th potency is best. 

Ipecacuanha is usefully employed in the majority of cases of marsh 
fever, at some stage of the disorder, especially in the earlier periods. 
Some instances occur in which it is sufficient of itself to effect a cure ; in 
other instances it is most successfully followed by other and appropriate 
remedies, or coupled with Nux-v. in particular. It is indicated by the 
following symptoms: much shivering, with but little heat, or vice versa; 
increase of the shivering by external warmth; oppression at the forepart 
of the chest ; want of natural thirst, or at least, little thirst ; dryness of 
the mouth, nausea, vomiting, and other symptoms of deranged digestion. 

Dose: As directed for Lobelia. 

Nux-vomica is especially indicated by excessive weakness at the 
commencement of the fever ; the shuddering mixed with or immediately 
followed by heat ; warmth of the cheeks, with internal chilliness ; feel- 
ing of heat in the face, with shuddering in the remaining parts of the 
body ; heat in the head, with coldness of the body; burning pain in the 
eyes; or, giddiness, with feeling in the head as if from intoxication, de- 
sire to lie down, with trembling of the limbs; fainting, or a sensation of 
paralytic weakness and prostration, with cramps in the different extrem- 
ities, particularly the calves of the legs and feet ; difficulty of breathing, 
palpitation of the heart, anxiety, irascibility, fear of death, and even vi- 
olent delirium ; derangements of the alimentary organs, such as want of 
appetite; dislike to bread ; bitter and sour eructations, tension of the bel- 
ly or spasms of the muscles in that region, and constipation; burning, 
itching miliary eruption, and burning itching sensations over the whole 
body. l*uring the fever: coldness and blueness of the skin, desire to be 
constantly covered, even during the access of heat and perspiration ; oc- 
casionally stitches in the side, shooting pains in the belly, aching in the 
back and limbs, and drugging pain in the belly during the rigors. During 
the hot fit particularly : headache, buzzing in the cars, heat in the head 
or face, with redness of the cheeks, and thirst. 

Dose: As for Lobelia. 

1M LSA'i ilj.a, like the two medicines last mentioned, is an excellent 
remedy in Agues complicated with the stomach or bilious symptoms, 
whenever the slightest attack of indigestion brings on a relapse. Its 
more peculiar indications are vomiting of phlegm at the commence- 



INTERMITTENT FEVER. 559 

ment of the cold stage; want of natural thirst, all through the fever, 
— or thirst, only during the hot fit; simultaneous heat and shivering — 
aggravated in the afternoon or towards evening ; shivering when un- 
covered ; anxiety and oppression of the chest during the shivering. 
During the hot stage, redness and swelling of the face, or redness of the 
cheeks only, and prespiration on the face. The presence of diarrhoea, 
and the patient being of a mild disposition, are corroborative indica- 
tions for its employment. 

Dose : Six pills every four hours. 

Antimonium-crxjdum. The indications for this remedy closely re- 
sesemble those of Pulsatilla, but it is particularly called for, when the 
perspiration breaks out simultaneously with the access of heat and then sud- 
denly disappears leaving the skin dry and hot. 

Dose : Four globules in a teaspoonful of water, as directed for Pulsa- 
tilla. 

Belladonna. Severe headache, with giddiness, or heat and redness 
of the face, pulsation of the large blood-vessels of the neck, and excess- 
ive aggravation of pain from meditation ; partial shivering and shudder- 
ing, with heat in other parts ; great heat with slight shivering ; or violent 
shivering with moderate heat ; absence of natural thirst, or, on the con- 
trary, intense thirst; extreme susceptibility, tearfulness, or depression of 
spirits, and desire for death, particularly when the sufferings are at their 
height. 

Dose: Four pills in a teaspoonful of water every three hours during 
the first interval which occurs after treatment has been undertaken 
and afterwards at lengthening intervals. 

Ignatia is indicated, when, with heat of some parts of the body, 
there is coldness, chill, and shuddering of others; also where the heat is 
only external. Its best characteristic is, when the chills are easily re- 
lieved by external warmth, and attended with thirst. 

Dose : As for Bryonia. 

Apis. Violent headache, amounting almost to unconsciousness ; pain 
in the limbs and all over the body, thirst more during the heat ; sensitiv- 
ness at the pit of the stomach ; scanty urine and swollen feet. Chill about 
4 p. m. ^ 

Dose : As directed for Ignitia. 

Natrum-m. is especially advantageous, for cases which have been 
mismanaged with excessive doses of Bark or Quinine, particularly as fol- 
lows:- -Ague-fits, commencing with headache, general aching pains, pre- 
dominant or prolonged shivering, great thirst during the hot-fit, and 
nearly to the same extent during the cold stage ; also dryness of the 
mouth and tongue ; tenderness of the pit of the stomach to the touch ; 
bitter taste and loss of appetite ; debility ; sallow complexion ; soreness 
of the corners of the mouth. 

Dose : Six pills in a teaspoonful of water every four hours, the first 
interval after treatment is undertaken, and three hours before the 
return of every attack, until amelioration or change ; and after- 
ward at longer and longer intervals. 



560 EPIDEMIC AND ENDEMIC DISEASES. 

Carbo-vegetabidis is particularly indicated, when throbbing at the 
temples, aching in the teeth, and in the bones of the extremities, and 
the coldness of the feet precede the paroxysm ; when thirst is present 
only during the shiverings, and there are rheumatic pains in the teeth or 
limbs before or during the attack ; or nausea, giddiness, and redness of 
the face during the hot-fit; further, when an intense, burning pain, oc- 
cupying the prominent part of the forehead and the eye on the right side 
accompanies the fever. Where Quinine has failed, this is another excellent 
remedy. 

Dose : As for Natrum . 



INFLAMMATORY FEVER. 

SYNOCHIA. 

Diagnosis.— Rigors (chills) — generally considerable— followed by 
burning heat; pulse strong, hard, and greatly accelerated ; dryness of the 
skin, mouth, lips, and tongue ; the latter generally of a bright red, in 
some cases slightly coated with white ; thirst ; urine red and scanty ; con- 
stipation; respiration hurried in accordance with the pulse; amelioration 
of symptoms as the pulse assumes a more normal state. Jt runs its course 
with rapidity, rarely exceeding fourteen days, and progressing with regu- 
larity to a crisis, which shows itself in profuse perspirations, diarrhoea or 
hemorrhage, principally epistaxis (nose bleeding.) The period mentioned 
is its ordinary period of duration, but under careful treatment the perfect 
crisis is considerably hastened and without the long con valesence entailed 
by the usual heroic antiphlogistic treatment. 

It is peculiarly apt, if not carefully treated, to change to typhus, or, 
by mestastasis, to fix upon some important organ. 

Causes. — Sudden chill, or check of perspiration, exposure to wet or 
damp winds, or dry, easterly winds, violent emotions such as grief, joy, 
anger, etc., high living, external injury, local inflammations, and from 
slight attacks of fever mismanaged. 

Individuals of what is termed a plethoric habit are particularly sub- 
ject to this disease; it mostly attacks between the ages of fifteen and 
thirty years. 

Under diagnosis we have just now given the symptoms usually present 
in Synochia; we, however, find it complicated in many cases with cerebral 
(brain) disturbance which you will find more fully considered under In- 
flammation of the Brain. 

HOMOEOPATHIC TREATMENT. 

When the symptoms above described are present give at once a dose 
of Aconite, every two to six hours according to the intensity of the fever. 
The pulse should be carefully watched and also the appearance, first, of 
simple moisture of the skin, and afterward, of copious sweating, which 
generally takes place after a few doses of Aconite. The intervals between 
the doses must be lengthened as soon as this favorable change takes place. 



INFLAMMATORY FEVER. 661 

A slight degree of delirium is frequently present in this affection, chiefly 
at night, which — unless it threatens to run on to inflammation of the 
brain, in which case Belladonna must be given — Aconite of itself is suffi- 
cient to subdue. When, however, during the course of the disease, other 
important symptoms besides those mentioned develop themselves, differ- 
ent remedies such as Bell., Bry., etc., must be given. 

Belladonna is especially useful after the previous employment of 
Aconite ; but it may also be employed at the commencement of the attack 
in all cases where the cerebral (brain) system seems most prominently 
affected, and there is great heat in the head, with violent headache, parti- 
cularly in the forehead, and redness of the face; distention of the arteries 
of the temples; nocturnal sleeplessness, with furious delirium; eyes red, 
shining and fiery; general internal and external heat ; burning thirstand 
agonizing restlessness. 

Bryonia. — When the state of excitement is chiefly confined to the 
organs of the chest (thoracic viscera) or when there is gastric complica- 
tion and the fever inclines to degenerate into typhus. 

This medicine is accordingly indicated when, in addition to the usual 
symptoms of inflammatory fever already given, we find a heavy, stupe- 
fying headache, with a sensation as if the head would burst at the tem- 
ples, much aggravated by movement, vertigo and giddiness on rising up 
or moving, burning heat of the head and face, with redness and swelling 
of the latter; delirium; oppression at the pit of the stomach; excessive 
thirst, sometimes followed by vomiting ; constipation; aching or shooting 
pains in the limbs, short cough, oppression of the chest, and laborious 
breathing. 

A dose every three to six hours, according to the urgency of the 
symptoms. 

Cantharis is good in irritative fever, especially when the following 
symptoms are developed : the fever is very intense during the night, and 
is accompanied by burning of the skin, strong accelerated pulse, general 
redness of the surface, dryness of the mouth, and violent thirst. Fur- 
ther, when pains are complained of in the right side of the body, at- 
tended with great anxiety and raving. 

Chamomilla is best when the attack is brought on by a fit of anger 
or vexation ; present burning heat and bright redness of the cheeks, 
tremulous, anxious, palpitation of the heart, extreme irritability of tem- 
per, and over-sensibility of the senses, alternate chill and heat and some- 
times spasmodic attacks. A dose or two of Aconite is generally needed 
in the beginning. 

When inflammatory fever seems to arise from a primary inflamma- 
tion of some important organ, such as head, lungs, liver, stomach or bow- 
els, the appropriate treatment will be found under the title " Inflamma- 
tion of Head, Lungs, Liver," etc. 

Bryonia is indicated by headache and giddiness, with dry heat pre- 
ceding the attacks of shivering; by the predominance of cold or shiver- 
ing, with redness of the cheeks, heat in the head, and headache ; or 
marked heat, followed by shivering; by stitches in the side, excessive 

36 



562 EPIDEMIC AND ENDEMIC DISEASES. 

thirst, thickly coated tongue, bitter taste in the mouth, disgust at the 
sight of food, nausea or vomiting, and constipation, especially in cases oc" 
curring in the spring. 

Dose: Six pills in a tablespoonful of water every morning, or as 
nearly at that period as possible, during the interval between the at- 
tacks. 



TYPHOID FEVEB. 

TYPHUS. 

Enteric Fever, 

Typhus occurs in two forms that do not differ much from each other, 
namely : abdominal typhus and exanthematic typhus. More- recently 
this last-named form has become much less frequent than the former. In 
spite of these differences, the etiology of both forms is pretty much the 
same ; up to this period we have not succeeded in discovering the reasons 
for the appearance of either one or the other form. 

Typhus originates in some infectious agent ; all that is known of this 
agent is: that it is caused by the decomposition of animal substances. 
Hence, typhus occurs most frequently where the decomposition of ani- 
mal matter is most favored by circumstances, namely : in large cities and 
hospitals ; likewise in localities which are least favorably situated for 
carrying away the products of decomposition, such as cities built in a flat 
country and with imperfect drainage. The infectious principle at times 
seems to act with great intensity ; at other times very mildly, so that ty- 
phus in crowded localities sometimes breaks out with an extraordinary 
virulence ; and other times with comparative mildness. According to 
all probability, a graduated difference of this kind is chiefly owing to the 
quantity of the infectious agent that acts upon the organism, not to its 
quality. The contagion is reproduced by the patient. We cannot share 
the views which prevail concerning the formation of a contagion. We 
do not consider any form of typhus contagious. An apparently conta- 
gious transmission of typhus only takes place among those who have 
been for some time exposed to the emanations from the infected individ- 
ual, not among those who have only been in contact with the patient for 
a short period of time. These remarks apply to exanthematic typhus 
which is considered as decidedly contagious, but which only appears so 
for the reason that it produces a larger quantity and a more infectious 
quality of contagious matter. Physicians in private practice are seldom 
attacked, notwithstanding they are brought in closest contact with the 
patients when exploring their chests ; hopital-physicians and nurses, on 
the contrary, are taken down very often. More recently the level of the 
surface-water has been more particularly examined with reference to ty- 
phus and cholera ; a high level is supposed to favor the breaking out of 
these plagues. We are still without any reliable data in this respect. In 
large cities the construction of wells and water-closets deserves great at- 
tention ; where both are so close together that the well-water can be con- 
taminated by the contents of the closets, typhus is very likely to occur. 



TYPHOID FEVER. 56S 

This subject is, without doubt, worthy the most serious attention of the 
Board of Health, for typhus is not only one of the most dangerous, but 
likewise, one of the most frequent diseases. 

A few points can easily be inferred from what we have said, such as : 
epidemic and endemic, slightly endemic and sporadic type of typhus; 
breaking out of typhus in very damp and hot years, during the hot 
months of the summer and in the fall; likewise in crowded hospitals, 
more particularly if they are full of wounded soldiers ; or in densely pop- 
ulated streets, tenement-houses, on ship-board, etc. Typhus occasioned 
by an insufficient supply of food, or by unwholesome and deteriorated 
food, is less easily accounted for. 

One attack of typhus does not always, but very generally, protect 
against a second attack. There are certain other circumstances that al- 
most positively preclude the possibility of typhus, especially abdominal 
typhus; these are: Intermittent fever, consumption, cancer, heart-dis- 
ease of the higher grade. Age does not establish any positive lines of 
demarcation; except infants, persons of any age may be attacked, but 
more particularly young people and individuals up to the age of fifty. 
Vigorous constitutions are more easily attacked and likewise more 
severely. 

Exciting causes are : Fear and anxiety; a sudden change of die 1 *, 
when persons settle in a locality where typhus is endemic ; catarrh of the 
intestines; mental depression, both by excessive mental labor as well as 
by care and grief. 

Symptoms and Course.— We deem it unnecessary to analyze the 
pathological anatomy of typhus, for the reason that the prominent post- 
mortem phenomena scarcely ever correspond with definite groups of 
symptoms in the phenomenal totality of the disease. Hence, we confine 
ourselves to a few more important data In abdominal typhus the ulcers 
in the intestines act the most important part; they have even given rise 
to the name of this form of the disease. However, it behooves us to pre- 
mise the statement that in their various phases these ulcers do not corres- 
pond with definite phases in the total course of the disease. 

Except these two almost constant phenomena, typhus does not offer 
any permanent, characteristic signs. The brain, especially, remains un- 
altered ; the lungs, on the contrary, show at first symptoms of irritation ; 
afterwards pneumonia. During the first weeks of the disease the mus- 
cles have a somewhat characteristically dark color, and the internal 
surface of the arteries has likewise a dark-red appearance. In exanthem- 
atic typhus the intestinal ulceration does not exist, whereas in this form 
likewise the spleen is considerably hypertrophied and softened and the 
vessels also have a bright appearance as if injected. 

Abdominal typhus very rarely breaks out suddenly ; it is generally 
preceded for a few days or even a week by indefinite symptoms, such as 
lassitude, indisposition to work, loss of spirits, impaired appetite, very 
seldom hunger almost bordering upon a voracious desire for food ; wan- 
dering rheumatoid pains in the limbs, especially in the back, headache of 
the indeterminate type, sleep full of dreams. 
I 



564 EPIDEMIC AND ENDEMIC DISEASES. 

The disease is generally ushered in by a chill of moderate vio- 
lence, or by a marked fainting' sensation which is soon followed by 
the characteristic feeling of illness, namely: an inability to stand 
erect or move about, and a desire to lie down. Very seldom one 
of these conditions is* entirely wanting, so that it is difficult to point 
out the real beginning of the disease ; iDstead of one severe chill we 
often meet with a succession of very feeble chills. The disease now de- 
velops itself in the following manner : The patients feel weak, have nei- 
ther the strength nor the desire to rise from their beds ; headache, at 
times more frontal ; and at other times, in the more violent cases, in the 
occiput, throbbing and very distressing ; complete loss of appetite ; al- 
tered, generally pasty taste ; vomiting not very frequent ; bowels quite 
torpid in the first week ; restless sleep ; when waking early in the morn- 
ing, the patients commence very soon to complain of phantasms which 
they cannot avoid ; yet they talk very rationally and are perfectly con- 
scious of seeing phantasms. The pulse is generally full, very seldom ex- 
ceeding one hundred beats, very often dicrotic (double, or rebounding), 
the temperature is high, the skin feels burning hot. The breathing is 
almost constantly hurried, anxious, the patient talks hurriedly, yet is able 
to take a long breath. The spleen is generally swollen, the swelling in- 
creasing rapidly in size, and is not unfrequently painful. The abdomen 
does not show any constant alterations, but when pressed upon, the pa- 
tients complain of pain in this region, and a gurgling sensation is com- 
municated to the finger, with which the pressure is made. The tongue is 
at times coated very thickly, at other times it only has a whitish coating, 
and again it looks quite clean, but the coating changes as the disease pro- 
gresses. Sometimes the patients complain of a little hacking cough, and 
exhibit symptoms of a slight bronchial catarrh. The urine is less in 
quantity, saturated, notwithstanding that the patients often experience a 
very violent thirst. All these symptoms remain in force only in very vi- 
olent cases; most generally a sensible remission of these symptoms takes 
place towards the end of the first week. 

Second week. — In the second week the symptoms of the disease un- 
dergo a marked change, unless the morbid process takes a turn towards 
recovery, which is very seldom the case. For the present, we only speak 
of typhus of a moderately severe type. In this stage, the patients lose 
their consciousness more and more ; they are either lying in a state of 
lethargic apathy, or else it is only with great difficulty that they are able 
to reply to questions or to give utterance to their own ideas. In the eve- 
ning and during the night this soporous prostration is generally inter- 
rupted by a state of nervous exultation, during which the patients mani- 
fest their internal nervousness by animated talking or by a constant en- 
deavor to escape from their beds. Sensations of pain now cease entirely; 
when asked how they feel, they answer: "Quite well;" they express 
no desire for drink, but they swallow the offered beverage hurriedly and 
greedily: when repeatedly asked to do so, they put out their tongues 
-lowly and tremulously, and forget to draw them in again. 

Another evidence that the influence of the brain is almost entirely 
suspended is, that the patients persevere for along time in an uncom- 



TYPHOID FEVER. 5&> 

fortable position, and that they allow the urine and faeces to escape into 
their beds. 

At the beginning of the second, and very frequently already at the 
end of the first week, the patients complain of a violent buzzing in the 
ears, afterwards they are evidently hard of hearing. Corresponding with 
these changes, the countenances of the patients become altered. Al- 
though the complexion seems to shine, yet it has a livid hue; the eyes 
stare, or they have a vague and unsteady expression ; when raised in their 
beds, the patients at once turn pale and look as if they would faint. The 
various functions show the following deviations from their normal con- 
dition : The pulse is seldom below 100, nor is it often above 120, it is 
weaker than usual and sometimes dicrotic. The tongue, which already 
showed a good deal of dryness in the first week, now is constantly dry ; 
the streaked coating, which had marked it hitherto, now vanishes ; it 
shows a peculiarly red color, and the papillae seem to have become ef- 
faced ; towards the end of the second week the the tongue appears cov- 
ered with a brownish incrustation. The appetite is entirely wanting, 
yet the patients will taste of what they are offered to eat. They do not 
seem thirsty, yet they drink greedily the proffered beverage. At this 
stage the abdomen begins to bloat quite considerably ; when the ilio- 
ccecal region is pressed upon very hard, the patients distort the corners 
of their mouths. Diarrhoea now usually sets in, from four to eight pas- 
sages taking place involuntarily every day. They have a yellowish color, 
deposit a sediment of thick consistence over which floats a watery, opa- 
lescent substance. The urine is secreted in smaller quantities, it is dark 
and is frequently voided involuntarily ; sometimes it is retained alto- 
gether, so that the bladder becomes very much distended. The respira- 
tion is still accelerated, yet the peculiar hurried breathing of the first 
week is scarcely yet perceived ; catarrhal symptoms are likewise discov- 
ered, although the patients scarcely ever cough and only rarely brings up 
a tenacious, yellowish mucus. The spleen continues to enlarge, although 
owing to the distention of the bowels, and the consequent displacement 
of the spleen upwards, the enlargement cannot well be discovered by ex- 
amination. Upon the abdomen, thorax and back, roseola-spots break 
out in greater or less number, some of which are usually present at the 
end of the first week. 

About the middle of the second week all these symptoms generally 
show an increase, less frequently a remission ; both the increase and the 
remission are, however, of short duration. 

Third Week. In the third week, especially at the commencement, 
the symptoms continue to increase in intensity. The patients are now 
lying in a state of complete apathy; in the day-time they are only slight- 
ly delirious, but during the night the nervous exaltation is much worse, 
attended with grasping at flocks. The prostration is so great that the 
patients are no longer able to sit erect ; they are constantly lying on 
their backs, and the body, yielding to the law of gravitation, settles from 
the pillow T downwards towards the middle of the bed. The tongue is only 
slowly protruded after loud and repeated requests ; it is quite dry, with a 
brownish coating which is likewise exhibited on the teeth and at the 



566 EPIDEMIC AND ENDEMIC DISEASES. 

nostrils. Deglutition is very difficult, and it is only with a great effort 
that the patient is able to swallow very small quantities of liquid at one 
time. The diarrhoea continues, but the passages are generally less copi- 
ous, and not unfrequently tinged with blood. The urinary secretions 
continue to decrease and paralysis of the bladder is not an unfrequent 
occurrence. The abdomen is greatly distended and is no longer sensitive 
to pressure. The other symptoms continue unchanged, except that the 
roseola-spots pale off and become complicated with miliaria (measle-like) 
and sometimes with ecchymoses (black-like bruised place). Bedsores are 
now very apt to torment the patient. Emaciation proceeds very rapidly 
and the whole appearance is that of a general collapse. Up to the middle 
of the third week, the fever maintains its intensity. In cases where 
the disease continues during the fourth week no remission of the fever is 
perceptible. In most cases, however, the seventeenth day is characterized 
by a sudden abatement of the fever and of most of the other derangement 
of the functions. This improvement at times is only apparent, as in a 
few hours the symptoms again exacerbate; but at other times it is 
a real improvement marking the beginning of recovery. If the patients 
die, it is most generally at this period ; the remission just alluded to, when 
followed by exacerbation of the symptoms, is generally looked upon as 
a fatal change. Death takes place with symptoms of paralysis of the 
heart and lungs. In favorable cases the fever remits every morning on 
the last days of the third week, whereas the evening-exacerbations de- 
crease in violence, the consciousness returns gradually and with it a 
desire for food and drink. At this stage the fever scarcely shows a sudden 
and considerable decrease, with a correspondingly sudden beginning of 
convalescence. 

With the third week typhus of a medium grade has reached its inten- 
sity in so far as signs of convalescence now begin to show themselves, 
although very slowly. Every case of typhus out-lasting the third week, 
may be safely regarded as very severe. Except complications take place, 
no new symptoms develop themselves during the fourth and fifth weeks. 
The remissions of the fever are very distinct and grow more decided in 
character ; the pulse, on the contrary, increases in weakness and frequen- 
cy. The patient looks as if he were in a state of terrible collapse; 
occasionally threatening paroxysms of collapse really take place, more 
particularly in the night; in the latter course of the disease, such parox- 
ysms are, however, not as dangerous as they seem. In the case of adults 
the consciousness usually returns towards the end of the fourth week; 
but, if the fever continues, delirium is still very frequent towards evening. 
The diarrhoea is at times less than it was, and at other times more profuse; 
in some cases it now ceases altogether. The skin looks clean, with the 
exception of miliaria here and there. The bed-sores which are never 
wanting during such a protracted course of the disease, grow rapidly in 
extent and malignancy. 

If the fever runs a course of four weeks, recovery takes place very 
slowly. In very fortunate cases recovery goes on uninterruptedly, but 
most frequently its course is disturbed by all sorts of accidental inconve- 
niences, such as vomiting alter certain kinds of food, or even after any 



TYPHOID FEVER. 567 

kind ; sudden disappearance of the appetite that had just begun to return; 
return or protracted continuance of the diarrhoea; exacerbations of the 
fever. The decubitus, the nature and conduct of which afford an excel- 
lent criterion by which the amount of progress in the recovery of the pa- 
tient can be measured, sometimes causes a great deal of serious trouble, 
provided the final cure of the fever is very much delayed. Death either 
takes place in consequence of the utter prostration of the patient, 
from exhaustion, or from sudden and complete overpowering of the whole 
of the vital powers of the system. 

ALLOPATHIC TREATMENT. 

The first requisite for the proper treatment of typhoid fever is, that 
the patient shall be in a large room, ventilated by means of several wind- 
ows, that the air may be constantly changed by the free entran ce of pure 
fresh air. Disinfection should be constantly practiced. 

The generation of Ozone (active oxygen) constantly in the sick room, 
is very beneficial. This is best done by a mixture of two parts of Per- 
manganate of Potash and three parts strong Sulphuric Acid in a broad, 
open vessel. An invigorating quality is imparted to the atmosphere of 
the room, and is especially beneficial when, for any reason, the room can- 
not be freely open. Dry scales of Iodine, in a chip-basket, hung over the 
bed, and placed in saucers in different parts of the room, are valuable in 
removing any unpleasant odor in the atmosphere. A few of the scales 
may be vaporized, occasionally, by sprinkling on a hot shovel. 

Another available disinfectant is Carbolic Acid ; a few drops may be 
put on wetted cloths which are hung up in the room. The floor may be oc- 
casionally sprinkled with Labarraque's Solution (Chlorinated Soda) 

The vessels which are to receive the excretions should always contain 
a little of the Solution of Chlorinated Soda, Permanganate of Potash, or 
Carbolic Acid, five or ten drops in water. 

It is needless to remark that carpets, curtains, and all unnecessary ar- 
ticles, ought to be removed from the room . 

The proper temperature of the room is 60°. 

The bed linen should be changed daily. As soon as it is determined 
that the patient has typhoid fever, the hair should be shingled. 

The most effectual plan for controlling the temperature is, by the use 
of water. Where there are proper facilities for it, the bath is the surest 
and most efficient method for reducing a high fever. The patient should 
be placed in the bath at a temperature of 98° F . , and the temperature of 
the water lowered to 80°, or to 60°, by the addition of ice or ice-water. 

After a time varying from five minutes to half an hour, a marked re- 
duction of the temperature is produced, as shown by a thermometer placed 
in the rectum (bowel), when the patient is removed from the bath, wiped 
dry and placed in bed. For this is necessary a bath-tub, large enough to 
receive the body, provided with a discharge pipe to convey off the extra 
water, a strong sheet to lift the patient, a thermometer to test the temper- 
ature of the bath, and a fever thermometer to ascertain the amount of re- 
duction in the heat of the patient. 



56S EPIDEMIC AND ENDEMIC DISEASES. 

The most suitable method of applying water in private practice, and 
in families, is, by the use of the cold wet pack. A sheet is wrung out of 
cold water and placed on the bed. The patient is then laid on the sheet, 
with a proper support for his head. Each. side of the sheet is then brought 
over the patient and tucked under the opposite side. The legs are well 
wrapped in, and the patient is well covered with blankets. He may re- 
main in the pack from ten minutes to an hour. The pack may be repeated 
several times a day, the frequency being determined by the rise of tem- 
perature. When taken from the pack, the patient is to be wiped dry. 

An agreeable, but less effectual plan, is, cool sponging and having the 
cloths dipped in cold water and laid upon portions of the body. 

When there is any tendency to collapse, wet baths should not be given 
There can be no doubt of a greatly diminished mortality by the use of cold 
baths, the disease pursuing a milder course under their use. 

If, in the use of water, the circulation becomes feeble, the skin blue 
or the extremeties cold, stimulants should be given, and bottles of hot 
water placed at the feet. 

The use of the mineral acids is of marked benefit in this disease by 
aiding the gastric secretion and improving digestion and in increasing 
the mucous secretions, and relieves somewhat the dryness of the tongue. 
The Dilute Hydrochloric (Muriatic) Acid is as applicable as any given in 
doses of ten drops diluted in water sweetened with simple Syrup or 
Syrup of Orange Peel. It seems better suited to aid digestion. 

If the teeth become set on edge it is well to wipe them off after each 
dose of the Acid with a cloth wet with a solution of Bicarbonate of Soda. 
This will do much toward preserving the teeth from the injurious effects 
of the Acid. In case of apparent exhaustion of the nervous system the 
Dilute Phosphoric Acid may be given in doses of ten or fifteen drops 
every hour or two, properly diluted and sweetened. It is given habitually 
by some physicians in this disease. It is conclusive that the use of the 
Acids diminish the mortality of the disease very greatly, besides being- 
very grateful to the teeth. 

The patient may also drink freely of cold water or iced water, barley 
or rice water acidulated with lemon or orange juice ; the only limit neces- 
sary to be observed is that^the amount taken does not derange the sto- 
mach. 

In view of the fact that typhoid fever is a self limited disease, the 
essential element in the treatment is to support the powers of life and 
keep the patient alive until the disease shall disappear. The means for 
this purpose are food, (nourishment) alcoholic stimulants and tonic doses 
of Quinine. 

Regarding the nourishment of the patient it is important that system- 
atic feeding be begun early in the course of the disease and continued 
throughout. In the beginning of the disease but very little food will pro- 
bably be taken, owing to a repugnance to it, but if liquid food is given cold 
the patient will often take it to relieve his thirst, and in this way enough 
nourishment will be taken to maintain the strength. It should not be 
given to the extent of producing vomiting or a feeling of discomfort from 



TYPHOID FEVER. 569 

over-fullness or indigestion. The forms of food best suited for fever pa- 
tients are milk, strong beef tea or essence, and fresh raw eggs beaten with 
a teaspoonful of sugar and half a cup (four ounces) of water or milk. Fur- 
ther on in the disease there is an indifferen «e to food, but if it is given it is 
digested; it should be regularly given. If only about four ounces of 
milk, beef tea, or egg and water or milk are taken at a time, it should be 
given every two hours. If an ordinary drinking glass full (eight ounces) 
is taken at a time, four hours should be the intervals of taking food. If 
the patient expresses a desire for any particular kinds of food, the wish 
should be complied with, as far as possible. 

It is a good rule, however, not to give solid food when there is diarrhoea. 
With the three articles mentioned, sufficient nourishment may be given. 
In making beef tea a pound of finely chopped lean beef will make a pint 
of strong tea. A pint of cold water is poured upon the beef and brought 
to a temperature not above 160° F. and kept at that point for four hours, a 
little water being added from time to time to supply the loss from evaporation. 
(The Hydrochloric Acid previously directed can be given in the beef tea.) 
Mutton or chicken can be used instead of beef. Finely divided lean beef 
pounded in a mortar until the nutritious elements are separated from the 
fibre may be given . Nothing excels a milk diet. Everything else should? 
as a rule, be supplementary. By early and continuous feeding the severer 
symptoms are generally obviated as they generally depend on the exhaus- 
tion and prostration, which is prevented by nourishment. 

In the course of the disease, if severe, Alcoholic stimulants are al- 
most always required. They should be given from an early period in the 
attack, as aid to digestion, a teaspoonful to a dessertspoonful of Whisky or 
Brandy with each half glass (four ounces) of milk or other liquid food, but 
not oftener than two hours, greatly aids in the feeding of the patient, and 
so prevents, in many cases, the innutrition and its results, which is shown 
by delirium, a rapid, feeble pulse, twitching of the muscles, picking at the 
bedclothes, coma with watchfulness, restlessness, etc. In a stage of this 
fever where there is marked exhaustion, Brandy or Whisky should be given 
freely and to the extent of relieving the symptoms above enumerated. I 
believe life is saved by the free but judicious administration of Alcohol in 
the advanced stage of prostrating diseases in obedience to the scriptural 
injunction, "Give strong drink unto him that is ready to perish." The 
appropriate dose will be from one to two tablespoonsful of Brandy or 
Whisky, given from one to four hours apart. The stimulant is doing good 
when the weak, rapid pulse becomes stronger, slower, fuller (a pulse of 120 
is generally a weak pulse ; one of 130, or more, always so), when the dry 
tongue becomes more moist, the delirium, vigil, restlessness, etc., lessened 
and the sleep becomes more refreshing. It does harm if the pulse is 
quickened, the tongue dryer, the delirium greater, the restlessness in- 
creased and is being given too freely. 

The tonic effect of Quinine is best produced by doses of two or three 
grains four times in the twenty-four hours. 

In the early part, headache may be relieved by cold water, either by 
keeping a thin cloth on the head, which will keep cool by evaporation, or 
by the use of ice-water, vinegar and water, pouring water upon the head 
(douche), or by bladders of ice. 



570 EPIDEMIC AND ENDEMIC DISEASES. 

Vigil (or wakefulness), sleeplessness, or delirium should be relieved. 
For this purpose there is nothing better than ten grains of Dover's Pow- 
der, or a grain of Opium with a grain of the Extract of Hyoscyamus, at 
night, which will produce a refreshing sleep. A condition of semi-coma 
(insensibility) with watchfulness, does not prevent the use of Opium to 
produce sleep. It is, sometimes, better to give at night, especially when 
there is delirium, twenty grains of Hydrate of Chloral with an equal quan- 
tity of Bromide of Potassium, dissolved in water with syrup. 

Nausea and vomiting are generally relieved by greater care in giving 
food and drink, especially a more limited amount of the latter. Cold or 
Mustard may be applied over the stomach. Ten grains of Bismuth, Sub- 
Xitrate, with five grains of Oxalate of Cerium, or a drop of Carbolic Acid 
in water, may be given hourly, if needed. 

Diarrhoea is generally present, and may require to be restrained by 
opiates and astringents, directed in the treatment of that disease. Some- 
times a large injection of thin Starch will suffice. Merely a looseness of 
the bowels does not need treatment. 

Cathartics are not to be given; but if constipation exists, it is to be re- 
lieved by injections or mild laxatives, as a dessertspoonful of Castor Oil in 
emulsion with Glycerine, flavored with Oil of Wintergreen (Gantheria) or 
Cinnamon. 

Should ulceration of the intestines occur, a peritonitis or a hemor- 
rhage is almost sure to occur. The former result is to be treated by full 
doses of Opium, to relieve the pain and support life. Large, warm poul- 
tices should be kept on the abdomen. Peritonitis not caused by ulceration, 
is not so fatal, but is to be met by the same means. 

Hemorrhage into the intestines will call for Opium in doses of a grain 
with ten grains of Gallic Acid, in solution, with ten drops of Aromatic 
Sulphuric Acid. 

Nose-bleeding, if excessive, will call for the treatment directed in the 
article on that trouble. 

The distention of the abdomen from gas in the intestines (called tym- 
panites) occasions great discomfort. It may be relieved by a large injection 
of warm water containing a tablespoonful of Turpentine previously mixed 
with Glycerine. A flannel cloth wrung out of hot water and then wet 
with Turpentine, laid over the abdomen, will afford relief. 

The urine should be examined frequently to ascertain whether a defi- 
ciency in the amount of urea may not warn of Uraemia (poisoning by 
this ingredient of the urine remaining in the blood.) The smell of Ammo, 
nia in the exspired breath also indicates Uraemia. Diuretics (medicines to 
act on the kidneys) are required, as, a half a teaspoonful of Vinegar of 
Squill in a tablespoonful of Infusion of Digitalis every four hours until 
urine is passed freely, and if the symptoms are urgent, hot air baths 
should be given. Profound sleep (coma) will call for these measures for 
relieving the blood of urea, and blisters to the back of the neck, by means 
of Blistering Collodion. 

DIVISION AND TREATMENT. 

It were of no service, as it would also be a difficult task, to define ex- 
actly the varieties of complication which may attend disorders of this 



TYPHOID FEVER. 571 

kind. The broad distinction consists in the organs which are especially 
affected. 

But, in order to facilitate the discrimination of unprofessional per- 
sons in the treatment of this most difficult species of disorders, we will di- 
vide their indication, progress, and issue, into three dinstinct stages, the 
Premonitory and Incipient, the Acute, and the Debilitated and Convales- 
cent stages. It is not, however, to be assumed that these gradations are 
always clearly defined. They may merge imperceptibly, may be arrested 
by treatment, or may be suspended by fatal results. The incipient stages 
are, however, naturally distinguishable until the positive development of 
the fever becomes evident, and the stage of debility, which is a conse- 
quence of the ravages of the fever, differs from the two former in the 
substance of active symptoms, and in the accompanying prostration of 
animal power. In the treatment of all alike we must be guided by the 
symptoms, and select the most appropriate remedy according to the 
characteristic indications afforded. 

HOMOEOPATHIC TREATMENT. 

DURING THE PREMONITORY AND INCIPIENT STAGES. 

Bryonia-alba. Rurs-TC-xicoDENDRON. These remedies, either 
singly (according to the subjoined symptomatic indications of each), or 
in alternation (where the symptoms of the disease embrace the charac- 
teristics of both), have, when seasonably administered in the incipient 
stages of many varieties of these fevers, been found sufficient to arrest the 
progress and development of the malady altogether, or at all events so 
far to modify its future course, as to deprive it of much of its malignancy. 
Bryonia and Rhus are, in fact, the medicines whose ascertained operation 
is most closely akin to that of this class of disorders. 

Bryonia . This remedy is especially applicable to cases which man- 
ifest an inflammatory tendency . It should be selected in the incipient 
stage, when the following symptoms are present : — After a slight cold 
the patient complains of aching pains over the whole body, which admit 
of no relief from a change of posture ; severe, throbbing, bursting, front- 
al headache (aggravated by opening or turning the eyes) prevails ; the 
scalp is tender to the touch, and the head burning hot, yet the forehead 
is, nevertheless, frequently bathed with cold sweat ; the sitting or even 
the recumbent posture is rendered compulsory by the prevalence of debil- 
ity, languor, and heaviness of the limbs, and there is an aversion to cold 
air; the nights are disturbed, more especially the fore-part of the night, 
by ebullition or congestion of blood, heat, and anxiety ; the patient sighs 
and groans during sleep, and is often aroused by agonizing or frightful 
dreams, which continue to haunt him even whilst aioake. The digestive 
functions are considerably deranged, as exemplified by the presence of 
bitter taste, loathing of food, nausea and inclination to vomit, a yellow, 
furred and dry tongue, pressure or weight and pricking in the pit of the 
stomach, with sensation of distention about the lower ribs on both sides, 
and costiveness. 

Dose : If singly, dissolve six globules in two tablespoonsful of water, 
and give a teaspoonful of the solution every two hours ; if in alter- 



572 ACUTE CONTAGIOUS DISEASES. 

nation with Rhus . , dissolve six globules of each remedy separately 
in two tablespoonsful of water, and give a teaspoonful of the one 
solution four hours after the other, in rotation, until amelioration or 
change. 

Rhus-toxicodendron is especially applicable to the low, nervous 
variety in the premonitory stage of typhus. It should be employed when, 
either after exposure to a thorough wetting, or without any assignable 
reason, the patient is seized with violent relaxation of the bowels, accom- 
panied by colic, and complains of chilliness even when seated close to the 
fire ; further, when aching pains (or pains as if arising from the effects of 
contusions) are experienced in particular parts of the body, or when a 
painful sensation is experienced, as if the flesh had been torn from the 
bones ; the tongue is furred white, and giddiness, inclination to vomit, or 
actual vomiting of phlegm, is present; the patient is tormented by numb- 
ness, creeping and tingling in the parts of the body on which he lies, 
together with lancinations, drawing pains, and stiffness in the nape of 
the neck and in the back, rigidity and feeling of paralysis in the extremi- 
ties, with trembling on holding out the arms ; the chief qualifying condi- 
tion is that all the symptoms are, generally speaking, exacerbated during 
rest and at night. 

Dose: If singly: Of a solution of six globules to two tablespoonsful 
of water, give a teaspoonful every two hours, until amelioration or 
change. If in alternation with 'Bryonia, dissolve six globules of 
each remedy separately in two tablespoonsful of water, and give a 
teaspoonful of the one solution four hours after the other, in rota- 
tion, until amelioration or change. 

Ipecacuanha may be selected in the early stage of typhus, when it 
is ushered in by prominent symptoms of derangement in the digestive 
organs, such as headache, giddiness, nausea, vomiting, watery, yellow or 
greenish, slimy evacuations; particularly when these are associated with 
slight chills alternately withheat, or considerable shivering with slight heat 
or marked heat with but little shivering. 

Dose : Four globules in a teaspoonful of water every three hours un- 
til amelioration or change. 

Pulsatilla may also be selected in this stage of the disorder, when 
frequent shivering, bitter taste, whitish tongue, loss of appetite, nausea, 
vomiting of phlegm, slimy evacuations, and febrile heat intermingled 
with chills prevail ; and more particularly when these symptoms become 
exacerbated towards evening, and occur in mild, temperate, or phlegma- 
tic subjects, or in females, with extreme depression of spirits and tear- 
fulness. 

Dose: Four globules in a teaspoonful of water in every three hours, 
until amelioration or change. 

Digitalis is indicated when nervous fever, or rather typhus, accom- 
panied by bilious derangement, is ushered in by yellow, jaundiced hue of 
the skin ; violent, bilious, spasmodic pains in the stomach ; sensibility of 
the upper part of the stomach on the left side, on pressure ; frequent 
urging to make water, particularly at night, with scanty urine; burning 
heat of the head and face; anxiety of mind and dread of some imaginary 



TYPHOID FEVER. 573 

impending misfortune ; urination painful and difficult, or entirely sup- 
pressed. 

.Dose : Six globules in a tablespoonful of water every three hours, until 
amelioration or change. 

Nux-vomica. — Symptoms of stomachal derangement, constipation, 
with frequent inclination and ineffectual efforts to evacuate. Nux-vomica 
is further indicated when the spasms, which not unfrequently accompany 
this disease, are confined to the stomach and intestines, particularly the 
inferior bowel — a frequent cause of the above-mentioned constipation ; 
painful and difficult emission of urine ; painful pressure and tension in 
the regions about the stomach and the lower ribs; sensation as if the 
limbs were bruised ; general nervous excitability, with great nocturnal 
restlessness and slight delirium ; weakness and aggravation of the symp- 
toms in the morning. Temperament, sanguine or bilious ; disposition, 
irritable and impatient. 

Dose : Six globules in a tablespoonful of water every four hours, un- 
til amelioration or change. 

China. — This remedy is frequently of service in the first stage, or 
when paleness of the face, lancinating, rending, aching, or pressive head- 
ache, cloudiness of vision, buzzing or roaring in the ears, dullness of 
hearing are present ; yellow or white coating on the tongue, dryness of 
the mouth, insipid, clammy, or bitter taste; inclination to vomit; sensi- 
bility and distention of the belly; thin, yellow, watery motions, occasion- 
ally intermixed with undigested substances ; urine scanty, pale or dark 
colored and cloudy ; oppression at the chest ; dragging, shooting pains in 
the limbs ; anxiety, sleeplessness, and general coldness and shivering. 

Dose : Six globules in a tablespoonful of water every six hours, until 
amelioration or change. 

Aconitum. Belladonna. These are the best remedies in the 
incipient stage of the disorder, when inflammatory symptoms declare 
themselves from the commencement. The selection between Aconite 
and Belladonna will be gathered from the subjoined symptomatic in- 
dications, and from the article on the " characteristic symptoms," un- 
der the head of these remedies respectively. It should be added here, 
that when the disease becomes further developed, and still retains the 
inflammatory character— Bryonia and Rhus respectively, according to 
the symptoms, are generally preferable. 

Aconitum is indicated in the incipient stage by the presence of the 
following symptoms : — Chill followed by the burning heat, strong, hard, 
and quick pulse ; dry skin, mouth, lips and tongue ; the latter being 
generally of a bright red, but sometimes also slightly coated with white; 
excessive thirst ; red and scanty urine; hurried breathing ; the symptoms 
being aggravated or modified, according to the greater or less irregularity 
of the pulse. The condition which distinctly points to Aconite, as the 
remedy (when other complications are not present), consists in the ag- 
gravation of the above symptoms at night, often attended with slight de- 
lirium. Should the delirium become violent, and considerable cerebral 
disturbance be otherwise manifested, or should this particular symptom 
not yield rapidly to the action of Aconite ; — when, moreover, the skin 



574 EPIDEMIC AND ENDEMIC DISEASES. 

continues hot and dry, and the bowels relaxed, or the motions are even 
passed involuntarily, or when there is inflammation of the glands of the 
throat (tonsils), or red, parched tongue, great thirst with disinclination 
or dread to satisfy it, it will be preferable to administer Belladonna until 
the indicative symptoms yield. 

Dose: Of a solution of six pills to two tablespoonsful of water, give a 
teaspoonful every three hours, until amelioration or change. In 
mild cases in which the symptoms yield readily to the action of the 
medicine, the repetition may be deferred to intervals extending to 
twelve hours. 
Belladonna is particularly indicated by the following symptoms, in 
addition to those above enumerated : alternate heat and chills, or general 
heat externally and internally, with redness, burning heat, and bloated 
appearance of the face, or alternations of coldness and paleness, and heat 
and redness of the face, violent throbbing of the large arteries of the 
neck ; redness, sparkling, and protrusion of the eyes, with dilation of 
the pupils, extreme sensibility to light, and distortion of the eyes; sing- 
ing or noise in the ears to a greater or less degree ; wild expression of the 
countenance, with uneasy glancing around, as if from fear, sometimes 
attended with a marked inclination to run away ; violent shooting pains 
in the forehead ; or dull heavy pain, causing the patient to put his hand 
frequently to his head ; sopor; furious delirium or loss of consciousness; 
delirium and snatching at the bedclothes, or spasmodic or convulsive at- 
tacks ; parched lips, soreness of the corners of the mouth, redness and 
dryness of the tongue, which is also sometimes foul, and covered with a 
yellow coating ; skin hot and dry ; bitter taste in the mouth, intense 
thirst, difficulty of deglutition, especially of liquids; nausea; pressure at 
the pit of the stomach ; excessive distention of the bowels, and constipa- 
tion, or w T atery motions; scanty and red or amber-colored urine; rapid 
respiration ; pulse full and accelerated, or quick, hard and wiry ; inflam- 
mation and swelling of the glands before and beneath the ears. 

Dose : Dissolve six globules in three tablespoonsful of water, and give 
a teaspoonful of the solution every four hours, until amelioration or 
change. In mild cases, or when the symptoms yield readily to the 
action of the medicine, the repetition may be deferred to a period 
of twelve hours, and repeated at such intervals, until amelioration 
or change. 
Stramonium is indicated by symptoms of the same nature as those 
which indicate Belladonna, with the addition of the following: — twitch- 
ing of the muscles of the face, starting of the tendons, squinting, trem- 
bling of the extremities, tremulous motion of the tongue on protrusion, 
burning heat of the body, suppression of the urine, fantastic gesticula- 
tions, and involuntary spasmodic smiling. 

Dose: Four globules in a teaspoonful of water every three hours, un- 
til amelioration or change. 

Hyoscvamus is indicated by the same symptoms as have been stated 
;>\ Length under the head of Belladonna, with the addition of the follow- 
ing :— twitching of the tendons, strong, full pulse, fullness of the veins, 
burning heat of the skin, sensation of pricking all over the body, and 
constant delirium ; frequent but ineffectual urging to urinate. 

Dose: Three globules in a teaspoonful of water every three hours, 
until the symptoms are distinctly modified or changed. 



TYPHOID FEVER. 575 

Baptisia (Wild Indigo) is specially required when the weak and trem- 
ulous feeling; the quick (90), full, and soft pulse; the internal and exter- 
nal heat, with thirst ; the headache and tendency to delirium : 
the tongue yellowish-brown in the center, and red at the edges ; the 
constipation alternating with diarrhoea ; all contribute to make up the 
morbid picture ; — hot, dry skin and a quick, full pulse; the tongue is 
thickly coated with a ichitney-brown fur ; the head aches, and there is at 
least nocturnal delirium ; no appetite and great thirst ; the urine is high 
colored, and generally with constipation. 

Dose : The same as directed for stramonium . 

TREATMENT OF ABDOMINAL TYPHUS ; 

TJiatJis, Typhus with tenderness and distention of the belly, griping, or some 
times dull, continuous pain, diarrhoea, etc. 
Merotjrius will be found a most efficient medicine, if immediately 
employed when the disorder assumes the low form of abdominal typhus, 
or occurs in persons of sluggish constitution and slow circulation, and is 
attended with pale, yellowish appearance of the face, severe headache, or 
sensation as if a tight band were across the forehead ; thickly-coated 
tongue; bitter or foul taste; little thirst; sensitiveness of the region about 
the navel and the pit of the stomach, to the touch, and distention of the 
belly ; evacuations, copious, watery, floculent, or slimy and even bloody, 
sometimes qualified by straining without evacuation ; at first, dry burn- 
ing skin followed by profuse, debilitating sweats ; depressed pulse, and 
great prostration ; extreme restlessness and anxiety, with constant toss- 
ing about in bed ; and disturbed and unrefreshing sleep with anxious 
dreams. 

Dose: Six globules in a teaspoonfn.l of water, every two hours, until 
the evacuations- become diminished in number and improved in 
appearance, and the tenderness and pain in the lower part of the 
stomach, etc., are relieved. After wkich some other remedy must 
be selected, in accordance with the remaining symptoms ; consider 
Acidum Nitricum, amongst others. 

Khus-toxicodendron is especially indicated in abdominal typhus 
characterized by continued heat and dryness of the skin ; violent deliri- 
um ; oppression at the heart, with sighing and moaning ; pains in the 
limbs ; extreme debility ; tongue and lips dry and red, or covered with a 
brown or blackish, tenaceous fur ; red, burning, cheeks ; convulsive 
twitching of the tendons, snatching at the bedclothes, drowsiness or stu- 
por, with muttering and loud, nasal breathing ; weak, accelerated pulse; 
anxious expression of countenance ; sleep disturbed, or prevented by the 
frequent recurrence of sudden starts ; eyes inflamed, watery and insens- 
ible ; features collapsed ; breath exceedingly offensive ; involuntary evac- 
uation of the excrement and urine; coldness of the extremities ; sinking 
energies ; livid spots and miliary eruption . 

Dose: Dissolve twelve globules in three tablespoonsful of water, and 
give a teaspoonful of the solution every two hours until three doses 
have been given ; then extend the intervals (or sooner, if distinct 
improvement takes place) to four hours, and continue the adminis- 
tration until the symptoms particularly indicative subside or be- 



576 EPIDEMIC AND ENDEMIC DISEASES. 

come altered. If no alteration follow the fourth dose, or the aspect 
of the symptoms be as follows, proceed with the next remedy. 

Camphok frequently proves useful after Rhus, particularly when the 
following symptoms prevail : heat of the head, with confusion of ideas, 
or violent delirium ; giddiness ; throbbing headache ; burning heat in the 
forehead ; cold and clammy skin ; continuous coldness of the hands and 
feet ; debilitating and clammy sweat ; tendency to violent relaxation of 
the bowels ; scanty cloudy urine, which deposits a thick sediment ; great 
weakness, and feeble, scarcely perceptible pulse. 

Dose: One drop of the saturated tincture on a small lump of loaf su- 
gar, every quarter of an hour, until distinct amelioration or change: 
— or if the more urgent symptoms have yielded, and the following 
remain, proceed with the next remedy. 

Cocculus may often follow either Rhus or Camphor (after the previ- 
ous employment of Rhus), especially when the great debility continues, 
and the patient complains of giddiness and headache ; or when there is a 
tendency to swooning or paralysis of the limbs, and when there are 
prominent symptoms of derangement of the digestive functions. 

Dose: Of a solution of six globules to three tablespoonsful of water, 
give a teaspoonful every two hours, until amelioration or change. 

These remedies, either singly or in alternation, are amongst the most 
important, in cases of a desperate character, and when the most alarm- 
ing symptoms occur. 

Arsenicum. This is decidedly one of the most important remedies 
in abdominal typhus, especially in the second and third stages, some- 
times restoring the patient when almost beyond the reach of hope, and 
renovating the vital spark. The chief indications for its employment 
are -.—extreme prostration of strength, — falling of the lower jaw,— open 
mouth,— dull and glassy eyes,— bitter taste, inclination to vomit,— press- 
ure and aching at the pit of the stomach, pain in the right side of the in- 
ferior region of the belly,— bursting headache,— giddiness,— violent or 
low delirium,— drowsiness, — flatulent distention of the bowels,— burning 
thirst, — dry, hot skin,— parched, cracked, sometimes blackish-looking 
clammy tongue,— and violent and continuous relaxation of the bowels; 
pulse[scarcely perceptible, and intermittent. 

Dose: If singly, of a solution of six globules to three tablespoonsful 
of water, give a teaspoonful every quarter of an hour (in very crit- 
ical cases), or every hour (in less urgent instances) until ameliora- 
tion or change, doubling the length of the intervals as soon as dis- 
tinct improvement occurs. If in alternation with Veratruin, dis- 
solve separately six globules of each remedy in three tablespoons- 
ful of water, and give one teaspoonful of the one, half an hour after 
;i similar dose of the other (in very critical cases), in rotation— or at 
intervals of one hour (in less urgent instances), until amelioration 
or change. 

Vbbatrum is occasionally useful after or in alternation with Arseni- 
cum, when the inferior extremities become cold and covered with cold 
sweat. 

Dose: In every respect, singly or in alternation with Arsenicum, as 
directed for the Latter remedy. 

CARBOVEGETABILIS may also prove serviceable in very critical cases 



TYPHOID FEVER. 577 

It is indicated where we find drowsiness with rattling respiration, — face 
pinched, sunken, and death-like, — pupils insensible to light, pulse scarcely 
perceptible, and the vital power rapidly sinking, — cold perspirations on 
the face and extremities, — involuntary and offensive evacuations, — deep- 
red urine, with a cloud floating in it, or rising towards the surface. In 
abdominal typhus, however, the more particular indication consists in 
symptoms of incipient ulceration, or in signs of so-called putrescency. 

The following symptoms are also distinctly indicative of this remedy: 
— burning, lancinating pains about the region of the stomach, and deep 
in the bowels, which become renewed after partaking of food of any kind, 
and are accompanied by great anxiety, excessive flatulency, and the evac- 
uation of burning, light-colored, fetid, watery, bloody stools, attended 
with painful urging ; desire for salt food, and for coflee, with aversion to 
meat, generally, and dread of indulging the craving, lest the sufferings 
be aggravated. 

Dose: In every respect, singly or in alternation with Arsenicum, as 
directed for that remedy, above. 

TREATMENT OF THE SECOND OR ACTIVE STAGE IN TYPHUS, 

Whether of the inflammatory or low variety. 
Bryonia is more particularly indicated when the disorder assumes 
the character of inflammatory nervous fever, or typhus especially af- 
fecting the brain, with violent, stupefying headache, as from a blow, 
and pain across the forehead and at the temples, as if the head would 
burst ; frequently raising of the hands to the head. Aggravation of 
these sensations by movement— continued, violent delirium with ex- 
cessive febrile heats; foul, thickly-coated, yellow tongue, or dry, 
cracked tongue, with pinched mouth and great thirst, and vesicles in 
the mouth or on the tongue ; furred lips; nausea, inclination to vomit, or 
vomiting of mucous and bilious matter; tenderness of the pit cf the sto- 
mach, when touched; general heat of the w T hole body, dryness of the 
skin, redness of the face, and profuse perspiration during the fever ; sen- 
sibility about the region of the stomach ; distention of the belly, oppres- 
sion at the chest, and frequent sighing and moaning, indicative of 
threatening miliary eruption ; constipation, or relaxed stools ; urine of a 
deep orange color or bright yellow, with yellow sediment; sensation as 
of a plug in the throat, with difficulty of hearing; stitches in the side; 
drowsiness or disposition to sleep during the day ; sleeplessness, fugitive 
heat, and excessive restlessness, or continued drowsiness or stupor, with 
startings and unpleasant dreams ; painful shootings and soreness of the 
limbs, aggravated by movement ; trembling of the hands ; pulse quick, 
soft, frequent, or irregular, small and intermitting: miliary interrup- 
tion, livid spots ; irritability, irascibility, despair of recovery. 

Dose : If singly. Under very favorable circumstances, of a solution 
of six globules to three tablespoonsful of water, give a teaspoonful 
every twelve hours. In cases which assume the more serious fea- 
tures, a similar dose should be repeated every three hours, until 
amelioration or change. If in alternation with Rhus. Dissolve 
separately, six globules of each remedy in three tablespoonsful of 
water, and give a teaspoonfcil of one solution four hours after the 
like dose of the other, in rotation, until amelioration or change. 

37 



57S EPIDEMIC AND ENDEMIC DISEASES. 

EuPATOEirM-PERFOLiATUM.— Pain in the bones, attended with hot 
dry skin. This remedy has been highly recommended by the most suc- 
cessful practitioners as Drs. Williamson, Neidhard and others. 

Dose: The same as is directed for Bryonia. 

Rhus-toxicodendron. — This medicine is more peculiarly suitable to 
the low form or stage, Bryonia being more applicable to the inflammatory, 
butwill frequently be found serviceablein all the stagesof the disease, parti- 
cularly when there is undue relaxation of the bowels, congestion to the 
head, oppression at the chest, and great weakness. The headache is 
generally of a stupefying nature, with a feeling as if from a bruise, but 
not so severe as that indicating Bryonia; the tongue presents nearly the 
same character, less nausea and inclination to vomit exist ; violent pain is 
present about the region of the stomach, especially when touched. Con- 
stipation as named of Bryonia, but more frequently copious, yellowish or 
loose, bloody evacuations, with severe cutting pains in the belly ; the 
symptoms are general heat, and those of the face resemble those mention- 
ed under Bryonia, but without the perspiration, or at most, a clammy 
feeling of the skin. The urine is hot, dark colored, or at first clear, and 
afterwards turbid ; the symptoms of the ears the same; sleep also the 
same ; difficult deglutition of solids, as if from contraction of the throat 
and the gullet; general tiembling, debility, and prostration, almost 
amounting to paralytic weakness of the different limbs; shooting pains 
in various parts of the body, aggravated when at rest or at night, and 
momentarily relieved by moving the part affected ; pulse quick and small 
or weak and slow ; as mental or moral symptoms, we may notice, exces- 
sive anguish, anxiety, extreme lowness of spirits, and disposition to 
weep. 

Dose: Whether singly or in alternation with Bryonia, in all respects 
as directed for the latter remedy above. 

Arnica is also of some importance in low or sluggish nervous fever, 
with lethargy, or delirium, and snatching at the bedclothes; or when .the 
patient lies in a state of unconciousness, as if he had been stunned by a 
concussion of the brain. 

J9o.se: Three globules in a teaspoonful of water every four hours, un- 
til amelioration or change. 

Pulsatilla is often of considerable service in the second stage of 
typhus, when slight delirium, tears and lamentations, alternating with 
drowsiness, prevail. 

Dose: Three globules in a teaspoonful of water, repeated, if necessary 
at the expiration of four hours, and so on until amelioration or 
change. But if any of the undermentioned symptoms declare 
themselves, proceed with the next remedy. 

ACIDUM-PHOSPHORICUM is frequently required, either when, at the 
commencement of the disease we find great exhaustion and prostration 
with wandering even when awake; or in almost hopeless cases (alone or 
still better in alternation with Rhus) when the patient is always found 
lying on the back in a drowsy state, and either makes no reply when 
spoken to, or answers incoherently ; or in other instances, and especially af- 
ter the previous employment of Pulsatilla, when the following symptoms 



TYPHOID FEVER. 579 

prevail : — constant, loquacious delirium or low muttering ; snatching at 
the bedclothes ; fixed looks ; seeming efforts to escape from some alarm- 
ing object ; black incrustations on the lips ; dry, hot, skin ; continual, 
copious, watery discharges from the bowels, the motions, being in general 
involuntary ; bloody evacuations ; frequent, weak, and occasionally an 
intermitting pulse. 

Dose : Three globules in a teaspoonful of water, at first every hour, 
extending the intervals to three hours as soon as the symptoms are 
modified, and continuing the administration until positive amelior- 
ation or change. Or if the under-mentioned symptoms should in 
particular continue unmodified, proceed with the next remedy after 
a lapse of three hours from the last dose. 

Acidum-nitricum should be administered after or during the course 
of Acidum-phosphoricum— but not within less than three hours of a pre- 
vious dose of the latter — if the bloody evacuations fail to yield readily to 
the previous treatment. Acidum-nitricum is, moreover, particularly 
useful when there are white specks in the mouth and throat; sensibility 
of the belly on pressure; relaxation of the bowels, and slimy, acrid* 
greenish-colored stools ; straining; intestinal ulcerations; shooting pains 
in the lower bowel ; scalding when passing water; and tendency to col- 
lapse. In some cases it is necessary to administer this remedy by injec- 
tion or enema, as below stated. 

Dose : Three globules in a teaspoonful of water, repeated, if necessary 
after four hours (or every four hours till the symptoms yield), return- 
ing to Acidum-phosphoricum, if requisite or proceeding with the 
next remedy, after a pause of three hours, if the under-mentioned 
symptoms, in particular, supervene. The Enema should consist of 
six drops of the tincture at the third dilution to every two table- 
spoonsful of water. 

Cantharides should be administered after or during the course of 
either of the three foregoing remedies, but not within less than three 
hours of a dose of any other medicine, if painful evacuation of water be 
distinctly manifested. 

Dose: Three globules in a teaspoonful of water, repeated, if neces- 
sary after an interval of three hours (or continuing at such intervals 
until the indicative symptom is positively subdued), returning to 
either of the foregoing, or proceeding with other treatment, or sus- 
pending treatment, according to the prevalence of particular symp- 
toms or general improvement be manifested. 

China is sometimes of considerable value in the second stage of this 

disease, especially when the attack has become protracted and tedious: 

nocturnal sweats, obstinate relaxation of the bowels, but unattended with 
pain in the bowels, the tongue at the same time being clean. 

Dose: Three globules in a teaspoonful of water, every four hours 
until amelioration or change, unless, after the third dose, the sweats 
remain unmodified, when proceed with the next remedy, after a 
pause of four hours. 

Sulphur should follow the third dose of China in the event of the 
continuance of the sweating, notwithstanding the previous administration 
of the latter remedy. Sulphur has always been found of considerable ser- 
vice — Bryonia, Rhus, or Acidum phosphoricum having been fruitlessly ad- 
ministered, but particluarly when the following symptoms were encoun- 



580 EPIDEMIC AND ENDEMIC DISEASES. 

tered: pale and collapsed countenance, burning, itching eruptions on the 
lips, dryness of the mouth; foul, dry tongue; bitter taste; slimy or bilious 
vomiting; tenderness of the region about the stomach, and pain as from 
excoriation of the parts above the navel, increased on pressure; flatulent 
rumbling in the bowels; frequent, watery, flocculent, or yellow evacua- 
tions; cloudy urine, depositing a reddish sediment; miliary eruption; 
eruption with a discharge of matter ; bleeding at the nose ; stitches in the 
chest, oppressed breathing; dry cough, worse towards evening and at 
night; sleeplessness, or whining during sleep; dry heat during the day, 
with moderately quick pulse, and profuse sweating at night, 

Dose : Dissolve six globules in three tablespoonsf ul of water, and give 
a teaspoonful of the solution every six hours, unless, after the second 
dose, the following symptoms be present, when proceed with the 
next remedy. 

Acidum-sudphuricitm should follow the seeon'l dose of Sulphur after 
an interval of six hours, if the sweating be yet vsry profuse, particularly if 
so when lying still and modified by movement; or it should even precede 
either or both of the preceding remedies, if the sweating be very profuse 
when lying still and diminished by movement. 

Dose: Three globules in a teaspoonf ul of water, every four hours, 
until amelioration or change 

Calcarea, ) Calcarea-c. may sometime be administered 

Hepar-sulphuris, r advantageously, alternately with Belladonna, Ar- 
Lycopodium. ) senicum or Rhus, according to the symptoms ; it 

is further, occasionally, a most efficient remedy in cases in which debilita- 
ting relaxation of the bowels, or bleeding of the nose, will not yield to such 
remedies as Acidum-phosph . , Rhus, China, etc ; lastly, Calcarea-c. may be 
exhibited with advantage where there are symptoms of impending miliary 
eruption, jerking or twitchings in the limbs, particularly in children, ten- 
dency to inflammation of the membranes of the brain, delirium, etc. 

Dost : Of a solution of six globules to three tablespoonsful of water, 
give a teaspoonful every three hours until amelioration or change. 
Or if the undermentioned symptom should declare itself, or having 
been previously present, should continue unmodified after the third 
dose of Calearea, proceed with the next remedy, after a pause of 
four hours. 

Hepar-sulphuris should follow the third dose of Calearea after an 
interval of four hours, if discharge of blood from the nose should supervene, 
or, having been previously present, should continue without material im- 
provement; except, indeed, the presence of other symptoms of a more ur- 
gent character, should require the administration of other remedies, such 
as Pulsatilla, Belladonna, Rhus or Sulphur. 

Dose: Three globules in a teaspoonful of water, repeated, if neces- 
sary, after an interval of four hours— or continued, at such intervals, 
if requisite, until the distinct modification of the indicative symptom. 

Lycopodium is often a valuable remedy after Calearea, (with or with- 
out the intermediate administration of Hepars. according to the circum- 
stances.) iii the second stage of typhus, when miliary eruption is slowly 
and scantily developed, and the following symptoms occur: drowsiness 
with muttering delirum ; confounding of words; stammering; twitching 



TYPHOID FEVER. 581 

of the tendons, snatching at the bedclothes ; flatulent distention of the 
bowels, with constipation; affections of the bladder; or when there are 
shiverings alternating with heat; circumscribed redness of the cheeks; 
debilitating sweats ; excessive debility; complete hanging of the lower 
jaw ; half-closed eyes ; slow respiration ; or, state of excitement, without 
heat or congestion in the head or face ; redness of the tongue ; constipation ; 
burning urine ; tranquil and resigned state of mind, or surliness and ma- 
levolence, especially on waking. 

Dose: Three globules, in a teaspoonful of water, every three hours, 
until amelioration or change. In case of amelioration, pause until the 
symptoms evidently retrograde, when resume, at intervals of six 
hours, as long as necessarv. In the case of change suspend treat- 
ment for four hours, and continue with the remedy newly indicated. 

Lachesis may prove serviceable in fever analogous to typhus, attend" 
ed with giddiness on rising or sitting up; muttering; bitter taste; deliri" 
um; hanging of the lower jaw; vacant expression of countenance; sunk- 
en features ; yellowish tongue, with bright-red margins ; cracked tongue ; 
smooth, dry tongue, with difficulty of protruding it, and inarticulate speech ; 
seeming paralysis of the eyelids; lethargic sleep, and tendency to lie in the 
prone position; thirst, with disinclination todrink; brownish-red, copious 
urine. 

Dose: Three globules, in a teaspoonful of water, as directed for Lyco - 
podium— or if the symptoms be very urgent, begin by administering 
at intervals of two hours— extending the intervals to' four hours after 
two doses have been given. 

Phosphorus is of great service where we find great dryness of the 
tongue, heat of the skin, small, hard, quick pulse, painless relaxation of the 
bowels, with excessive flatulent rumblings ; or when the disease becomes, 
as it were, concentrated in the lungs, and there is consequently congestion, 
with extremely laborious breathing and excessive anxiety, dullness on 
percussion, mucous rattling, stiches during respiration, cough, with copi- 
ous expectoration of phlegm mixed with blood or even offensive matter, 
more benefit may be looked for from this than from any other remedy. 
Phosphorus is also serviceable when, notwithstanding the pneumonic con- 
centration, there is, moreover, sensibility and rumbling on the right side 
of the lower part of the belly, or when there is continued heat of skin, 
with small, hard, accelerated pulse, throbbing of the great arteries of the 
neck, and nocturnal sweats; sleep disturbed by crowding of ideas, weep, 
ing, whimpering sudden cries, and restlessness. The patient awakes from 
sleep complaining of great thirst and dryness of the mouth, excessive heat, 
and aching of the whole body. In addition to these symptoms, there is a 
burning sensation in the belly and fundament, with frequent semi-fluid 
stools, streaked with blood ; giddiness, confusion, and throbbing pains in the 
head ; deafness : frequent discharge of blood on blowing the nose, and heat 
in the face; tongue and lips dry and cracked; bitter taste; copious evacu- 
ations of urine, which deposits a whitish or reddish sediment ; delirium ; 
obstupefaction. 

Dose: Dissolve six globules in three tablespoonsful of water, and give 
a teaspoonful of the solution every four hours, until amelioration or 
change. 

Acidum-mtiriaticum. Weakness, with a constant tendency to sink 



582 EPIDEMIC AND ENDEMIC DISEASES. 

down in tlie bed, with groaning during sleep, almost paralytic state of the 
tongue, rendering it nearly impossible for the patient to speak, even when 
in a collected state, and great dryness of the mouth . 

Dose: Of a solution of six globules to three tablespoonsful of water, 
give a teaspoonful every three hours, until amelioration or change. 

Natrum-muriaticum is recommended in nervous fevers with great 
debility, insatible thirst, dryness of the tongue, and loss of consciousness, 
and particularly when they follow in the course of antecedent debilitating 
diseases. 

Pose: Of a solution of six globules to three tablespoonsful of water, 
give a teaspoonful every three hours, until amelioration or change. 

Helleborus has also been found of great utility in nervous fever, 
occurring after other febrile affections, such as scarlatina, measles, stom- 
achal fever, worm fever, and cholera; with pain as from contusion, com- 
bined with tumefaction, in the integuments, of the head; disposition to 
somnolency, with confusion of ideas, and extreme restlessness: dark, 
cloudy urine; heaviness, or feeling of stiffness and powerlessness in the 
limbs; depression of spirits, and obtuseness of the faculties. 

Dose: A solution of six globules, as directed for N atrum-muriaticum. 

Secale-cornutum is, in like manner, with Natrum-m. and Helleborus, 
recommended by many homceopathists who have had frequent opportuni- 
ties of treating nervous fevers, particularly in cases, occurring in the wake 
of other diseases ; but is more especially appropriate where the symptoms 
developed clearly proceed from irritation of spinal nerves, with wander- 
ing, fugitive, spasmodic pains, extending from the base and column of the 
spine into different parts of the body; the spasms which affect the face be- 
come subsequently of an intermittent nature ; whilst those that have their 
seat in the hands and feet partake of a continued character. This remedy 
is further indicated by dry heat of the skin, insatible thirst, accelerated 
pulse, great restlessness and sleeplessness ; excessive languor, and aver- 
sion to food. Should the spasmodic affections readily yield to the employ- 
ment of this remedy, but if the febrile symptoms continue, some other 
remedy appropriate thereto must be prescribed. 

Dose: Dissolve six globules in three tablespoonsful of water, and give 
a teaspoonful of the solution every three hours, until amelioration or 
change. 

Arsenicum, ) These remedies are of signal importance, either 
Yeratrum, > singly, in succession, or in alternation, according to the 
Carbo-veg. ) individuality, succession, or combination of the symp- 
toms present, in the second stage of typhus, in all desperate cases in which 
vitality becomes nearly extinct. For distinctive indications the reader is 
referred to the foregoing prescription of these remedies, under the head of 
Abdominal Typhus. 

Dost: If singly, of either remedy: — Dissolve six globules in three 
tablespoonsful of water, and give one teaspoonful cf the solution 
every quarter of an hour (in very critical cases), or every hour (in 
less urgent instances), until amelioration or change, doubling the 
length of the intervals as soon as distinct improvement ensues. If in 
alternation. Dissolve, separately, six globules of the remedies to 
be used alternately in^three tablespoonsful of water, and give a tea- 



TYPHOID FEVER 583 

spoonful of one, half an hour after a similar dose of the other (in 
very critical cases), in rotation, or at intervals of an hour (in less ur- 
gent instances), until positive amelioration or change doubling the 
length of the intervals as soon as a degree of improvement is evi- 
dent. 

Carbo-veg. In addition to the indications given for this remedy, 
under the head of Abdominal Typhus, the following symptoms are char- 
acteristic of its employment in the second stage: excessive anxiety, and 
burning heat of the skin, arising from congestions to the head and chest ; 
the eyelids agglutinated during the night ; deafness and ringing in the ears : 
bleeding from the nose, and obstruction of the nose from incrustations, 
eruption around the nose, and brown or blackish, cracked lips ; the legs 
drawn up during sleep, and the sleep restless, nd disturbed by frequent 
waking. 

Dose: Three globules in a teaspoonful of water, every three hours, 
until amelioration or change, when thus specially indicated ; — when, 
as above, singly or in alternation, the dose should be as directed under 
the last head. 

TREATMENT OF TYPHUS CHARACTERIZED BY STUPOR. 

In treating of this variety of the malady it will be unnecessary to 
recapitulate the remedies already enumerated, in relation to the various 
stages and varieties hereinbefore described. Suffice it co say, that the same 
features and conditions would indicate their employment in this variety, 
and that the method of administration should be in every respect similar. 
But the symptoms which more particularly distinguish this species of 
typhus, especially indicate, by assimilating most closely to the specific 
operation of 

Opium. This remedy should accordingly be given when the following- 
group of symptoms prevails : — great drowsiness or lethargy, with sterto- 
rous breathing, open mouth, half-closed eyes or fixed look; slight deliri- 
um or muttering, snatching, at the bedclothes ; the patient being in a 
continual state of stupor, from which it is extremely difficult to rouse 
him, and from which he is scarcely aroused before he relapses into his 
former state ; furious delirium, and incessant restlessness ; dry, offensive 
stools, with involuntary evacuations of excrement and urine. 

Dose : Of a solution of six globules to three teaspoonsful of water, 
give a teaspoonful every three hours, until amelioration or change. 

treatment of the stages of debility and convalescence after 

TYPHUS. 

Rhus-toxicodendron. This remedy retains its importance in the 
treatment of typhus throughout all the stages of the malady, and is 
amongst the best appliances during the period of debility wmieh gener- 
ally supervenes after the issue of this fever. Rhus is more especially in- 
dicated in this stage, when the progress towards recovery is sluggish, the 
pulse retaining a febrile character, the appetite, although improved, be- 
ing capricious, the bowels predisposed to relaxation, and the chest not 
yet exempt from feelings of oppression. 

Dose : Three globules, in a teaspoonful of water, night and morning, 
until distinct amelioration or change. Upon evident improvement 
taking place under this treatment, it will be sufficient to repeat the 
dose every night. 



584 EPIDEMIC AND ENDEMIC DISEASES. 

China is frequently of great use, in this stage, against the debility 
resulting from the effects of the malady, more especially when the pa- 
tient has suffered much from violent relaxation of the bowels during the 
previous course of the disease ; or if there be a tendency to continuance 
in this symptom. China is also particularly useful when debilitating 
sweats supervene. In this case it should be followed by Sulphur, if that 
symptom has not yielded distinctly, after the second dose. 

Dose: In the case first described, three globules, in a teaspoonful of 
water, repeated, at intervals of twelve hours, until three doses have 
been taken. Under the last-stated circumstances, a similar dose 
night and morning,— and if the symptom does not distinctly yield 
within twelve hours after the second dose, proceed with the next 
remedy. 

Sulphur should follow, twelve hours after the second dose of China, 
in case of the obstinate continuance of the sweats, or of the presence of 
dry cough at night. 

Dose: Three globules, in a teaspoonful of water, every twelve hours, 
until amelioration or change. 

Ferrum-metallicum is a preferable remedy when the pulse contin- 
ues weak or frequent, after a profuse discharge of blood, particularly in 
the case of females affected with green-sickness, or who have previously 
suffered from it. 

Dose: Three globules, in a teaspoonful of water, morning and eve- 
ning, for a week. 

accessory measures during the period of debility. 
The fever having subsided, and the patient being able to sit up, should 
first be removed to another apartment, free ventilation, and a moderate 
degree of warmness being simultaneously secured. By degrees, and as 
soon as possible, passive motion, and from thence, if possible, walking 
exercise (not sufficient to exhaust the patient), should be daily sought in 
the open air, in tine weather, with, however, particular precautions 
against damp or chill. Nothing will conduce to restore the patient to 
health and strength more rapidly and thoroughly than such accessory 
treatment with proper precautions in respect of diet, as stated below. 
AFTER EFFECTS OF TYPHUS. 

Bed-sores, Abscesses, Boils, Swelling of the Feet, Weakness of Digestion, and 
General Derangements. 
These are more or less frequently the results of very severe or pro- 
tracted cases, — especially when the reactionary process is sluggish, — and 
require simultaneous local and constitutional treatment, with this reser- 
vation : that when the local application is umnedicated (such as pure spir- 
its), we may select the constitutional remedy, irrespective of such appli- 
cation, according to the particular features of the case, by consulting the 
symptoms present, and the article on " Boils v and " Abscesses," as re- 
gards those particular affections. 

EXTERNAL TREATMENT OF BED-SORES. 

Spirits-of-wixe, Collodion, or Glycerine, will in general, suffice to 
remove this troublesome affection. 



YELLOW FEVER. 585 

Application. To one part of the Spirit, add two parts of pure water, 
and saturate with this solution a linen pad, which must be applied 
to the parts and kept moist. 

Arnica (tincture) should be employed, if the diluted Spirit has proved 
insufficient and inflammation has not supervened. 

Application. To one part of the Tincture add twenty parts of water, 
and proceed as directed for Spirits of Wine. 

Tincture op Carbo-veg., ) When mortification su- 

Tincture of Arsenicum, Vpervenes we may suc- 

Tincture of Cinchona (concentrated). ) cess fully employ either 

of these remedies (according to symptomatic indications), simultaneously 

with the internal administration of the same medicine as stated below. 

Application. To a wine-glassful of water add five drops (of the Tinct- 
ure of Arsenicum), or ten drops (of either of the others), and satur- 
ate with this solution a linen pad, which apply to the parts and 
keep moist. 



YELLOW FEVER. 



In this article we have quoted freely from the report of that commis- 
sionof eminent physicians appointed 1878 03^ the oldest National Medical 
Association in America. This commission was composed of eleven of the 
most thoroughly educated physicians in the U. S., seven of whom were 
experts in this disease in all its phases. 

CAUSES AND PREVENTION. 

Yellow Fever is a specific disease, entirely independent of malaria, 
occurring rarely a second time in the same person. It is infectious and 
capable of transmission to any distance by means of fomites or infected 
material. 

The yellow fever germs, for we accept provisionally the germ theory 
of the disease, are indigenous to the West Indies and perhaps to the west 
coast of Africa, and have been thoroughly naturalized in many localities 
in the southern portion of the United States. They were imported into 
New Orleans during the last quarter of the eighteenth century, and have 
existed in the soil or atmosphere of that place ever since, either in a 
latent or an active condition. They may lie dormant for many years 
consecutively, and they require a concurrence of causes to develop them 
into a state of disease-producing activity. 

Some of the factors which seem to be favorable to the excitation of 
the yellow fever germ are the following : 

Low, swampy ground near the level of a tropical sea. 

Long continuance of very high temperature, following heavy rains. 

Long continuance of south and east winds. 

Aggregations of human beings with the excreta of their bodies in a 
small space. A crowded and dirty ship may be a nidus for yellow fever, 
as well as a crowded and dirty city. 



586 EPIDEMIC AND ENDEMIC DISEASES. 

Long continuance of calm weather, unbroken by thunder-storms. 
Exposure of decaying vegetable and animal matter to a burning sun. 

Inefficient drainage and the general accumulation of filth, especially 
the city garbage. 

Deficiency of ozone in the atmosphere. 

Pestilential exhalations from an upturned soil. 

When the yellow fever germ has been waked into activity by these 
causes, it may be transported to places where none of them exist. It 
seems that a certain concurrence of several of the above factors is neces- 
sary to the generation of yellow fever. There is probably one combina- 
tion in one epidemic, and a somewhat different combination in the next 
epidemic. An epidimic may be mild or severe according to the num- 
ber and force of the concurring causes. There may also be other unknown 
but discoverable factors, which may be necessary at one time to produce 
an epidemic, and not necessary another. No one of the above suggested 
causes could excite an epidemic by itself, and it is not probable that they 
all ever concurred equally to the formation of the disease The most ex- 
tensive collections and comparison of facts are necessary to illumine the 
very great darkness which lies upon these complex questions. 

The naturalized yellow fever germs may receive so slight a stimulus 
as to produce only a few sporadic cases. Or they may be vitalized in 
certain localities to such a degree as to occasion quite an outbreak in 
those localities, not easily communicated to other quarters. Or thirdly, 
the disseminated germs may be vivified in all directions, and a general 
epidemic excited. Or lastly, the naturalized germs may lie entirely qui- 
escent, until fresh and active germs are brought in from foreign ports, 
which then act as sparks to ignite the inflammable material already 
existing. We thus have four shades or degrees of yellow fever visitation : 
sporadic cases : local and limited outbursts : epidemics from naturalized 
germs, and epidemics from importation. 

In sporadic cases and limited outbreaks the specific nature of the 
fever is not clearly brought to light, and it is sometimes difficult to diag- 
nose it from the dominant malarial or bilious diseases. The imported 
epidemic, whether from Havana to New Orleans or from New Orleans to 
Memphis, etc., etc., is always a more quickspreading and malignant dis- 
ease than that arising from our naturalized germs. The comparative 
mildness of the late epidemic in New Orleans, is one out of several rea- 
sons for believing that the disease was of local origin . 

The yellow fever of domestic origin can only be prevented by local 
sanitary measures. So long as the public authorities ignore the crying 
evils at home, and watch only for the enemy at the seaside, we shall con- 
tinue to be scourged with repeated epidemics of yellow fever. Quarantine 
may or may not keep out the tropical foe, but our utmost energies should 
be concentrated against the enemy which has been domiciliated in our 
households for nearly a century. 

Is there any personal prophylactic against yellow fever? None which 
has the least scientific value. Quinine is probably serviceable when 
malarial fevers are simultaneously prevailing, not because it has any 



YELLOW FEVER. 587 

power against yellow fever, but because an attack of malarial fever, pre- 
ventable by Quinine, might, if allowed to occur, precipitate an attack of 
yellow fever. 

Quinine tor intermittent, Belladonna for scarlet foyer, and vaccina- 
tion for small pox, are the only prophylactics which have commanded 
even the partial belief of the profession. They are all confessedly homce- 
pathic in their actions, and we confidently believe, if prophylactics for 
yellow fever or any other disease exist, that they will be found only by 
study and experiment in that direction. 

44 To prevent the development of yellow fever, we recommend : 

1st. The thorough drainage of the city. This mighty work can only 
be efficiently achieved by the general government. Whether that would 
be constitutional or not we need not pause to inquire. An intelligent 
people will some time or other so modify their government, that it shall 
recognize the superior claims of the health and lives of its population 
over those of railroad companies and harbor improvements. As is well 
known, the topography of New Orleans presents very considerable diffi- 
culties in the way of a perfect system of drainage, but not such as to be 
insuperable to engineering skill. 

2d. The constant irrigation or flushing of the street gutters and ca- 
nals, by fresh water pumped in daily by steam apparatus. Allied to this 
measure is a perfect system of water works, which shall give an abund- 
ant supply of river water for drinking, bathing and cleansing purposes, 
so as to supercede the use of cistern water almost altogether. In this con- 
nection we may mention a curious fact communicated to the Commission 
by Mr. Harry Hammersly, who keeps a floating bathing establishment 
in the Mississippi river. One hundred and fifty boys under twelve years 
of age took one, and some of tLem two baths a day during the whole sea- 
son, and not one of them had the yeliow fever, although it prevailed ex- 
tensively among their families, and children of that age were peculiarly 
liable to it. 

8d. The consumption of all the city garbage by cremation. This 
new process has been extensively experimented upon during the last six 
months in the city of New York, and with extraordinary success. The 
plan has been described to us by Dr. George F. Foote, of Stamford, Con- 
necticut, a brother of the inventor. A single large furnace has been so 
constructed as to consume 1,000 loads in twenty-four hours. The garbage 
is not handled, but dumped immediately from the carts into the furnace. 
The combustible material mingled with it— old rags, paper, straw, veget- 
able debris, unburnt coal in ashes, the sweepings of stores, factories, 
streets, etc., is about a sufficient supply of fuel for the whole work, when 
the fire is once started under a full blast. The gases from the combustion 
— carbonic oxide and carburetted hydrogen— are brought under the boiler 
and again burned to generate steam to drive the blowing engine. The 
expense for fuel is light ; there is no escaping odor, and the residue or 
slag, about eight per cent, by weight, can be made available for useful 
purposes. 

One such furnace in each district of New Orleans would consume 
daily every atom of its garbage, deliver it from every pestilential emana- 



588 EPIDEMIC AND ENDEMIC DISEASES. 

tion and odor, and give its atmosphere something like the sweetness and 
purity of mountain air. Nor will it be many years, in our opinion, be- 
fore the people of New Orleans, who are compelled by the nature of the 
soil to bury their dead above ground, will discover that in their case, at 
least, cremation is the very best disposition to make of the human body 
when the principle of life has abandoned its tissues. 

4th. The generation of ozone to supply its deficiency in the atmos- 
phere when detected by the proper instruments. This should be made 
one of the most special and important duties of the Sanitary Commission. 
Ozone is a peculiar gas, a modified form of oxygen, generated by elec- 
trical storms and violent concussions of the atmosphere. It is so power- 
ful as a disinfectant that one part of it will purify three million parts of 
atmospheric air. Ozone is thus nature's great disinfector and purifier, 
more subtle, powerful and ubiquitous than all others, and we must learn 
to utilize this splendid gift of the Creator for our own sanitary blessing. 
When it is deficient, deleterious gases accumulate and produce diseases of 
various kinds, and when the other factors of yellow fever productions are 
present, the deficiency of ozone may be the determining element for the 
manifestation of the disease. The scientists of the sanitary Commission 
will be provided with the instruments and chemical means for detecting 
its slightest variation, and for restoring it in suitable quantity to the air, 
where by the law of the equitable diffusion of gases, it will be almost in- 
stantly distributed many miles around. 

There are many measures of great sanitary importance over which 
the Commission would exercise a strict supervision. It would enforce 
the frequent emptying and disinfection of water-closets, sewers and all 
places containing putrescent matters, vegetable or animal. It would see 
that no sacks of decaying coffee, or chaff in rice pits, or dead animals, or 
any offensive matter was left exposed so as to poison the atmosphere. It 
would prevent, so far as possible, the destruction of trees, and in every 
way encourage their planting and growth. Above all, it would forbid 
the upturning of the soil during the spring and summer months, as epi- 
demics of yellow fever have followed such upturning at New Orleans, 
Natchez and Vicksburg, in such a manner as very strongly to suggest 
that the relation of cause and effect existed between this exposure of the 
earth and the development of the disease." 

YELLOW FEVER— ITS SYMPTOMS. 

This fever is a disease of warm climates, and has obtained the 
name of yellow fever from the hue which the skin of those affected by it 
very frequently acquires. The more constant symptoms of the disease 
are : violent vomiting, first of bilious and subsequently of brownish-black 
matter, which is also passed by stool; great anxiety and prostration, in- 
tense fever. Remarkable remissions take place in the course of the fever, 
succeeded in a few hours by exacerbations. The outbreak of the malady 
is generally preceded by sudden debility and restlessness, which are soon 
followed by headache, giddiness, faintness, and slight chilliness, to which 
are added precordial oppression, want of appetite, and deranged diges- 
tion. 



YELLOW FEVER. 589 

In other cases, the seizure is sudden and unattended with premoni- 
tory symptoms, and the course of the disease exceedingly rapid, and a 
fatal termination not un frequent within thirty-six hours from the acces- 
sion of the attack. The more usual form which the disease takes is, 
however, as follows : Immediately after the fit of chilliness and horror, 
violent reaction sets in, announced by a high degree of fever, with 
great heat of skin, strong throbbing of all the arteries of the body, and 
determination of blood to the head. The respiration is hurried and often 
laborious, attended with deep sighing and gasping for air. The face is 
flushed, the eyes heavy, sensitive to light and affected with burning pains, 
the tongue white, furred, and sometimes red, but soon becomes parched 
and dark-colored, and tinged with yellow after the vomitings come on ; 
the thirst is excessive. A burning pain is sometimes experienced in the 
scrobiculus; an excessive sensibility to the touch in the right hypochon- 
drium; and the stomach, irritable from the first, is rendered so much so 
as the disease advances, that everything which is taken into it is almost 
immediately rejected, along with a quantity of bilious matter. Severe 
darting pains traverse the head, the small of the back, and even extend 
down the thighs. The pulse is subject to variations, being in some cases 
quick and strong, in others quick, low and irregular; in plethoric indi- 
viduals, who have not been long exposed to the relaxing effects of the 
warm climate, it is accelerated, full and bounding, for some hours after 
the development of the reaction; the urine is suppressed, or scanty and 
offensive; the stools likewise have a most disagreeable fetor ; the patient 
is excessively restless, tormented with spasms in the abdomen and legs, 
and tosses about with anguish. These symptoms constitute the first or 
inflammatory stage of the fever, and may continue from twenty-four to 
sixty hours and upwards, according to the severity or mildness of the 
attack. 

The second stage commences with the abatement of several of the 
preceding symptoms, and the increase or substitution of others. The 
skin and eyes present a yellow tinge; the head is confused, or delirium 
supervenes, and the eyes look glassy. The fits of vomiting are more vio- 
lent, and the matter ejected becomes thicker and darker; the patient 
occasionally drops asleep, but instantly awakes in a fright, and sometimes 
he springs out of bed in a state of furious delirium, but instantly sinks to 
the ground in a state of tremor and exhaustion ; the pulse flags, but is 
sometimes soft, at others high; the tongue is generally parched, harsh, 
and discolored, but sometimes moist and covered with a dark fur ; there 
is frequent hiccup, and the skin is soft and clammy. The duration of 
this stage is also variable ; rarely, if ever, longer than forty-eight hours, 
sometimes only twelve. 

The first and second stages terminate by a remission of the more 
alarming symptoms, and a hope of recovery is entertained, but it is too 
often doomed to disappointment by insidious degeneration of the disease 
into the third stage, in which the pulse sinks, becomes irregular and in- 
termittent, yet sometimes increases in frequency; the vomiting becomes 
incessant, and is attended with great straining and noise, from the vio- 
lent belching of flatus ; the matter vomited is grumous, resembling coffee- 



590 EPIDEMIC AND ENDEMIC DISEASES. 

grounds, and is named the black vomit, 
labored ; the tongne black, or shrunk, dry and red ; the eyes hollow and 
sunk, and the features shortened. A gradual aggravation of the symp- 
toms then ensues, attended with startings or twitchings of the tendons, 
the limbs become deadly cold, and the hiccup distressingly constant. 
Hemorrhage, or oozing of blood takes place from different parts of the 
body: the urine is deep-colored, the stools black or sanguineous ; the ab- 
domen often tense and tympanitic; vibices make their appearance, and 
death slowly or suddenly terminates the scene. 

ALLOPATHIC TREATMENT. 

This disease is one in which the treatment must be directed to guid- 
ing the patient through it, as in typhoid fever. The fever is self-limited 
and will run its course. 

The room should be managed as directed for typhoid fever. Disin- 
fectants should be used as directed for that disease. 

A very essential point in all cases, whether mild or not, is to keep the 
patient quiet in bed. This cannot be too strongly insisted on, from the 
first slightest indisposition. 

During the first stage, the use of water should be resorted to, to mod- 
erate the intensity of the fever. Preference should be given to the wet- 
sheet or cold sponging. They should be managed in the same way as di- 
rected for typhoid fever. If there is perspiration (sweating) bathing is 
not to be followed at all. 

It is recommended by good authority to give three grains of Quinine, 
three grains of Dover's Powder, and three grains of Calomel, every two 
or three hours, while this stage of the fever lasts. (The writer would 
omit the Calomel). It is also recommended, if the skin continues hot 
and the fever high, to produce its reduction with Aconite. Sixteen drops 
of the Tincture in four ounces of water in doses of a teaspoon ful every 
half hour, may be given until a reduction in the fever is produced. It 
may then be given every hour or two to maintain its effect. It certainly 
is appropriate if the treatment with water is not satisfactory. 

Purgatives are generally given in the beginning of the disease, but 
they seem uncalled for, except for the relief of constipation, for which 
Castor Oil is to be preferred, in doses of a dessertspoonful to a tablespoon- 
ful i mixed well with an e<jual quantity of Glycerine and flavored with 
Oil of Cinnamon or Gaul t her i a), or recourse should be had to injections. 

Regarding the use of Calomel or other mercurials, it is difficult to see 
what benefit can accrue from them; further than their action as cathar- 
tics, the use of which has just been discussed. 

Emetics arc not to be given, but all stomach trouble should be met by 
proper palliatives. The nausea and vomiting, by the useof Opium to the 
extent of relieving the pain, when, if the vomiting continue, the addition 
of drop-doses of Carbolic Acid, or Creosote in doses of one drop, or ten to 
twenty grains of Sub-Nitrate of Bismuth, or five-drop doses of Dilute 
Hydrocianic Acid. Small lumps of ice may be swallowed. Mustard 
plastere, dry cups, or small blisters, two inches square, maybe applied 
over the stomach. Poultices often relieve the nausea and pain. 



YELLOW FEVER. 591 

Probably as appropriate a way to administer Opium as any, is by the 
hypodermic injection of a sixth of a grain doses of Morphine, or injec- 
tion of a teaspoonful (dram) of Laudanum in an ounce of thin starch, in- 
to the bowel. The drug should be given at any time when necessary to 
relieve suffering. The ordinary dose may be given by the mouth, as one- 
fourth of a grain of Morphine. 

Any coldness of the extremities should be met by the application of 
heat by the hot foot-bath made stimulating by adding Mustard or Cay- 
enne pepper, and Mustard plasters. The bath should be given under the 
bedclothes. In this way the tendency to internal congestion, upon which 
may depend the tendency to hemorrhage, is relieved. 

Cold to the head, by means of cold water, the ice cap, or bladders of 
pounded ice, may be used to relieve headache. 

As soon as the amelioration of the symptoms (usually temporary) 
occur at the close of the second or third day, particular attention must be 
given to nourishing the patient, and keeping him quiet in bed — perfectly 
quiet. 

Food and Alcoholic stimulants must be given as directed in the treat- 
ment of typhoid fever throughout the course of the disease. By this 
means alone life may be saved. 

Beginning at the period of amelioration in the symptoms, tonic doses 
of Quinine from two to three grains four times a day. 

The mineral acids are indicated the same as in typhoid fever, prefer- 
ence being for the Aromatic Sulphuric Acid, on account of the tendency 
to black (hemorrhagic) vomit. The dose is ten drops largely diluted with 
water. It can be given at intervals of two hours or more. The teeth 
should be wiped with a cloth dipped in a solution of Bicarbonate of Soda 
after giving the Acid to prevent injury to them from the Acid. 

To prevent hemorrhage into the stomach, and consequent black vom- 
it, ten or fifteen-drop doses of the tincture of the Chloride of Iron four to 
six times a day, largely diluted in sweetened water. If hemorrhage occur 
ten- grain doses of Gallic Acid should be given in the Acid mixture. 

Difficulty in the secretion of urine should be met by diuretics, as the 
infusion of Digitalis in doses of a tablespoonful, or the Tincture in doses 
of half a teaspoonful with half a teaspoonful of the Vinegar of Squill, 
given four to eight times a day . 

If diuretics are inoperative, and especially if there are symptoms of 
uremia, (poisoning by retention of urea, an ingredient of the urine, in 
the blood), the smell of Ammonia in the breath, or insensibility, the hot 
air bath should be used to produce copious sweating. If this does not re- 
lieve, a cathartic of one or two drops of Croton Oil or a quarter of a grain 
of Elaterium in Glycerine may be given. 

When the symptoms of remittent or intermittent fever are associated 
with yellow fever the first remission or intermission should be seized 
upon for giving thirty grains of Quinine at a dose. Subsequent treat- 
ment of these complications should be as directed for these diseases. 

Salycilic Acid has been used by Dr. Buenz of Savannah, in the epi- 
demic of 1876, in a single dose of a dram and a half in capsules, or rubbed 



592 EPIDEMIC AND ENDEMIC DISEASES. 

up with sugar ; if the stomach rejected it, twice the quantity (three 
drams) was given by the rectum (injections into the bowel.) Out of one 
hundred and seventy-nine patients only four died. The disease during 
that epidemic was of intermittent and remittent type. Whether this 
treatment is generally applicable is a question. 

During the severe epidemic of 1878, in the Southern states, Dr. Mar- 
shall of Burlington, Iowa, who was then at Jackson, Miss., states while 
the disease was almost universally fatal, wonderful results were obtained 
by treating patients on the general principles appropriate to fevers which 
must rua their course, which we have just sketched. The bowels were 
kept open and the kidneys active by the use, from the beginning to the 
end, of the the Hyposulphite of Soda. An ounce of this salt was dis- 
solved in eight ounces of water and a tablespoon ful given every four 
hours. The patient was kept well covered with blankets and a gentle 
sweating encouraged by the use of Orange Leaf or Horse-mint tea Be- 
sides this, keeping the patient in bed during the stage of calm and giving 
liquid nourishment and stimulants and tonic doses of Quinine, constitute 
the treatment. An almost universal fatality was reduced to a fatality of 
one in ten in whites, two in fifteen in mulattos, and one in thirty-six in 
negroes. Getting up, or eating solid food of any kind during the disease, 
which patients desire to do during the stage of calm, is almost always 
fatal . 

HOMOEOPATHIC TREATMENT. 

All through this work numerical comparisons have been steadily 
avoided, but on account of the thorough reliability and the broad extent 
of country covered, we think we may be excused for thus presenting these 
statistics, when it is so evident that it will be the means of saving very 
many valuable lives. The treatment here following has been thus proven, 
and if these remedies are given in time (as they will be where this work 
is owned) and the full directions followed, the deaths from this terrible 
destroyer and foul plague of all hot climates, will, we confidently believe, 
be reduced below 3 per cent of all persons attacked with the disease. We 
quote again from the before-mentioned report: 

On analyzing the reports handed into us, we ascertained the following 
facts : 

AVe have here 1,945 cases of yellow fever treated homceopathieally in 
the City of New Orleans, with a loss of 110 patients, a mortality of 5 6-10 
per cent. 

AVe have 1,969 cases of yellow fever treated in cities and towns outside 
of New Orleans, with a loss of 151 patients, a mortality of 7 7-10 per 
cent. 

This makes a total of 3,914 cases of yellow fever treated homceopath- 
ically, during the epidemic of 1878, with a loss of 261 patients, a mortality 
of 6 0-10 per cent. 

We have, moreover, reports of 555 cases treated homu'opathically in 
the great epidemic of 1853, with a loss of .",3 patients, a mortality of (i per 
<ent. 



YELLOW FEVER. 593 

Also, reports of 2,100 cases treated during the several minor and much 
milder epidemics which occurred between 1853 and 1878, with a loss of 66 
patients, a mortality of 3 7-10 per cent. 

Making a grand total of 6,569 cases treated by homoepathic physicians, 
with a loss of 360 patients, a mortality of 5 4-10 per cent. 

The number of cases reported as occurring in 1878, among negroes, 
including mulattoes, was exactly 900— with a loss of 27 patients, a mor- 
tality of 3 per cent. 

Some physicians did not distinguish between their patients as to race 
or color. The number distinctly reported as white was 2,299, of whom 
194 died, a mortality of 8 4-10 per cent. This includes the returns from 
points like Memphis or Chattanooga, where the fever was very malignant 
and the mortality very great. In four of the New Orleans reports, 1,076 
patients are described as being white, of whom 66 died, a mortality of 
6 1-10 per cent. 

The number of cases distinctly reported as colored in the city of New 
Orleans, was 107, of whom 3 died, a mortality of a little less than 3 per 
cent. 

The total number of cases reported as being under 15 years of age, is 
1,089, of whom 48 died, a mortality of 4 4-10 per cent. 

The total number of recoveries after black vomit was 125. This 
dreaded symptom, formerly considered so fatal, has been growing less and 
less so since the epidemic of 1853, and a great many recoveries have been 
recorded during the late visitation by gentlemen of both Schools. Chil- 
dren seemed to have it more frequently in proportion to numbers, and to 
recover from it more readily than adults. We must not forget that there 
are various shades and degrees of black vomit. Blood more or less black- 
ened by the acids in the stomach, may have been quite healthy when 
exuded from the mucous membrane of that organ, and be far less prog- 
nogistic of danger than that sooty, coffee-ground substance, the genuine 
black vomit, which shows under the microscope a chemical destruction 
and disintegration of the blood-globules. 

Among these returns are nine papers to which we attach especial 
value. These comply fully with the request of the circular letter, to give 
not only cases and deaths, but the name, age and address of every patient 
attended, so that with these documents in our hands, we can verify every 
statement, and challenge comparison with any member of the Allopathic 
School who can furnish us with similar accurate data. 

These returns exhibit an attendance upon 2,010 cases of yellow fever, 
with a loss of 129 patients, a mortality of 6 4-10 per cent. There were 64 
recoveries after black vomit. The number of children under 15 years of 
age amounted to 828, of whom only 40 died, a mortality of 4 6-10 per 
cent. 

HOMCEOPATHIC TKEATMENT. 

Aconittjm has been named as the most direct and positive remedial 
agent in the early stage of yellow fever ; and, indeed, its specific effect 
upon the human economy in a healthy state, especially under conditions 

38 



594 EPIDEMIC AND ENDEMIC DISEASES. 

of temperature provocative of the generation of fevers of this kind, tends 
greatly to confirm this opinion. In case of an attack of fever of an in- 
flammatory character, whether it be apprehended that it may resolve it- 
self into this form or not, the prompt administration of Aconitum can 
only have been productive of benefit. 

Dose : Six pills in a teaspoonful of water, or dry on the tongue, re- 
peated, after the lapse of one or two hours, and subsequently, at in- 
tervals of one, two, three or four hours, until the fever symptoms 
abate, the breathing becomes less laborious, and the pulse more 
regular, or less quick and frequent. But if symptoms of severe ex- 
acerbation should threaten to succeed, notwithstanding the admin- 
istration of Aconitum, proceed promptly with such of the subjoined 
medicines as may offer the closest analogy to the case. 

Belladonna may prove of much service after the previous adminis- 
tration of one or two doses of Aconitum, for the treatment of those cases 
(during the first stage) which attack young, full-habited subjects, with 
very marked and predominant brain-symptoms. It is useful in the first 
or second stages. 

Dose: As directed for Aconitum. 

Bryonia may be called for in the first, or even in the second stages, 
where Aconite or Belladonna have not sufficed to allay the symptoms. 
It is more particularly indicated when the pains assume a rheumatic 
character, and all the symptoms are aggravated by motion. 

Dose : As directed for Aconitum. 

Arsenicum. Faintness, depression, nausea with intense burning in 
the region of the stomach, increased by pressure ; violent vomiting of 
brown turbid matter, mixed with mucus, and sometimes stained with 
blood. Pulse small, frequent and irregular ; skin cold and clammy in the 
stage of collapse, at other times it is very hot ; breathing feeble and ac- 
companied with sighing ; great nervous irritability ; intolerable pain in 
the bowels, with dark or bloody stools ; great emaciation ; want of sleep ; 
urine scanty, high-colored, and passed with an effort; delirium ; jerking; 
coma; convulsions; thirst frequent, but usually for the moment satisfied 
with a small quantity of water. 

Dose: Six pills in a little water, or dry, every one to three hours, or 
in severe cases, every ten or fifteen minutes. 

Crotalus has been employed in some cases with very marked suc- 
cess, all danger having been subdued after a few hours, even in cases 
which had reached the fully developed third stage. It is more especially 
indicated by the hemorrhages occurring from the eyes, nose, mouth, ears, 
stomach and bowels. 

Dose: As directed for Arsenicum. 

Akgentum NITBICUM has been employed in some cases, with good 
effect, where the patient is sinking, the vomiting becomes worse, with 
brownish stains in the matter ejected, or other evidence is given of effu- 
sion of blood upon the mucous lining of the stomach . 

Dose: As directed for Arsenicum. 

Pulsatilla, Mercurius, Nux-vomica, Acid-nitricum, and China 
may prove of service in the first or second stages, more particularly, and 



CHOLERA. 595 

Cantharis, Digitalis, Carbo-veg., Croton-tiglum, Rhus-tox., and Verat- 
rum-album, in the second and third stages, more particularly. The selec- 
tion should be guided, in each case, by the analogy existing between the 
symptoms of the disease, and those which are specific to each of these 
medicines, as found by the appended " Repertory." 



ASIATIC CHOLERA— MALIGNANT CHOLERA. 

EPIDEMIC CHOLERA. 

This virulent disease generally commences with giddiness, headache, 
singing in the ears, and uneasiness, a sensation of flatulence in the sto- 
mach (rumbling of wind), or griping pains, rapid loss of strength, and a 
feeling of weight and oppression in the region of the heart. In the 
severest forms of the malady the patient suddenly falls senseless to the 
ground, as if struck by electric fluid. But in many instances, diarrhoea 
is the first symptom, which, if neglected, soon becomes associated with 
vomiting, severe colic, cramps or convulsions, anxiety, and dread of dis- 
solution which appears to be inevitable. 

In some, though not all, cases of Asiatic Cholera, we find the lips, 
nails, and sometimes the whole skin, of a blue color, but in almost every 
instance, the frame loses its power of generating heat, the pulse and pul- 
sation of the heart are almost unfelt, and the circulation of the blood 
becomes stagnant. 

Patients who have outlived the second stage sometimes fall victims to 
a secondary typhoid fever in the third. 

Predisposing Causes. — The predisposing influences are: intemper- 
ance in eating and drinking ; insufficient of or cold, indigestible fruit and 
crude vegetables ; cold drinks when the body is overheated ; exposure to 
exhalations from decayed vegetable or animal matter ; residence in low, 
damp, dark, ill-ventilated dwellings ; excessive fatigue ; suddenly sup- 
pressed perspiration ; sudden mental shocks, or moral emotions as fright, 
fear, grief, and especially passion ; neglect of cleanliness, both personal 
and domestic ; constitutional debility, serious derangement of the diges- 
tive organs, weakness of the bowels, etc. As any, or, at all events, 
several of these in conjunction, tend to favor the invasion of the disease, 
they ought, when practicable, to be carefully guarded against or 
removed. 

Exciting Causes. — These are generally said to depend upon some 
peculiar atmospheric conditions. But it is to be remarked, that such at- 
mosperic conditions (properly so called — in contradistinction to the many 
other immediate causes of disease, with which the atmosphere may be 
impregnated), do not appear necessarily to involve whole regions or even 
extensive tracts of country. Cases are not wanting, especially in tropical 
climates, in which this disease, in all its distinctive features, has occurred 
almost in isolated instances, or has been confined to particular spots. 



596 EPIDEMIC AND ENDEMIC DISEASES. 

ALLOPATHIC TREATMENT. 

In the treatment of epidemic or asiatic cholera, this much appears to 
be settled, that upon the appearance of the diarrhoea which is preliminary 
to the disease (Cholerine) the patient takes to his bed and remains there; 
this is essential to success. The remedy which is best suited to control 
the preliminary diarrhoea, is Opium. Strychnine. Sulphuric Acid, Chloro- 
form and Camphor have been found useful. The following formula is 
found useful during this stage. Take a fourth of a grain of the Sulphate 
of Strychnine, Aromatic Sulphuric Acid half an ounce, Sulphate of Mor- 
phine two grains, Camphor Water three and a half ounces. Mix; a tea" 
spoonful well diluted; may be given every one, two or three hours accord" 
ing to the severity of the diarrhoea. The plan of checking the diarrhoea by 
a full dose of Opium varying from a quarter of a grain, to one grain of 
Morphine, according to the severity of the diarrhoea, The continued use 
of the above mixture would then be appropriate. But return or increase 
of the symptom should be met with another full dose of Opium after an 
interval of not less than an hour. The bowels should move in a bed-pan, 
the patient not being allowed to rise to stool. The stools should be 
buried and the vessels thoroughly washed and disinfected by keeping a 
solution of Permanganate of Potash or Carbolic Acid in them. The floor 
may be sprinkled with Labarraqu's Solution, or a solution of Carbolic 
Acid one part to forty of water. 

The food, when there is diarrhoea, should be composed of farinaceous 
articles, milk, and beef tea. 

The drink may be Sulphuric Acid Lemonade, using for a change, and 
to gratify the taste, plain water, cold tea, or milk and water. 

Hot poultices or mustard plasters may be applied to the abdomen to 
relieve pain. 

When vomiting and purging occur there appears to be no remedy 
more generally useful than Chloroform given in doses of five to ten drops 
every half hour or hour. It relieves the vomiting, pain, and spasms. 
Lint saturated with Chloroform laid over the stomach and covered with 
oiled muslin will aid in controlling the vomiting. 

When collapse occurs the Opium and Strychnine before appropriate 
are not to be given because they may not be absorbed, and when the pa- 
tient rallies from the collapse (if he does) there is danger from an over 
dose by accumulation in the stomach. 

The use of Chloroform may be continued in five to ten drop doses or 
teaspoonful doses of Spirits of Chloroform (Chloroform one part to Alco- 
hol twelve parts) every half hour or hour may be continued. 

The benefit of that variable mixture called Chlorodyne depends large- 
ly upon the Chloroform it contains. Brandy or Whisky and water should 
be given as freely as the stomach will retain them, in small quantities at 
a time. 

The thirst may be relieved by water rendered slightly sour by the 
addition of ten to thirty drops of Aromatic Sulphuric Acid to a glass of 
nater. ice water may be taken in small quantities or simple water may 
oe used. Water is not harmful, if it does not provoke vomiting. Small 
lumps of ice may be given. 



CHOLERA . 597 

Concentrated nourishment as milk and meat essences should be fre- 
quently given in small amounts (with whisky or brandy, or without) if 
the stomach does not reject it. 

The remedy which has yielded the best results in the stage of collapse 
or when it was approaching, is the Hydrate of Chloral given by hypoder- 
mic injection, from five to ten grains in solution in water being the dose 
given at intervals of half an hour to an hour or two. It is often advan- 
tageously given with Morphine in doses of from an eighth to a quarter of 
a grain . 

The surface of the body should be kept warm if possible by dry heat, 
such as hot flannels, bottles of hot water, etc. It is not desired to occasion 
sweating but perspiration should be wiped off with warm dry cloths. 

Injections of warm water or injections of whisky with warm beef tea 
are permissible. The latter has been known to avert an approaching 
collapse and arrest the diarrhoea. 

If the patient rally from the collapse the cautious use of nourishment 
and stimulants as directed for typhoid fever are indicated. If the kid- 
neys do not act freely they should be stimulated by the use of half tea- 
spoonful doses of the Vinegar of Squills in a dessert or tablespoonful of 
Infusion of Digitalis four times a day, and bland drinks such as flaxseed 
tea or barlej^ water. If coma (insensibility) the hot air bath should be 
resorted to to throw off the urea by sweating. The danger of ursemic 
poisoning is averted by getting the kidneys to acting freely. Tonics 
should be given. For this purpose there is none better than two or three 
grains of Quinine given four times a day. 

Thorough cleansing and disinfection of buildings and surroundings, 
having privy vaults, drains, and vessels which receive excretions, house 
waste, etc., contain disinfectants, no filth of any kind being allowed to 
accumulate, the severe ravages of the disease may be prevented. 

HOMCEOPATHIC TREATMENT. 

The success of treatment much depends upon the promptness 
with which remedial resources are exhibited, upon the earliest recogni- 
tion of the attack. 

Tincture of Camphor, if administered upon the earliest premoni- 
tory indications of the attack, will often avail to prevent the further 
development of the disease, and will at all events, in the great majority 
of cases, avert fatal consequences. The following are the particular indi- 
cations in the early stage — chilliness, shivering, giddiness, headache, 
singing in the ears, pain, weight, pressure, or a distressing sensation in 
the pit of the stomach, cramps with protracted rigidity in the calves of 
the legs, sensation of general uneasiness, sudden loss of strength ; — 
sunken, blue-encircled eyes; diminution of the senses; slow, or scarcely 
perceptible pulse; blueness and icy coldness of the face and hands, and 
greatly diminished temperature of the whole body; burning heat in the 
throat and region of the stomach ; distended bowels ; much flatulent 
rumbling; nausea and even vomiting, and diarrhoea; diminished or sup- 
pressed urine (an almost constant symptom in Cholera); hoarse voice; 



598 EPIDEMIC AND ENDEMIC DISEASES. 

countenance expressive of excessive anguish ; suffocating oppression. 
After taking Camphor sweat soon breaks out as a sure sign that an im- 
provement has commenced. Then the remedy must be given less fre- 
quently and in smaller doses, or it may give rise to congestion of the 
brain. 

Dose : Take of the purest loaf-sugar, or of sugar-of-milk, finely pounded 
just a sufficiency, upon which deposit one drop of the tincture thus 
administering the dose, and repeating such dose, at first every five 
minutes extending the intervals according to the duration of the 
intermissions between the spasmodic attacks, only repeating the 
administration as the attack returns, and continuing this course 
until positive amelioration or change. Decided improvement is 
readily distinguishable : first, by increased warmth, and, shortly, 
by diminution of anxiety, by comparatively healthy perspiration, 
and by an inclination to sleep. After sleeping an hour or two the 
patient awakes with a sensation of ease, which he can scarcely 
believe. 

Veratrum (especially under the particular circumstances just enu- 
merated) should be employed without a moment's delay, when Cholera 
sets in in its worst and characteristic form, with sudden and violent fits 
of vomiting and purging, the evacuations resembling starch or rice- 
water, after several paroxysms ; flatulent rumblings, excruciating gripes, 
severe cramps (either with protracted rigidity, or with rapid alternations 
of contraction — particularly the latter) in the calves of the legs, etc., 
(second stage), ice-like coldness of the entire body, even of the tongue, 
cold, clammy sweat, suppressed respiration, feeble pulse, great thirst— the 
patient, if permitted, drinking large quantities of water — excessive weak- 
ness, terrified look, weak hollow voice, groaning and yawning. 

Dose : Six globules in a teaspoonful of water, every quarter of an 
hour (in extreme cases) or every half hour (in less urgent circum- 
stances), or even in some very desperate cases, and when a fatal is 
sue seems imminent, every five minutes,— until the extreme sever" 
ity of the symptoms becomes somewhat abated ; and, subsequently, 
every time the paroxysms return, and so on until the symptoms 
yield or change. 

Arsenicum album displays its curative action in those terribly rapid 
cases where cholera algida at once sets in without any premonitory symp- 
toms. The most essential indications for Arsenicum are : Sudden and 
complete exhaustion, vanishing of the pulse, together with violent palpi- 
tations of the heart, great dyspnoea, inexpressible anguish, constant toss- 
ing about, horrid thirst, yet the least quantity of liquid is vomited up 
again immediately ; burning distress in the region of the stomach and 
upper portion of the bowels ; complete suppression of urine. In such 
cases Arsenicum should be given at once, without any other medicine 
being resorted to in the first place. After the exhibition of Arsenic the 
urine is often secreted in large quantity, a very favorable change. 

Dose. Six pills in a teaspoonful of water, every quarter of an hour 
(in urgent cases), or even every five minutes (when a fatal issue ap- 
pears imminent), or only every half hour (in cases of a less desperate 
character), until the symptoms are modified, and the sufferings are 
not so incessant ; then extending the intervals according to the du- 
ration of the periods of remission between the paroxysms, and so 
on, until positive change. 



CHOLERA. 599 

Aconite is a splendid remedy if, in the beginning, or after the blue 
cold stage, there is heat of the skin, quickness of the pulse, headache, 
noise in the ears, dryness of the tongue with craving thirst, this remedy 
should be given in small doses— six pills every ten to thirty minutes. 

On the other hand, when the skin is cold, clammy and livid, the pulse 
not perceptible at the wrist, the action of the heart quite feeble and ir- 
regular, the head cold, the pupils of the eyes dilated very much, and not 
sensitive to the effects of light, involuntary discharges from the bowels 
of a thin stool resembling rice-water, vomiting of a similar substance, 
the dose should be large—twenty drops of the Tincture of Aconite, in a 
glassful of water, to be given one teaspoonful every fifteen to sixty 
minutes. 

Carbo-veo. may often be advantageously employed after the previ- 
ous administration of one or more of the preceding medicines, or even in 
alternation with Arsenicum (in some cases) when the patient is reduced 
to the last extremity, animation being all but completely suspended, and 
the pulse scarcely perceptible ; or when, on the cessation of vomiting, 
purging, and cramps or convulsions, determination of blood to the head 
and chest ensues, attended with oppressed breathing, coldness of the 
breath, redness or livid hue of the face (which is covered with 
clammy sweat) and lethargy— the patient seeming as if seized with an 
apoplectic fit. Also when every sign of reaction has been extinct from 
the beginning. 

Dose : Six pills in a teaspoonful of water (or, — if there be difficulty in 
ensuring its being swallowed thus — dry on the tongue), at intervals 
of five, ten, and fifteen minutes successively, and then (if the pulse 
become stronger) every half hour until positive change. But if, 
upon the development of stronger pulse, and the subsidence of the 
lethargic symptoms, the pain, vomiting, cramps, etc., should return, 
at once resume the administration of Veratrum, as before. 

ADDITIONAL PARTICULARS. 

Ipecacuanha, Nux- vomica. These remedies (the first either singly 
or followed by Nux-v.) have been found efficacious either before or after 
the previous administration of the other medicines (generally when more 
urgent symptoms had been overcome), or at the onset of the attack (in 
milder cases), when such indications as the following could positively be 
identified. 

Ipecacuanha may be administered under circumstances such as 
those just stated, either after previous treatment, when the vomiting be- 
comes a prominent symptom, and the discharge attending it is more 
copious, or at the onset of the attack when the vomiting (being copious, 
and attended with much nausea) predominates, so as to characterize the 
case distinctly. Further indications for this remedy are such as the fol- 
lowing :— sensation of weakness (or of internal sinking), coldnees of the 
face and limbs, sensation of shivering in the belly, slight cramps in the 
calves of the legs and in the fingers and toes ; or sometimes, again, vomit- 
ing, alternated with watery diarrhoea, accompanied with or preceded by 
griping, colicky pains ; or even yellowish diarrhoea in some cases in 
which the vomiting does not occur ; or loose evacuations of excremental 



600 EPIDEMIC AND ENDEMIC DISEASES. 

matter mingled with slime (at the commencement of the attack), or evac- 
uations of a greenish or brownish character. 

Dose: Of a solution of twelve pills to four tablespoonsful of water' 
give a teaspoonful every hour, until change. But if. after the more 
violent symptoms (the vomiting especially) have yielded in a degree 
to the action of Ipecacuanha, pause three hours, and proceed with 
the next medicine, if the subjoined symptoms remain. 

Nux-vomica may be employed with great advantage three hours 
after the last dose of Ipecacuanha, when the vomiting has subsided under 
the influence of the last-named medicine, but symptoms of spasm of the 
stomach remain, such as weight and constriction in the region of the sto- 
mach; or again, when anxiety, great debility, griping, frequent, small 
evacuations with much straining, frontal headache, or aching pain at the 
back of the head, and shuddering, with predominant internal chill, con- 
tinue to prevail. 

Dose: Of a solution of six pills to two tablespoonsful of water, give a 
teaspoonful every hour, until the symptoms abate ; and then every 
three hours, until positive change. 

Cicuta-virosa has proved an appropriate remedy, when there are 
spasms in the muscles of the chest, continuous vomiting, and little diar- 
rhoea, when the eyes are turned upwards, and the patient is in a drowsy 
state. 

Dose: Six pills in a teaspoonful of water, (or, if there be difficulty in 
this method, dry on the tongue), every ten minutes, until the symp- 
toms abate, and then every half hour, until positive amelioration or 
change. 

TREATMENT OF THE AFTER-EFFECTS OF CHOLERA. 

Carbo-veg., is of much service in the stage of convalescence when 
flatulent rumblings and the colic with diarrhoea and excessive flatulence 
during stool remain. 

Dose: Four pills in a teaspoonful of water every hour, or after every 
intestinal evacuation, until a degree of improvement becomes ap- 
parent, and then every twelve hours. 
Phosphorus is very useful when debilitating diarrhoea remains after 
the removal of the more urgent symptoms, and particularly when the 
stools are watery, and sometimes productive of an acrid, pungent sensa- 
tion in the last intestine, and attended with belching, weight or oppression 
at the pit of the stomach and lateral regions (without the heat or burning 
which accompanies this symptom in the cases that call for the employ- 
ment of Arsenicum), and pain in the region of the navel, rumbling noise 
in the bowels, either at other times or on pressing the hand against the 
belly, pricking or shooting pains in the left side of the chest, etc. Phos- 
phorus is also useful when a tendency to vomit remains, but with the 
distinctive indication that it only occurs about a quarter of an hour or so 
after drinking, or when the cold fluid drunk has become warm in the 
stomach. Again, it is a remedy of much importance in the event of con- 
gestion in the chest, with oppressed and laborious breathing, in addition 
to the before-mentioned symptoms during the course of the disease. 

Dose: Four pills in a teaspoonful of water, every three hours (or 
every hour in more urgent cases) until the symptoms abate, and 
then every six hours. 



CHOLERA. 601 

Acidum-phosphoricum should be administered either after the pre- 
vious use of Phosphurus, or even before it, in the event of the tongue 
becoming exceedingly clammy or slimy ; or again , if colliquative diarrhoea 
should ensue with or without the typhoid or congestive symptoms here- 
after described ; or when the dullness of the head and pallor of the face 
occur; or the evacuations are watery or slimy; or exhibit a greenish-white 
hue, and there is inadequate discharge of urine. 

Dose : Of a solution of six pills to two tablespoonsful of water, give a 
t.easpoonful every two hours. 

ACCESSORY TREATMENT. 

The patient should be kept in a room of a warm temperature, the bed 
should be heated by artificial means,— bottles of hot water applied to the 
feet, if necessary, and hot flannels to other parts of the body. The obser- 
vance of this rule greatly facilitates the action of the medicine employed. 
Enveloping the patient in a clamp sheet (one which has previously been 
soaked in warm water), and then wrapping him in blankets, is another 
useful auxiliary mode of treatment. Frictions with woolen cloths, and the 
act of rubbing and pinching, under the bedclothes, the parts affected with 
spasms, have also been recommended; but if these auxiliary measures 
prove distressing to the patient, he should be left quietly under the action 
of the medicine. Anything which might disturb the equanimity of the 
sufferer, such as noise or contradiction, should be carefully avoided, and 
his spirits should be sustained as much as possible. 

Food and Drink. Cold water is the best drink, but the patient 
should not be allowed to take too much at a time; the occasional adminis- 
tration of a small piece of ice, if possible, or of iced water in teaspoonsful 
is often attended with benefit; and injections of iced water are sometimes 
serviceable in relieving the colic and cramps in the intestines,— or of 
starch-water in the case of straining. When cold water, in lieu of dimin- 
ishing, increases the vomiting or other sufferings, and the patient ex_ 
presses a wish for a little nourishment, tepid emulsion of sweet almonds, 
thin gruel, barley-water, toast-water, milk and water (all warm and given 
in teaspoonsful at a time), may be administered. 

During the convalescence following this disease, we must be careful 
not to indulge the patient to the full extent of his desires. It is therefore 
advisable, when the appetite returns, to commence with Semolina, Sago, 
Arrowroot, and such like, as also Cocoa, chicken- broth, or beef-tea; but 
great caution must be observed, in order to avoid the risk of a relapse 
from an undue amount of nutriment. This is best accomplished by the 
administration of a tablespoonful every hour, or only every two or three 
hours — diminishing or gradually augmenting and varying the quantity 
and quality of the food, according to the effects produced. 

GENERAL ACCESSORY PRECAUTIONS. 

Care ought to be taken to avoid excesses of all kinds, late hours, ex- 
posure to night air, melancholy thoughts, or fear, which are all predis- 
posing causes to attacks of this malady. 

Pure air and thorough ventilation are indispensable, and the precau- 
tion of providing a free current of water through all drains, etc., is not 



602 CONSTITUTIONAL DISEASES. 

to be neglected. If it be known that stagnant or obstructed drains, cess- 
pools, and the like, are distributing noxious exhalations about a dwelling, 
the safest course is (if possible), to remove to another localit}', the next, 
to endeavor to neutralize the poison which is given out by these decom- 
posed deposits, by means of chloride of lime or peat, charcoal, etc. It is, 
however, very hazardous to set about removing such nuisances during the 
prevalence of the epidemy; this should have been done before, or should 
generally be left until afterwards, and when there is no longer reason to 
apprehend the distribution of additional causes of disease ; a keen frost 
may render the cleansing of foul places comparatively safe. 

Regular exercise should be taken during the best part of the day (in 
fine weather) in the open air, but excessive fatigue should be avoided. 



PRESERVATIVE MEASURES DURING THE PREVALENCE OF 

CHOLERA. 

Accurate observance of the Homoeopathic Preventive Regulations 
will in a very great number of cases avert the attack altogether. But 
even if this should not be the case, the disease will in general be devel- 
oped in a very modified form, and such as will usually be readily sub- 
dued by the employment of Camphor (as heretofore directed at page 597.) 
In some few cases, further treatment may become necessary, according to 
the directions stated in the foregoing portions of this article, but there 
will rarely be reason to apprehend a serious issue. See, also, Veratrum. 



CHAPTER XXX. 



CONSTITTTIONAL DISEASES WITHOUT DEFINITE INFEC- 
TION. 



ACUTE ARTICULAR RHEUMATISM. 

RHEUMATISM OF THE JOINTS. 

This form of rheumatism often arises from a cold and from expose- 
ure to atmospheric influences ; it not unfrequently assumes an epidemic 
type, and, in such a case, breaks out most commonly in the fall and 
winter. 

The disease commences very gradually with a vague feeling of fatigue, 
accompanied with slight catarrhal symptoms ; it may break out after 
severe attacks of angina, very seldom suddenly, and scarcely ever with a 
chill, but with alternate chills and heat. Simultaneously with the fever, 
very seldom after, and still less seldom before, one or more joints become 
painful ; the pain rapidly increases, and the joint swells, sometimes with, 
and at other times without redness; at this period, the least motion and 
the least pressure cause pain, so that the patients remain perfectly quiet 



RHEUMATISM OF THE JOINTS. 603 

for fear of hurting themselves. Generally, several joints are attacked at 
once, very seldom only one at a time, never all the joints at once from the 
start. The disease progresses in a very characteristic manner. While 
the joint that was first attacked, is getting better in three to fine days, 
sometimes with a complete cessation of the pain, as well as the swelling, 
other joints are attacked in the same manner ; in this manner most of 
the other joints are invaded, after which the rheumatism frequently 
breaks out again in the joint whence it had originally proceeded. At 
times the swelling is quite considerable, at other times scarcely percept- 
ible ; sometimes it is confined to the joint alone, at other times the sur- 
rounding parts are very extensively involved ; not unfrequently the ar- 
ticular extremities feel enlarged. The constitutional symptoms are at 
times very violent, at other times very slight ; this depends a good deal 
upon the number of joints involved. The fever runs pretty high, remit- 
ting very irregularly ; the temperature is not much raised above the nor- 
mal level ; pulse about one hundred, in very acute cases increasing very 
seldom to one hundred and twenty and upwards, small and changeable ; 
a copious perspiration, having a musty-sour smell, continues during the 
whole course of the disease, corresponding with which the patients are 
tormented by a distressing thirst. The urine is very scanty, saturated, 
and, on cooling, deposits a copious sediment. The digestion is slow, the 
appetite impaired, but very seldom entirely suspended. 

The course of uncomplicated rheumatism is never very rapid, gener- 
ally more or less wavering ; recovery takes place gradually ; single joints 
may remain painful and swollen for a long time, the pulse remains ob- 
stinately .accelerated, the perspiration continues, the weakness abates very 
slowly. A favorable change takes place very seldom after the first week, 
a little more frequently after the second, but most commonly only after 
the third and fourth week. Very often we have noticed that, before the 
disease terminates, every joint is attacked twice, and that the second at- 
tack only lasts half as long as the first. In violent cases all the joints 
are affected together at the termination of the attack, some, however, are 
more acutely inflamed than others. 

With proper management and care this form of rheumatism ends in 
recovery in one week at the latest. However, by neglecting to guard 
against relapses, an acute attack may very easily terminate in a chronic 
form, and contractions and paralytic conditions may arise which can only 
be removed with great difficulty. 

CHRONIC ARTICULAR RHEUMATISM. 

It most frequently develops itself out of the acute form of which it 
constitutes a rest as it were ; it likewise arises from the continued action 
of damp and cold places. 

Chronic rheumatism is less frequently located in the external integu- 
ments of the joints where acute articular rheumatism is generally seated, 
than in the synovial (inner) lining, the ligaments and articular carti- 
lages. Little by little these grow thicker and rough. The disease seldom 
involves a number of joints ; generally it is limited to one or a few only. 
Neither the swelling nor the pain is very considerable ; to some ex- 
tent the power of motion remains, yet the patients may be entirely 



604 CONSTITUTIONAL DISEASES. 

deprived of the use of the affected limb, while the rest of the body is per- 
fectly sound. The rheumatism has remissions followed by exacerbations, 
each of which leaves the joints somewhat worse. These exacerbations 
often look like an attack of acute rheumatism, with fever and slight in- 
flammation of the affected part ; sometimes, however, they are without 
fever, and distinguished only by pain and loss of mobility. Chronic rheu- 
matism sometimes remains after repeated attacks of acute rheumatism of 
which it seems to constitute the ultimate stage. The joint is not greatly 
distorted by the disease. A complete cure is very much impeded by the 
extreme obstinacy of the trouble, and likewise by the impossibility of 
preventing the joint from being acted upon by influences that never 
cease, by their presence, to perpetuate the disease. 

DEFORMING- RHEUMATISM. 

Arthritic Rheumatism. 

This form of articular rheumatism always runs an exceedingly chro- 
nic course; it does not develop itself out of the acute form, occurs very 
rarely previous to the thirty-fifth year of age, and is most frequent after 
the fortieth year. It breaks out among all classes, especially, however, 
the lower; on this account it is very difficult to determine the degree of 
influence exerted 03 T bad food or damp dwellings over this disease. Arthritic 
rheumatism affects more particularly the female sex ; the critical age un- 
doubtedly favors an outbreak of this disease, for we meet with it most 
frequently about this time. 

This may attack any joint in the body, but it is mostly limited to the 
joints of the hand and feet, affecting both sides of the body at the same 
time. It generally commences in the hand, whose joints became more 
or less painful, especially when they are moved or pressed upon laterally. 
Sometimes the pain is principally felt in bed. The joint swells very slow- 
ly; at times long intervals occur in the further continuance of the swell- 
ing, after which the arthritic process resumes its course amid renewed 
paroxysms of pain. Towards the end the shape of the joints is very 
much altered, especially the shape of the finger joints. They look bul- 
bous, they are especially enlarged in breadth ; they feel hard ; their 
integumentous covering has a natural color. The power of motion is not 
entirely suspended, but motion is very painful ; in the very highest grades 
of the disease the joints are entirely immovable. Life is not endangered 
by this condition, but its curability is very doubtful. The swelling never 
disappears entirely; all that can be properly aimed at by treatment, is to 
arrest the further progress of the disease. 

ALLOPATHIC TREATMENT. 

In the treatment of inflammatory rheumatism or rheumatic fever, no 
active single remedy has afforded such good results as Salicylic Acid. Its 
effectiveness in this disease above all others has caused the repute of the 
drug. The fever is not unfrequently corrected in forty-eight hours. 
While not every case is so favorably influenced, yet it exerts a remarkable 
power in greatly modifying the disease, lessening the fever, pain, and 
swelling. 



RHEUMATISM. 605 

Fifteen to thirty grains may be given in medicine wafers or capsules, 
every hour until the fever and pain abate, when the medicine may be 
continued in doses of ten to fifteen grains every three or four hours for 
several days. It is claimed that in some instances these large doses 
cause sickness of the stomach and prostration like collapse, which may be 
avoided by combining the acid with one-fourth its quantity each of Bi- 
carbonate of Soda and Carbonate of Ammonia. The formula of Bri- 
deaux is : Take of Bicarbonate of Soda, Carbonate of Ammonia, each 
five grains, Salicylic Acid twenty grains, Water one ounce. Mix. For 
one dose. Much the pleasanter way is to take the Acid in capsule or 
wrapped in medicine wafers. 

Fifteen grains of Salicine (active principle of Willow Hark) every 
three hours will often give relief within forty-eight hours. It can be 
given in capsule or wafer or mixed in water. It should be used provided 
Galicylic Acid is not given. 

A well tested and beneficial plan of treatment is known as the alka- 
line treatment. A solution of a teaspoonful of Bicarbonate of Potash 
should be made in a quarter of a glass of water ; to this is added a table- 
spoonful of a solution of half an ounce of Citric Acid in four ounces of 
water and drunk during effervescence. More water may be used if de- 
sired. This should be repeated every three hours until the urine has be- 
come alkaline (as ascertained by testing freshly voided urine with litmus 
paper) or the fever has abated, then once in six hours and after three or 
four days twice a day will be sufficiently often to keep the urine alkaline. 
After the violence of the symptoms has subsided if anaemia (impoverished 
blood and feebleness) exist, the Bicarbonate of Potash should be discontin- 
ued, and twenty to thirty drops of Muriatic Tincture of Iron, largely 
diluted in water, and ten grains of Iodide of Potash, at different times 
should be given six hours apart. 

It is only fair to add that the benefit of the alkaline treatment which 
has such earnest advocates, is also seriously questioned by some who claim 
better results by some of the other methods of treatment, such as blisters 
cold baths, and Quinine. 

The Chloride of Trimethylamine in doses of two grains every three 
hours is claimed to moderate the fever and pain immediately and moder- 
ate and shorten the disease. Take of Chloride of Trimethylamine sixty- 
four grains, Peppermint Water thirty -two drams. Mix. 

Dose: A teaspoonful. This drug, if used, should be given alone. 

Prof. Da Costa recommends ten grains of the Bromide of Ammonium 
every three hours. It can be given in water flavored with Tincture of 
Orange peel. 

Quinine is useful in maintaining the reduction of heat produced by 
a cold bath, if given in a dose of twenty grains upon taking from the bath 
but it seems to the writer that a more effectual plan is the repeated appli 
cation of the wet sheet and the use of Aconite. There is no doubt of the 
benefit of Quinine or some other preparation of bark as a tonic in doses 
of two or three grains four times a day, after a few days have passed. 
Large doses of Quinine have been thought to be curative. It has not 
proved so in the common experience of the profession. 



606 CONSTITUTIONAL DISEASES. 

In patients having a high fever and a strong pulse, the Tincture of 
Aconite may be given in doses of half a drop every hour or two to main- 
tain an impression on the fever and to moderate the pulse until such a 
time as the fever spontaneously subsides, or is prevented raising by the 
effect of one of the curative remedies before given, viz; Salicylic Acid, 
Salicine, or Alkalies, etc. 

In those cases having a sudden rise of temperature to 105° or 107° or 
more (above which a fatal result is to be expected) the most effectual and 
speedy method of reducing the fever is by the cold bath as directed in 
typhoid fever. By promptly reducing the fever in these extreme cases 
life may be saved. While this danger seldom occurs in this disease it 
should be promptly resorted to if required. 

Blisters are often applied around the affected joints, followed by poul- 
tices to keep up the discharge, or a small blister one or to inches square, 
which is allowed to heal, and another one immediately applied. This is 
called the flying blister. The preferable local application seems to the 
outer, and used in his practice, is hot packing of the affected joints, wrap- 
ping them with flannels wrung out of hot water, and thickly covered in. 
Cloth saturated with an Alkaline and Opium Solution, simular to that 
recommended by Fuller may be wrapped about the joint with benefit. 
Take of Carbonate of Potash six drams, Laudanum one ounce, Glycerine 
two ounces, Water nine ounces. Rubbing the affected joints carefully 
with a liniment of one part each, of Chloroform and Tincture of Aconite, 
and two parts Soap Liniment, will afford relief. 

Through the whole course of the disease, Opium given to the extent of 
relieving pain, is most happy in its effects. Two grains of the solid Ex- 
tract with a third of a grain of the Extract of Belladonna in pills may be 
given at night if the pain is very severe, and repeated during the day in 
doses of half this amount, at such intervals (three to six hours) as will 
make the pain tolerable, until it disappears in the coarse of the disease, or 
under the effect of one of the three curative remedies mentioned above. 

Constipation should be relieved by half teaspoonful doses of the Wine 
of Colchicum six hours apart, until the bowels are moved, Cathartics are 
not needed. 

The Appetite should be gratified, and encouraged by nutritious diet. 

The patient ought to lie between blankets, and wear flannel garments, 
if any next to the skin, during the whole course of the disease. 

During the latter part of the disease tonic doses of Quinine, three 
grains four times a day, or equivelent doses of some other preparation of 
Cinchona Bark are advantageous. 

The Salicylic Acid, Saline, and Alkaline treatments, are said to pre- 
vent heart complications, hence, in part, is the prompt and bold manner 
with which they are recommended to be given . 

Should violent and irregular action of the heart, friction sounds, pain 
in the region of the heart, enlargement of the area of dullness on percus- 
sion, difficulty of breathing and increase of fever occur in the course of 
the disease, the dangerous complication, pericarditis, has occurred. Full 
doses of Opium are to be given. 

The treatment before recommended for the rheumatism should be 



RHEUMATISM. 607 

continued. Large hot poultices of flaxseed meal and mustard should be 
kept over the region of the heart. 

If the action of the skin and kidneys is not sufficient, the hot air 
bath should be given. 

Particular attention should be given to nourishing the patient. Milk, 
raw eggs beaten with milk or water, and strong beef tea or essence, should 
be freely given. 

When symptoms of weakness occur, stimulants should be given as are 
directed in the treatment of typhoid fever. 

The treatment of pericarditis has been more fully considered else- 
where. 

In chronic rheumatism of the joints, attention should be given to the 
general health, and measures employed to restore it to its fullest vigor. 
To this end, good food should be taken, avoiding sugar and starchy food, 
while milk, cream, eggs, and fruits may be freely taken. 

The Citrate of Iron and Quinine, in solution, in doses of three to five 
grains, will be serviceable. 

It is claimed by good authority that the Tincture of Chloride of Iron 
is curative in acute rheumatism, and another equally high authority 
claims it to be a preventive of rheumatism. It is equally worthy of a 
trial in the sub-acute or chronic form. The dose is twenty to thirty drops 
largely diluted in water, every six hours (four times a day). It will be 
especially serviceable if the system is debilitated. 

Iodide of Potassium, in doses of ten grains dissolved in water (Pep- 
permint or Sarsaparilla covers the taste), three times a day, frequently is 
very beneficial . A better effect is sometimes produced by giving five 
drops of Fowler's Solution with the Iodide of Potassium. 

The remedies so useful in acute rheumatism are not so appropriate in 
this, though they may be tried. 

Alkalies are required if the urine is acid, but they should be given 
more moderately. While Salicylic Acid has succeeded in my hands, it 
has as often failed . 

The Hydrochlorate of Ammonia often succeeds admirably in doses of 
fifteen or twenty grains. It is best given in Elixir of Cinchonia, and giv- 
en four times a day. 

Tincture of Guaiac, or the Ammoniated Tincture, in doses of one or 
two teaspoonsful three times a day, is one of the most successful remedies. 
It may be given in milk, or the gum prescribed in other mixtures. 

Prickly Ash (Xanthox Ylum) has a deserved reputation in this dis- 
ease ; the dose of the Tincture is one or two spoonsful. In domestic use 
a tea is generally made (an ounce of bark to a pint of tea), and two to four 
tablespoonsful taken at a time. 

Poke-root (Phytolacca Decandra) cures some cases of chronic rheum- 
atism. The dose is ten or twenty drops of the Tincture. A tea made, in 
domestic practice, from half an ounce of the root to a pint of tea, could be 
given in doses of a tablespoon ful. 

The waters from Sulphur-springs are helpful in very old cases. 



608 CONSTITUTIONAL DISEASES. 

Warm bathing, alkaline bathings, vapor baths, Turkish baths, and 
the wet pack, are' each in their turn useful means of treatment, and should 
be given a thorough trial in obstinate cases. 

The relief of pain is called for in some instances, and should be met, 
when not afforded by local applications, with Opium — given in half the 
doses recommended in the acute variety. 

Local applications are highly useful. Flying blisters from one to two 
inches square, and allowed to heal at once, following each other over dif- 
ferent parts of the joint, so that a fresh blister always exists on some part 
of the surface, is one of the best plans of local treatment. 

Stimulating liniments are frequently beneficial, as the following : — 
Take of Ammonia Liniment an ounce and a half, Chloroform half an 
ounce, Soap Liniment two ounces, rubbing the joint well with it. If the 
pain is very great, take of Chloroform and Tincture of Aconite each an 
ounce, Soap Liniment two ounces. Mix. Wet a flannel with the Lini- 
ment, apply it round the joint and cover with oiled muslin. Turpentine 
or Petroleum, well rubbed into the part, or a flannel wrapped round the 
part, are sometimes useful. 

Other useful liniments ; Take of Oil of Cajuput and Laudanum each 
two drams, Turpentine four drams, Ammonia Liniment an ounce. Mix. 
Or, Aqua Ammonia a dram, Laudanum four drams, Tincture of Canthar- 
ides three drams, Soap Liniment ten drams. Mix. 

Iodine is one of the best local agents in overcoming inflammation, 
and removing its products. The tincture may be used, but the following 
ointment is believed to be preferable, because, after a few applications of 
the Tincture, a dead scarf skin prevents the penetration of the remedy: 
Take of Iodine thirty grains, Iodide of Potassium a dram, Water a dram, 
Lard an ounce Mix. If this irritates too much, it can be made weaker 
with Lard. 

A certain amount of stiffness, tenderness and inability to use the 
joints or limbs, is met with in many cases after the inflammation has 
subsided. This is removed by regular passive motion, i. e., motion by the 
hands of others, systematic shampooing, kneading and slapping with the 
hands (called massage). So-called cures of rheumatism effected at this 
stage by "rubbing,'' slapping," and "messeuric" quacks. 

Liniments are largely useful in this stage, partly because they neces- 
sitate a certain amount of rubbing. 

Flannel ought always to be worn by those who suffer from chronic 
rheumatism. 

The general treatment of muscular rheumatism is not essentially dif- 
ferent from that of chronic rheumatism affecting the joints, and it is 
unnecessary to describe it here. Absolute rest of the affected muscles is 
necessary. Pain should be relieved by the hypodermic injection, over the 
affected muscle, of a quarter of a grain of Sulphate of Morphine with a 
fiftieth of a grain of Sulphate of Atropine in the acute stage, or of Atro- 
pine alone in the chronic disease. Strong mustard plasters should be 
applied over the painful muscles and immediately upon their removal a 
hot poultice of flaxseed meal with Laudanum poured over the surface, or 



RHEMATISM. 609 

hot fomentations of flannel wrung out of hot water and well covered, to 
retain the heat. 

Rubbing the part and the use of liniments as in chronic rheumatism 
of the joints is useful. Sometimes the daily use of the wet pack has 
proved curative. Aside from tonic remedies probably Iodide of Potassium 
and Guiacum, as recommended for chronic rheumatism of the joints, 
and five grain doses of Quinine three or four times a day, are the most 
frequently curative, especially if pain is periodical . 

Persons subject to this affection should wear flannel the year round. 
The daily use of the cold sponge bath will invigorate the system against 
liability to cold, while an over quantity of clothing, night or day, is to 
be avoided. Invigoration of the system, especially by an out of door life, 
is to be sought for. 



RHEUMATISM OF SCIATIC NERVE— ALLOPATHIC TREAT- 
MENT. 

This affection is a form of neuralgia, but notunfrequently of a rheuma- 
tic origin. The remedy which gives the most speedy relief is Morphine 
by hypodermic injection. A prompt and complete relief of the pain by 
this means is not unfrequently curative. The injection should be made 
in the neighborhood of the nerve. The dose to be preferred is a quarter 
of a grain, which can be repeated in twenty or thirty minutes, if the pain 
is not relieved. 

If the Morphine should not succeed the hypodermic injection of a 
fiftieth of a grain of Atropine should be made. Relief from it is more apt 
to be permanent than the same degree of relief from Morphine, but this 
injection cannot generally soon be repeated, but if the pain is not relieved 
nor excessive dryness of the throat nor other inconvenience experienced, 
a second injection may be made, but generally, if the pain is not relieved 
by the first injection of Atropine, it is best as a rule to resort to Morphine. 
The injection, under the skin, of fifteen or twenty drops of Ether behind 
the great trochanter is often followed by quick relief. 

Electricity is often beneficial. The direct current should be passed 
down the nerve. In old cases a needle, such as is used in acupuncture, 
insulated to near its point, should be introduced to near the nerve and 
attached to the positive pole. The negative pole is then passed down the 
course of the nerve. A daily sitting of five to ten minutes is appropriate. 
The neuralgic form of the disease is more often benefited by Electricity 
than the rheumatic. 

Acupuncture, in old cases, especially in the form originated by Bau- 
denscheid, is sometimes particularly beneficial. 

The general treatment is that given for chronic rheumatism or neu- 
ralgia, as the affection is of a neuralgic or rheumatic origin . It is not 
necessary to repeat these directions here. 

Iodide of Potassium in doses of ten to thirty grains three times a day ; 
Alkalies; Salicine in doses of fifteen grains, four times a day; Quinine 

39 



610 CONSTITUTIONAL DISEASES. 

five grains and Tincture of Xux Vomica five drops three or four times a 
day ; or ten to twenty drops of Turpentine with Honey three or four times 
a day, are particularly recommended in rheumatic sciatica. 

The same local measures given for neuralgic and chronic rheumatism 
are appropriate. In addition may be mentioned as especially applicable 
a strip of flannel wet with Chloroform, laid over the course of the nerve 
and covered with oiled silk (or muslin), or the whole limb covered with 
new flannel which has been thickly sprinkled with sulphur and covered 
with oiled muslin, are recommended by Fuller. Enveloping the limb is 
claimed by Trosseau to have cured after blister and Morphine failed 
Great relief is sometimes given by blistering the head. Flying blisters as 
directed in neuralgia are generally beneficial. The actual cautery is 
recommended. 

HOMCEOPATHIC TREATMENT. 

Aconittjm is the main remedy in acute articular rheumatism, if the 
pulse is not only frequent but likewise full and hard, the temperature is 
considerably higher, the joint is red and exceedingly sensitive to contact ; 
it is suitable for nervous, irritable, plethoric individuals ; or when heart 
troubles have set in. Further indications may be gathered from the 
Repertory. Aconite has been less frequently used in chronic cases where 
it sometimes acts with great efficacy. Aconite is less adapted to chronic 
articular, than to muscular rheumatism, especially when the disease is 
located in the uppei* extremities. 

Bryonia alba is a leading remedy for acute and chronic rheuma- 
tism, except the arthritic form. It is most suitable for rheumatism caused 
by exposure to cold and dampness after a severe muscular effort ; the vio- 
lent fever soon weakens the patient ; the swelling of the joint is dark-red 
and exceedingly painful ; the respiratory organs show symptoms of inflam- 
mation; the perspiration has a sour smell. In muscular rheumatism, 
Bryonia is indicated by the following symptoms: The muscles of the trunk 
are the seat of the disease, especially the muscles belonging to the chest ; 
the patient feels much better during rest; the pains are severe tearing 
pains, and incline to shift from one place to another. 

Mercurius. Mercurius is not so much adapted to chronic as to most 
forms of acute and sub-acute rheumatism, with the following general in- 
dications: The fever runs high; the pulse is remarkably quick and hard, 
the perspiration very copious and having a musty smell, the thirst is ex- 
ceedingly tormenting. The local swelling is not very great, but painful, 
intensely red. giving rise to the apprehension of pus forming in the joint ; 
it is not apt to shift about ; even if other joints are affected, yet the origi- 
nal joint remains swollen and painful ; the breath is foul, the tongue has 
a thick, yellow coating, the appetite is gone, every kind of food causes 
nausea. The pains are worse every night, towards midnight, aggravated 
by severe cold and ameliorated by external warmth. The more frequently 
relapses set in. the more specially is Mercurius indicated. In muscular 
rheumatism, Mercurius is indicated by the following circumstances: the 
pains exacerbate at night, they are deep-seated as if the bone were 
attacked with great sensitiveness to gentle as well as firm pressure. 



RHEUMATISM. 611 

Khus toxicodendron is adapted to every form of rheumatism, ex- 
cept arthritic. In acute articular rheumatism, it is indicated by the 
following symptoms: Violent fever, with tendency to the adynamic type 
delirium and excessive restlessless ; the swelling is inconsiderable, admits 
of some motion, is intensely red and somewhat sensitive to contact. The 
perspiration is not considerable. The patients are constantly changing 
their position, for even after lying for a short time in the same position, 
the pains are very much increased. Feather beds are intolerable, so is ex- 
ternal artificial warmth. For muscular rheumatism, Rhus tow. is the best 
remedy, if the attack is caused by exposure to wet ; if the above mentioned 
circumstances either improve or aggravate the symptoms; if the pains at 
once become associated with paralysis and contraction ; if the muscles of 
the lower extremities are the seat of the disease. Rheumatic paralysis 
particularly points to Rhus. In chronic articular rheumatism, Rhus is of 
little, if any use. 

Pulsatilla is indicated in mild, sub-acute rheumatism of the joints 
and muscles ; the affection shifts about frequently and speedily ; the pain 
exacerbates in the evening and at night ; they are violent, tearing, draw- 
ing and jerking pains, increased by warmth, improved by cold, at least 
for a short time. 

Pulsatilla is seldom appropriate in chronic rheumatism, but more so 
in the rheumatism of muscles and of the joints. 

Tartarus emeticus deserves to be used more than it so far has been 
— it is one of those remedies that have a good effect in exceedingly pain- 
ful local muscular rheumatism, for instance, rheumatism of the muscles 
of the back contracted after a cold during the performance of a fatiguing 
muscular effort. In such a case, Tartar emetic very soon brings relief. 
In acute articular rheumatism, Tartar emetic is indicated by the follow- 
ing symptoms: Marked swelling of a number of joints, the pains are 
not very great during rest, but this rest is frequently interrupted by spon- 
taneous, spasmodic, very painful contractions of single bundles of mus- 
cles. There is not much fever ; the symptoms of digestive derangement, 
on the contrary, are very prominent. A condition marked by such 
symptoms, sometimes occurs during the subsequent course of articular 
rheumatism, scarcely ever at the commencement. 

Digitalis purpurea is, in our opinion, a most important remedy in 
acute articular rheumatism ; in the last few years we have often seen this 
remedy produce a striking effect and shorten the course of the disease. 
Hurried, small pulse easily affected by motion; increased strength of the 
beating of the heart, but the sounds are muffled and indistinct, mingled 
with arterial murmurs ; hurried respiration, with ability to draw a long 
breath ; hurried, abrupt speech ; almost complete suspension of the urin- 
ary secretion ; shining-white swelling of the joints, not very sensitive to 
pressure ; a number of joints are attacked at once; the whole body is very 
pale. During the whole course of the disease we have given this medicine 
without any other drug, and in spite of the violence of the symptoms, we 
have never been able to discover any but the best results. 

In conclusion, we desire to state that Digitalis holds a high rank as a 



612 CONSTITUTIONAL DISEASES. 

remedy for rheumatism among the rational physicians ; there is, un- 
doubtedly a reason for this. 

Sulphur bears almost a specific relation to the rheumatic process. 
In an acute attack we would not think of giving Sulphur; on the other 
hand, Sulphur is indispensable to remove the remaining traces of acute 
rheumatism, upon which the extraordinary disposition to relapses gen- 
erally depends. What this remedy is capable of accomplishing in chronic 
rheumatism, is shown by the numerous cures which are every year 
wrought by the use of Sulphur-springs, and which it is impossible to 
doubt. 

Sulphur exerts a curative power over arthritic rheumatism ; it arrests 
the progress of the disease, and materially reduces the swelling of the 
joints, but must be given in large doses. 

Although Sulphur-springs are the most effectual remedy for constitu- 
tional rheumatism, yet there are other means calculated either to heal or 
prevent new attacks; some of these means are often sufficient to perform 
a cure. In this class we rank the cold-water treatment, sea-bathing, the 
Turkish and Russian baths. The two last-mentioned have to be em- 
ployed with great care ; if they help at all, the favorable effect is seen 
after a few baths. 

It is a matter of course that the cause should be removed as much as 
may be. 

The diet in acute rheumatism is easily managed ; the patients either 
do not crave any nourishment, or their appetite is very much impaired. 
Fat and greasy articles of diet are decidedly injurious; acid substances, 
especially stewed fruit, have a very good effect ; raw fruit may be par- 
taken of, but moderately. 



CHLOROSIS OR GREEN-SICKNESS. 

EMANSIO MENSIUM. 

Cases in which the Menses liace never appeared. 

Chlorosis is a disease which occurs exclusively among females, chiefly 
between the ages of thirteen and twenty-four, seldom at a later period ; if 
it does, it can be traced to secondary disturbances such as : confinements 
of young women, coming rapidly one after another, more especially if 
the women nurse their own children. 

The disease sometimes breaks out previous to the first appearence of 
the menses, more frequently after several menstrual periods ; as an en- 
tirely primary disease, it only bieaks out among unmarried women. It 
is, in some degree, hereditary ; females of a pale complexion are more li- 
able to be attacked with it; though no constitution is exempt from the 
disease, although delicate individuals with irritable nerves are more sus- 
ceptible to it. Among other causes, we may mention: Insufficient ex- 
ercise, mental exertions without corresponding muscular activity; ex- 
citement of the fancy, especially when caused by novel-reading; excite- 
ment of the sexual instinct by onanism, improper converse with the 



CHLOROSIS OR GREEN-SICKNESS. 613 

other sex ; deprivation of the open air, and interference with the free ex- 
pansion of the chest by tight dresses. Chlorosis is very commonly met 
with among daughters of a tuberculous mother. 

Symptoms and Course.— This disease generally comes on very slowly 
— the patients become more irritable ; they are apt to get tired after every 
little effort ; they are liable to changes of color ; the skin soon loses its 
bright lustre, and the patient complains of feeling chilly at an early pe- 
riod of the disease. Inasmuch as the disease may be characterized by a 
variety of symptoms, we will describe the derangements as they appear 
in each special organ and system. 

The skin at times has the color of wax ; at other times it it is rather 
yellowish, or of a dingy white, the veins being either not at all percepti- 
ble, or but indistinctly so. The color of the cheeks may change quite of- 
ten within a very brief period of time. The visible mucous membranes 
are more or less without color. Swelling of the feet and limbs sometimes 
occur, but only in the highest grades of the disease. 

The following symptoms occur in the digestive range : Impaired ap- 
petite, aversion to meat, longing for strange articles of diet, such as vine- 
gar, chalk, coffee, beans ; bloating of the stomach after every meal ; sour- 
ness of the stomach, and generally the bowels are very torpid. 

In the nervous system we discover excessive irritability, neuralgia, 
hysteric symptoms, fitful mood. The breathing is accelerated ; the least 
physical exertion causes dyspnoea (shortness of breath) sometimes to a 
very high degree. The circulation is accelerated, very seldom retarded ; 
disposition to palpitations of the heart, which are easily excited by a 
physical effort. The menses are irregular, sometimes entirely suppressed 
or very tardy, sometimes more profuse than usual, but always of a lighter 
color, or even quite colorless. 

Accompanying these symptoms are pains of the most diversified 
kind, very generally uterine catarrh. The urine has a strikingly pale 
color. The patients generally sleep very soundly, and have to sleep a 
long time, though sleep never refreshes them. 

One or the other of these derangements is generally wanting. The 
one characteristic symptom is never absent : dyspnoea and palpitation of 
the heart from the least unusual effort, especially after going up stairs. 

The course of chlorosis is always more or less protracted, sometimes 
very chronic. If no particular disturbances take place, the affection can 
sometimes be cured in .a few weeks ; whereas, if the mode of living which 
had acted as the exciting cause is persevered in, the trouble may continue 
for years. The disease is most commonly more violent in summer than 
in the winter season. Uncomplicated chlorosis always terminates in re- 
covery. 

Among the complications, the simultaneous presence of tuberculosis 
and scrofulosis is most threatening. We generally find that scrofulous 
girls who are attacked with chlorosis recover their health to some extent 
for a year or two, after which they die of consumption, or phthisis may 
set in as a direct development of a protracted chlorosis. 



614 CONSTITUTIONAL DISEASES. 

HOMOEOPATHIC TREATMENT. 

The leading remedies which have been found most useful in this af- 
fection are Pulsatilla, Sepia, Bryonia, Sulphur, Calcaria carb., Ferrum, 
Lycopodium, and Plumbum. 

Pulsatilla is peculiarly useful in chlorosis, when the derangement 
seems to have been excited by, or is connected with, indigestion; and 
it is accompanied with headache, particularly in the side of the head 
with shooting pains extending to the head and teeth, sometimes shifting 
suddenly to the other side; sallow complexion; difficulty of breathing, 
and sense of suffocation after the slightest movement ; palpitation 
of the heart; coldness of the hands and feet often changing to sudden heat; 
disposition to diarrh&a and leucorrhosa; pains in the loins; sensation of 
weight in the abdomen ; almost constant chilliness and shivering ; spasms 
in the stomach with nausea, inclination to vomit and vomiting; hunger 
with repugnance to food; swelling of the feet and ankles, great fatigue, es- 
pecially in the legs. This medicine is particularly adapted to females of 
mild disposition, disposed to be sad and tearful. 

Dose: Six pills every evening. 

Sepia is a remedy of very great value in this disease when there is a 
good deal of headache, sallow complexion with dark colored spots; frequent 
colic and pain as if arising from bruises in the limbs with a drawing, tear 
ing pain in the thick muscles of the back part of the legs. It may follow 
Pulsatilla with great advantage or be given in alternation with that reme- 
dy. 

Dose : Six pills or a powder every morning. 

Bryonia. — Frequent congestion of the head and chest, bleeding at the 
nose; dry cough ; coldness and frequent shivering, sometimes alternating 
with dry and burning heat; constipation or colic, bitter taste in the mouth, 
tongue coated yellow; sense of pressure in the stomach, as if from a 
stone. 

Sulphur is more particularly indicated when there is pressive and 
tensive pain in the back of the head extending to the nape of the neck; 
humming in the head ; pimples on the forehead and round the mouth ; 
pale and sickly complexion, with red spots on the cheeks ; changeable ap- 
petite with general emaciation ; heaviness in the stomach under the lower 
ribs and in the abdomen; bowels irregular; great tendency to take cold; 
irritability and inclination to be angry; redness and melancholy with fre- 
quent weeping. 

Dose: Six pills every other day. 

Calcahia Carb.— Is often of the most striking benefit in chlorosis. 
Sometimes a complete cure is effected by it alone, even in the worst cases 
with (oedema) swelling of the extremities and extreme dyspnoea. When 
there is complication with tubercular diathesis accompanied by cough 
Sulphur and Calcarea Carb., often prove highly beneficial in alternation, or 
if oppressive headache is complained of, Sepia may be given in alternation. 
Sometimes menstruation does not take place for some time afterwards, 
though the general health is very much improved under the employment 
of the remedies prescribed. 

Dose: Six pills every morning. 



CONSUMPTION. 615 

CONSUMPTION. 

PHTHISIS PULMONAIilS. 

One of the earliest symptoms of consumption is a short cough, which 
is either dry or accompanied by the expectoration of a frothy mucus, and 
is generally slight at the commencement, but more or less constant. Short- 
ness of breath, is another early symptom of consumption. It is, at first 
experienced only during exertion, but subsequently comes on after every 
fit of coughing, or on lying on the one or the other side, and is much in- 
creased by the slightest movement. Symptoms of gastric derangement, 
are frequently present, with redness of the tongue, or white furred center, 
with inflamed and projecting points, and vivid red tip and margins; the 
patient falls off in flesh, becomes indolent, dejected, and overpowered with 
languor. A feeling of soreness is often complained of behind the sternum 
or under the collar bones, particularly after any fatigue, or after a fit of 
coughing, and sometimes on exposure to cold air. Tne pulse is often nor- 
mal in the first stage of the disease, but soon becomes full, hard, and 
accelerated. Fever of an intermittent character soon makes its appear- 
ance; it declares itself most towards night, remits from about two in the 
morning until the following day at noon, when it returns in a slighter de- 
gree, and continues until about five in the afternoon, and is then followed 
by another remission. This hectic fever is, in the first instance, chiefly 
manifested by flushing of the face (which is often most apparent after a 
meal), and heat in the palms of the hands and soles of the feet ; but as the 
disease advances, night sweats supervene, which leave the patient in a 
state of great exhaustion in the morning. As the expectoration increases 
it becomes more viscid and opaque, and is often tinged with blood, or a 
considerable quantity of florid, frothy blood is ejected in consequence of 
the obstruction offered to the blood-vessels, by the indurations or granula- 
tions of the lungs. As the disease advances and passes into the second 
stage, or that in which the dark red or grayish indurations are converted 
into crude yellow tubercles, the respiration becomes more difficult, the 
emaciation and debility go on increasing, the cough is rendered more se- 
vere and troublesome, particularly at night, a) id the fever, though of 
shorter duration, is attended with more profuse sweating, and the pulse 
loses tone. The expectoration becomes, at the same time, more free and 
copious, particularly towards morning, and is less thin and transparent. 

During the fever, or after meals, or at times of excitement, a circum- 
scribed red patch still appears on each cheek, but at other times the color 
of the cheek is faded, and the countenance wears a dejected expression. 

In the third (or suppurative or ulcerative) stage of the disorder the tu- 
bercles become soft, and are expectorated at first in the form of curd or cheese- 
like particles, and subsequently mixed up with pus, mucus, shreds of lymph, 
blood, and occasionally, though rarely, portions of the lung. The bowels, 
from having been more inclined to be costive at the commencement of the 
disease, are now more prone to be relaxed, so that attacks of diarrhoea 
often recur frequently, and, by alternating with sweats, induce an exces- 
sive degree of weakness and prostration. In this, the last stage of the 
disease, the patient becomes reduced to a skeleton ; the face is thinned, 
the cheek-bones prominent, the eyes look hollow, the hair falls off, the 



616 CONSTITUTIONAL DISEASES. 

nails are livid and incurvated, and the feet swollen ; but notwithstanding 
all this, the countenance presents a degree of clearness, and the eyes a 
lustre that are rarely, if ever, met with in other maladies, moreover, the 
state of mind is generally so serene and hopeful, that the patient seems 
often quite unconscious of his dangerous condition, and speaks and acts as 
if in full anticipation of a speedy recovery. The senses commonly remain 
entire and collected to the end of the disorder, but in some cases deli- 
rium precedes death and continues until life is extinct. The usual dura- 
tion of phthisis pulmonalis is from eight to nine months to a year and a 
half; but circumstances tend much to vary the length of the disease; 
and there is a rapidly fatal form which runs its course in from two to 
three months, sometimes indeed in only one. When the malady makes 
slow progress, the patient is affected with cough, weakness, and emacia- 
tion chiefly in winter and spring, and in many respects restored to com- 
parative health in summer ; but is always extremely susceptible to cold, 
and commonly complains of breathlessness on the slightest exertion. In 
this state the patient continues for a considerable time, sometimes even 
for several years, until at length the symptoms of confirmed consump- 
tion are developed by the invasion of an inflammatory attack proceeding 
from cold or some other irritating cause. 

Therapeutics. — It would require a separate treatise to do justice to 
the treatment of this deplorable disease, by giving or attempting to give 
a full and minute description of the characteristic indications for the 
medicines which are appropriate to the various forms of the different 
stages of this disorder. We must, therefore, content ourselves here, by 
presenting our readers with a brief notice of the principal remedies 
which are employed in homoeopathic practice against the inflammatory, 
suppurative, and ulcerative stage of tubercular consumption. 

HOMOEOPATHIC TREATMENT. 

In the first stage of the malady, when the tubercles are in' a crude, 
unsoftened state, or when they are inflamed and commencing to soften, 
the remedies by means of which the malady may be retarded, if not ar- 
rested, and, with due collateral precautions, kept harmless for years, are 
chiefly Aconitum, Bryonia, Belladonna, Lachesis, Hepar, Spongia, Phos- 
phorus, Dulcamara, Pulsatilla, Arsenicum, Nux-v., Hyoscyamus, Silicea, 
Calcarea c, Carbo v., Acidum nitricum, and Sulphur. These must be se- 
lected according to the aggravate symptoms of the case under treatment. 
Their leading indications may be gleaned from the chapters on "Cough," 
"Pleuritis," "Pneumonia," "Hemoptysis," and "Repertory." 

In the second stage, with more free, copious, and somewhat purulent 
expectoration, the most important remedies are: Acidum nitricum, Sili- 
cea, Kali-c, Sulphur, Calcarea, Natrum-m., Mercurius, Lachesis, Phospho- 
rus, Lycopodium, Carbo.-v., Sambucus, Hepar sulphuris, Spongia, Cincho- 
na, Ferrum, Conium, Zincum, Ammon.-c, Laurocerasus, Graphites, Ni- 
trum, Iodium, Drosera, Plumbum, etc. 

In the third, or ulcerative stage, the same remedies as the foregoing, 
together with Guaiacum, Sepia, Stannum, Staphysagria, Acidum phos- 
phoricum, Sanguinaria canadensis, are those by means of which the symp- 



CONSUMPTION. 617 

toms may be materially mitigated, and the fatal issue of the disease post- 
poned. A few general indications for most of these will be found in the 
chapter on " Cough." When the colliquative sweats are particularly dis- 
tressing, Sambucus, Stannum, Cinchona, Phosphorus, Arsenicum, Carbo 
v. et a., Silicea, Mercurius, Kitrum, Lachesis, Sulphur, and Lycopodium 
are the medicines which are of the greatest service. The remaining mor- 
bid symptoms must regulate their selection. When colliquative diarrhoea 
predominates: China, Ferrum, Arsenicum, Phosphorus, Acid, phosphor- 
icum, and Sepia, are the most useful. (See " Diarrhoea.") 

While conducting the treatment of consumption, the state of the di- 
gestive functions, and in females the condition of the uterine system, like- 
wise, must be strictly attended to. This is, however, a superfluous pre- 
caution to the homoeopathic practitioner, as he is ever careful to pay due 
regard to every symptom, not only in this, but in every ether disease. 

Should none of the remedies, above quoted, correspond to the derange- 
ments alluded to in particular cases, although they may be otherwise indi- 
cated, an intercurrent remedy may be selected from amongst those we 
have mentioned in the articles on "Dyspepsia," "Chlorosis," etc. The 
temperament and constitution of the patient ought also to claim attention 
in the selection of the remedies. 

In conclusion, it must be remarked that as the irritation which is so 
repeatedly created in the lungs by the vicisitudes of climate, so constantly 
occurring in most parts of this country, forms a great drawback to the 
more or less successful treatment of pulmonary consumption, it is of great 
moment that every possible means be taken to avoid that pernicious in- 
fluence. It has been much in vogue with many medical men to recom- 
mend warm climates, or well-sheltered situations, even, although the at- 
mosphere might be of hu m id and relaxing nature. But we confess that 
we are inclined to side with those who do not object to a somewhat bracing 
and cold atmosphere, provided it be dry and not of variable temperature. 

Much, however, depends upon the peculiarity of the case, — the air, as 
well as the food, which may be adapted to one patient, being often perfect- 
ly inappropriate, and, therefore, injurious to another. 



618 DISEASES PECULIAR TO WOMEN. 



Part Thirteenth, 



DISEASES PECULIAR TO WOMEN, 



CHAPTER XXXI. 



PREGNANCY. 

CONDENSED SIGNS OF PREGNANCY. 

The determination of pregnancy, at the earliest possible period, forms 
a most difficult problem, on account of the same symptoms having been 
known to exist through the influences of other derangements. 

Suspension of the menses is generally the first indication which leads 
the woman, in whom impregnation has been possible, to consider herself 
eneiente. But the importance of this symptom will very greatly depend 
upon the attendant circumstances: if the woman has been very regular, 
and if the cessation of the menses promptly occur after some particular 
sexual intercourse, the presumption of pregnancy will be very strong in- 
deed. But if she has always been very irregular, the mere fact of the 
menses failing to make their appearance at a particular monthly period, 
will carry with it but little weight. Where the entire absence of the 
menses for two or three months occurs, from no other assignable cause, 
and where this suspension is attended with good health and appetite, and 
some perceptible increase in the size, or, on the other hand, perceptible 
sinking away of the abdomen, the conclusion of pregnancy may be consid- 
ered to be well founded. 

Changes in the breasts very frequently occur; they sometimes feel 
heavy, are inclined to itch, and the areola around the nipple becomes dark- 
colored, and sometimes presents an oily appearance. And yet even these 
circumstances are far from affording unmistakeable evidences of preg- 
nancy, since they have been known to arise in this combination from 
other causes. 

Another symptom which may and does often occur in the early 
months of pregnancy, is an itching and irritation of the sexual parts; 
though in newly-married women the menses are sometimes suspended 
from irritation of the sexual organs when no conception has taken place, 
and at the same time there may be an increase in the size of the abdo- 
men and in the sensibility of the breasts; so that even this very strong 
combination of symptoms cannot be relied upon. 

Morning sickness forms, in very many women, the next sign of preg- 
nancy. As its name indicates, it is a morbid symptom, but on that ac- 
count none the less valuable as a diagnostic sign. It arises from sympa- 
thy of the cceliac or solar plexus with the organic nervous system of the 



PREGNANCY. 619 

uterus. This morbid irritability may commence immediately after con- 
ception, but it generally sets in about the fifth or sixth week after con- 
ception, and ceases soon after the third month. It may become, in indi- 
viduals, a positive indication of their being pregnant, since these persons 
learn by experience that these symptoms occur with certainty and regu- 
larity at a particular time after conception. Thus, in different persons, 
the presence or absence of morning sickness will have a very different di- 
agnostic value. Still, where morning sickness makes its appearance per- 
sistently attended with suppression of the menses, and in circumstances 
where there is a liability to impregnation, it can scarcely be attributed to 
any other more probable cause than pregnancy, and this indication will 
be strengthened by the character of the sickness itself. The appetite im- 
proves and is good through the day, in spite of the nausea, vomiting of 
a peculiar watery fluid, and sinking at the pit of the stomach, which oc- 
cur and continue for a short time, only on first rising in the morning. 
The sickness and the fluids vomited up are different from those accompa- 
nying any other disorder, such as gastric or bilious fevers, for example. 
While morning sickness, from its peculiar character, brief daily appear- 
ance, usual temporary continuance and final sudden and perhaps unex- 
pected disappearance, becomes, where it occurs, a valuable indication of 
pregnancy, its absence is hardly to be regarded as an opposite sign, as dis- 
turbances of the uterus, apart from pregnancy, may occasion it, and it 
sometimes follows suppression of the monthly flow from other causes 
than conception. 

Certain other derangements of the digestive organs, such as eructations, 
heartburn, remarkable longings for some particular article of food or other 
substance not used as food; and, on the other hand, aversion to some one 
or more of the common varieties of food, which may occur separately or 
in connection with morning sickness, or even subsequently to it. 

The same may be said of salivation, which occurs, in some women, 
about the fourth or sixth week ; in such cases, the frequent spitting will 
be equally diagnostic, whether the quantity be large or small. This sali- 
vation, differing from that which is produced by mercury by the absence 
of foul breath, sore gums and great prostration; it becomes characteristic 
of pregnancy, just as the morning sickness, above described, does, by rea- 
son of its being a sympathetic affection. 

OBSERVATIONS ON PREGNANCY. 

This period may be regarded as one of the most interesting eras of a 
woman's life. She is now no longer acting for herself alone but becomes 
invested with a new and serious responsibility, and upon some of the most 
apparently trifling of her actions may depend the future health and happi- 
ness of a being bound to her by the fondest ties. » 

From the mass of evidence collected by careful observers of the opera" 
tions of Nature, we are warranted in drawing the conclusion that the 
actions of the mother exercise a great influence over,"not only the constitu- 
tional and physical, but also the mental organization of her offspring. 
Keeping this fact in view, we shall endeavor to point out the course that 
mothers, who prefer the welfare of their future offspring to their own in- 



620 DISEASES PECULIAR TO WOMEN. 

dulgeuce, should pursue, and from which they will derive a double bene- 
fit, an improvement in their own health with exemption from suffering 
and the delight of seeing their children pass safely through the anxious 
period of infancy. 

The leading causes of a weak and sickly child are ill-health or consti- 
tutional taint of both or either of the parents ; very early or late mar- 
riages ; great inequality between the ages of the parents ; errors in dress, 
diet, and general habits of life, and lastly, powerful mental emo- 
tions. 

Females should seldom, at least in this country, enter into the mar- 
riage bond before their twenty-first or twenty-second year ; prior to that 
period their organization is scarcely ever fully developed ; those who 
marry at sixteen or eighteen years of age incur the risk of a severe after 
suffering themselves, and also of giving birth to weak and delicate chil- 
dren. How very often we see the first children of such marriages perish 
in infancy, or after contending through a childhood of continued delicacy 
sink into a premature grave. Women who marry late in life incur con- 
siderable personal risk and severe suffering in giving birth to children, 
and the offspring is seldom healthy. The children of old men, although 
by a young wife, are very often extremely delicate and susceptible to ill- 
ness ; they do not unfrequently precede their father to the grave or linger 
but to drag on a miserable and wearisome existence. 

In concluding these observations we may remark, that so far is the 
period of pregnancy from being destined lor one of suffering or danger, 
that nature has taken every precaution for the protection of the female 
and her future offspring. While pregnancy runs its equable and uniform 
course the expectant mother enjoys an almost complete exemption from 
the power of epidemic or infectious diseases, and even chronic complaints 
are frequently suspended ; in fact with the exception of some slight mor- 
ning sickness and occasional trifling uneasiness, a well-constituted organ- 
ism should enjoy as good health during pregnancy as at any other time ; 
and many women pass through this period and give birth to vigorous 
children without even the most trifling inconvenience. 

Though, as we have said, nature seems during this period to adopt 
every possible precaution for health and preservation of the parent and 
her future offspring, yet are her wise arrangements too often rendered 
void by direct violence of her laws. The expectant mother should there- 
fore bear in mind that the duty of leading a regular and systematic course 
so essential to every individual devolves upon her with double force, since 
every neglect or breach of these ordinances of nature upon her part is fre- 
quently visited with fearful energy upon her yet unborn infant. 

HYGIENE OF PREGNANCY. 

A few words on this subject, which is quite as important as the med- 
ical treatment of the disorders of pregnancy, inasmuch as it is intended 
to prevent such disorders from occurring. 

In order that this period may be passed with as much comfort and its 
end accomplished as easily and safely as possible, all irregular and, I 
might say, intemnerate habits, should be laid aside, and all pernicious 



PREGNANCY. 621 

practices abandoned. The pregnant woman should strive to cultivate for 
herself the utmost cheerfulness and tranquility of mind; she should strive 
to be at peace with all the world, and at peace with herself, for her men- 
tal and moral state will surely be engrafted upon her offspring, the educa- 
tion of the future being commenced lohile yet in utero. And in this effort 
she should be seconded by her husband, whose responsibility is very 
great at this period — whose conduct toward the wife of his bosom, at this 
period, acting upon her mental organization will be transmitted to their 
joint-offspring for weal or for woe. 

A pregnant woman, during the whole course of her pregnancy, will 
require more sleep than at other periods, and an ample allowance of the 
same should always be indulged in. And yet, at the same time, habits of 
slothf ulness should be avoided. " Early to bed, and early to rise," ap- 
plies with additional force at this juncture, and nine, or, at the latest, ten 
o'clock at night, should rind her in bed, and six, or, at the latest, seven 
o'clock in the morning, should find her up. Habits of regularity, in all 
things, should be cultivated — regularity as to hours for sleeping and wak- 
ing — and regularity as to meals, exercise, stool, etc. 

AIR AND EXERCISE. 

Nothing tends more to the preservation of health than a proper at- 
tention to these two important points, and yet, unfortunately, there are, 
perhaps, few more completely lost sight of. During this epoch, carriage 
riding, alone, is not sufficient ; walking brings, not only the physical, 
but the whole of the organic muscles, into play, and communicates the 
increasing vigor of the mother to her offspring ; therefore, walking is in- 
dispensable, and every day should find the expectant mother taking a 
walk, leisurely, and with the mind at ease; and this rule should be ob- 
served, even in cold and unpleasant weather, excepting when the walk- 
ing is rendered dangerous from snow and ice. A walk is often an excel- 
lent remedy for the feeling of drowsiness and heaviness which often 
creeps over a woman in this condition — a much better remedy than tak- 
ing a nap or a prescription from the doctor. 

Some women take a great deal of exercise, yet without corresponding 
benefit, from their work occupying them wholly indoors, showing the 
inutility of exercise in itself, unless combined with pure air. Others, 
again, injure their health, and frequently induce miscarriage, through 
their excessive levity and thoughtlessness, by unrestrained indulgence in 
active exercise, riding on horseback, dancing, etc. A woman ought to 
recollect that, if through her own folly, she has brought on miscarriage, 
the greatest possible care should be taken to prevent its recurrence; that 
a second attack increases her liability in future ; and that she who has 
suffered twice or thrice from this misfortune, even when she escapes it, 
rarely attains her full time. Moreover, continued casualties of this na- 
ture frequently terminate in premature death. 

EMPLOYMENT OF THE MIND, ETC. 

Useful employment, reading, or useful and agreeable conversation, 
should engage the waking hours not otherwise employed. In fact, I 
should like to impress upon the interested portion of my readers the im- 



622 DISEASES PECULIAR TO WOMEN. 

portance of cultivating a proper condition of mental vitality, as well as 
physical. How important it is that the expecting mother, as a new thread 
of life is being spun within her, should think and do that alone which is 
good and right, for of a certainty her offspring will have woven into the 
tissues of its existence the resultant of what she is and does during her 
pregnancy. 

Experience has presented us with many instances in which the pre- 
dominant feeling in the mind of the mother, during pregnancy, has influ- 
ence on the future mental organization of the child. The effect of any 
unpleasant or unsightly object upon the imagination of the mother, and 
the transmission of that effect to the offspring, evidenced in various men- 
tal or physical peculiarities, after birth, is a theory as old as tradition. 

CLOTHING DURING PREGNANCY. 

The dress of the female should of course be suited to the season, and 
if she pass from a warm into a cold atmosphere, she ought to keep herself 
well protected to prevent the risk of taking cold. But a point of far 
greater importance is the adaptation of the clothing to the form, so as to 
preclude all unnecessary pressure upon any part of the body, that might 
interfere with the functions of those important organs which are destined 
for the birth and nourishment of the infant ; tight lacing (at all times 
most objectionable) is particularly injurious during this period, inasmuch 
as it interferes with the natural action of the body, and bearing directly 
upon the abdominal muscles, the blood-vessels, lymphatics, and the bow- 
els, produces narrowness of the chest, disturbes the circulation, and causes 
derangements of the liver, and exercises a most distressing effect upon the 
breasts and uterus. Females, in their efforts to preserve the elegance of 
their form during pregnancy, are little aware that the constricting efforts 
thus exercised upon the abdominal muscles destroys their elasticity, pre- 
vents a proper retraction after parturition, and thus proves one of the 
most common causes of abdominal deformity. Moreover, to the vanity 
of their mothers in this and other respects, many, it is probable, owe their 
clubfeet and other malformations; and in addition to these evils this 
practice not unfrequently deranges the position of the foetus— a displace- 
ment which, together with the consequent want of energy in the muscles 
and the parts concerned, generally brings on protracted and dangerous 
labors. Besides this continual pressure on the uterus is liable to bring on 
premature labors. To tight lacing may be attributed the difficulty which 
so many mothers of the present day experience in suckling their infant, 
by the unnatural pressure deranging the process required for the subse- 
quent secretion of milk; from this also arises sometimes those dangerous 
indurations, cancers and other affections of the breasts and also retraction 
of the nipple, from which the act of suckling is rendered difficult and in 
some instances impossible. 

Care also should be taken not to wear anything tight about the limbs, 
such as wrist-bands or garters, even elastic garters spanning the leg may 
be injurious, as they impede circulation and encourage the development 
of varicose veins, to which the system is already predisposed and which 
in many instances, become very painful and troublesome. One fact in 



PREGNANCY. 623 

connection with this question of dress is here noteworthy, viz: that wo- 
men in the latter months of pregnancy complain of, and really suffer 
from coldness of the abdomen, the protruding abdomen causing the clothing 
to set off to the extent of almost completely exposing that part of the 
body to direct contact with the air. In view of this, the clothing should 
be so adjusted, or an extra garment worn to obviate the difficulty. Notice 
of these matters are greatly beneficial, and are so apt to be considered of 
minor or insignificant importance. 

DIET. 

The diet during pregnancy should be generous in meats, vegetables, 
and fruits, and at the same time plain. Excessive coffee and tea drinking 
should be laid aside. Sugar, salt, and spices should be taken in modera- 
tion; stimulants of all kinds, especially such as wines, liquors, beer, etc., 
should be most strictly avoided. If, however, the female has been long 
habituated to wine it may be taken in extreme moderation and diluted 
with water. 

GASTRIC DERANGEMENTS DURING PREGNANCY. 

Nausea and Vomiting— Morning Sickness.— In many women, 
nausea and vomiting set in at an early period of pregnancy, and are 
simply the result of a peculiar reflex irritation of the stomach ; in these 
cases this affection usually continues but a short time. Next to the ces- 
sation of the catamenia, and especially in conjunction with it, morning 
sickness becomes one of the earliest, as well as one of the most reliable, 
original signs of pregnancy ; while for all those who have ever before ex- 
perienced it, there is little room for mistake in regard to its nature ; for 
in each individual in whom it occurs it has a uniform type and well re- 
membered character. 

The nausea may occur, at an early period, in the morning, with un- 
varying regularity ; or in the evening, or at any period of the day, or 
even of the night. For each individual it maintains, also, its uniform- 
ity as to the date of its first appearance ; in some it appears very soon af- 
ter conception ; in others it begins toward the third or fourth month, and 
in others again it comes on only toward the close of gestation ; in these 
latter cases, it might have appeared, also, for a short time, after concep- 
tion. In the duration there is, also, the same general variety and indi- 
vidual uniformity. Thus, in some women, it lasts but a few weeks — 
from six to eight at most ; in others it continues for four or five months ; 
while in some few most distressingly severe cases, this difficulty persists 
through the whole period of utero-gestation, unless relieved by art. 

The nausea and vomiting of pregnancy, as already stated, are most 
apt to occur on first rising in the morning ; sometimes these symptoms 
disappear in a few minutes, sometimes they last through the greater por- 
tion of the day. In some, the vomiting is very easy ; in others it is at- 
tended with very severe retching, and even with other painful symptoms- 

Those who vomit upon waking or rising in the morning, usually 
throw up some viscid, glairy matters, which are generally colored with a 
little bile, especially if the retching has been very severe. Others vomit 



624 DISEASES PECULIAR TO WOMEN. 

only after eating, occasionally after only one of the daily meals, but some 
times after all of them. Again, in some unfortunate cases, the vomitings 
continue, even in the intervals of the repeats, everything taken into the 
stomach, whether liquid or solid, being immediately rejected. There are 
cases, finally, in which the mere thought of food, or the sight or smell of 
it, is sufficient to induce the vomiting. 

In some cases, nearly all of the food taken seems to have been thrown 
up, even for months in succession, and yet a good delivery succeeds at 
full term ; the repeated and severe vomitings seeming to exert compara- 
tively little influence upon the general health. In like manner, preg- 
nant women may rise from the breakfast table, vomit, and return to their 
food as if nothing had happened. Such characteristics so different from 
vomiting, arising from any other cause, almost conclusively indicate the 
presence of pregnancy. 

The diet and regimen of the pregnant woman should be carefully at- 
tended to ; such articles as best agree should be partaken in each case, 
and equal care taken to avoid every unwholesome or irritating influence. 
It has sometimes been found that the excessive irritability of the stom- 
ach, in pregnancy, is due to the presence of fumes from some neighboring 
manufactory which, although insufficient to induce any unpleasant 
symptoms in the ordinary condition of the woman, very powerfully af- 
fect her when pregnant. 

HOMCEOPATHIC TREATMENT. 

The following remedies will be found to cover the principal forms of 
gastric derangements of pregnancy. For particular indications, see 
u Heartburn." 

Antimonium Crud.— Nausea and vomiting or only nausea with 
white-coated tongue. Watery stools with occasional hard lumps ; fright- 
ful vomiting with convulsions ; belching with taste of what has been 
eaten ; painful sense of fullness of the stomach, which is sore on pres- 
sure. 

Bone: Six pills night and morning. 

Arsenicum. — Very great debility and exhaustion ; the least effort 
causes exhaustion. Very pale, white look. Bitterness in the mouth, parti- 
cularly after eating or drinking. Cold water seems to lie in the stomach 
until it gets warm, after which she vomits it, therefore she cannot drink 
it although she desires it. Feels cold and wants to be in a warm room or 
to be covered up warmly ; very uneasy and restless ; vomiting of blackish 
or greenish matter. 

Dose: As for Anti. Crud. 

BRYONIA. — Nausea on waking in the morning. Nausea is usually 
relieved by keeping quiet; dry parched lips, dry mouth and tongue; 
head aches as if it would split; stool of hard, dry feces as if burnt. All 
the symptoms worse from motion, better when still. 

Dose : As for Anti. C ru d . 

CALCABEA Cauh.— She cannot sleep after three in the morning; 
heartburn and food eructations; soreness of the tongue either on the tip 
or sides, so that she can scarcely eat or talk. Sensation as if the feet 



PREGNANCY. 625 

were cold or damp. Feels better from warmth, and cannot bear cold air. 
Vomiting of sour matter. 

Dose: As for Anti. Crud. 

Conium. — Vertigo, particularly on turning over in bed. Where the 
history of the case of vomiting reveals the fact of swelling and soreness 
of the breasts with each menstrual period, and the patient always feels 
worse after going to bed, so much so, that she is obliged to sit up or walk 
about to get relief. The urine intermits at every flow. 

Dose: Six pills three times each day. 

Ipecac. — One continual sense of nausea all the time — not a moment's 
relief. Vomiting of large quantities of mucus. Diarrhoea and colic. Dis- 
gust for food ; empty retching ; vomiting of food, slime, or blood ; sour 
vomiting ; cutting pains about the umbilicus. 

Dose . As for Conium. 

Nux vom. — Nausea and vomiting every morning with constipation ; 
large difficult feces . Food and drinks have a fetid smell to her. Not 
much appetite, or canine hunger ; aversion to water and bread. Longing 
for brandy, beer, etc. Bitter or sour taste. Vomiting of food, of bile, of 
black or sour matter. 

Dose: As for Conium. 

Pulsatilla. — Pulsations in the pit of the stomach. Vomiting of 
mucus. Bad taste in the mouth every morning on waking ; she has to 
wash it out, soon it is so bad she cannot bear it. Nothing tastes good to 
her. Absence of thirst; she does not relish as much water as usual. 
Nightly diarrhoea ; stools very changeable. Loss of taste or bitter, fatty, 
saltish, sour, or sweetish taste. 

Dose : As for Conium. 

Sepia. — Vomiting of milky water or milky mucus. Sense of empti- 
ness at the pit of the stomach ; the thought of food sickens her ; a sense 
of weight in the anus. Eructations tasting like spoiled eggs. Taste as 
of manure. Aversion to meat. In the morning nausea as if all the vis- 
cera were turning inside out. Taste bitter or saltish. Disgust for all 
kinds of food. Constipation. 

Dose : Six pills night and morning. 



HEARTBURN. 

ACIDITY. WATERBRASH. 

These distressing forms of gastric disturbance sometimes make their 
appearance soon after conception, while in other cases they may not 
make their appearance until after the fourth month. Some women are 
remarkably subject to these symptoms when pregnant ; in others they are 
manifested with less violence ; in others not at all. There may be mere- 
ly a burning sensation — heartburn in the throat — which indicates sympa- 
thetic irritation ; or the severer forms of waterbrash with acidity which 
arise from more fully developed gastroses. As in the nausea and vomit- 
40 



626 DISEASES PECULIAR TO WOMEN. 

ingof pregnancy,so in waterbrash, acidity, and heartburn, every degree of 
intensity and variety of manifestation and complication may be seen in 
different individual cases. Sometimes these disturbances are found ac- 
companied with, and greatly aggravating the nausea and vomiting, while 
at other times they seem to appear instead of the vomiting. 

As in the cases of ordinary dyspepsia these sufferings are worse after 
certain articles of food or drink, such as meats, fat meats or gravies, milk, 
or fruit. In the more severe cases nearly everthing that is eaten becomes 
but an added fuel to the burning fire. Still a careful avoidance of all 
those articles which, whether solid or liquid, are found to disagree most, 
and a careful selection from the remedies given will, as in cases 
of nausea and vomiting, go very far to remove the most distressing symp- 
toms, and eventually to secure a great improvement in the general 
health. 

TREATMENT. 

Astimonium Crudum. — Nausea alone or nausea and frightful vomit- 
ing with convulsions. Belching with a taste of what has been eaten. 
Thirst at night. Painful sense of fullness of the stomach, which is sore 
on pressure. 

Dose : Eight pills every four hours. 

Arsenicum is very useful when there is very great debility and ex- 
haustion. Very pale, white look. Sensation as of a stone in the stomach. 
Vomiting of fluids as soon as she takes them. Exhausting diarrhoea. 
.Feels cold and wants to be in a warm room. Very uneasy and restless. 

Dose: Same as for Anti. Crud. 

Bryonia is particularly indicated when there is distressing heart- 
burn, dry, parched lips, splitting headache. Stool of dry, hard f^ces, as 
if burnt. All the symptoms aggravated by motion. 

Dose: Six pills every three hours. 

Calcarea Carb— Heartburn and food eructations. Sensation as if 
the feet were damp or cold. 

Dose: As for Ant. Crud. 

Conitjm. — Vertigo on turning in bed. Eructations with heartburn. 
Terrible nausea and vomiting. Where the history of the case reveals the 
fact of swelling and soreness of the breasts with each menstrual period, 
and the patient always feels worse after going to bed and has to walk 
about to get relief. 

Dose: As for Bry. 

Sepia. The thought of food sickens her. Eructations tasting like 
bad eggs. Want of appetite. Taste bitter or saltish. Disgust for all 
kinds of food. Vomiting of food and bile. Constipation. 

Dose: Six pills every night and morning. 



CONSTIPATION OF PREGNANCY. 
( 'onstipation is a very" common attendant upon pregnancy, so frequent 
hat by Borne it is deemed almost a natural consequence. But it is much 



PREGNANCY. 627 

more apt to occur, and at the same time be more troublesome and obstin- 
ate, in pregnant women whose habits of life are confining, and those who 
are naturally of a more costive habit. When it does not arise from 
mechanical pressure exerted by the uterus upon the rectum, by which its 
dimension is lessened, and its action paralyzed, active exercise in the 
open air (avoiding indigestible food, strong coffee, and other stimulating 
liquids), is sufficient to remove the complaint, or, at all events, render it 
less troublesome. 

"When nature requires further assistance, the following remedies have 
given the best satisfaction in the numerous cases which I have treated. 

TREATMENT. 

Nux-v. In women of sedentary habits, accustomed to the use of 
much coffee, wine, and rich and highly-seasoned food, generally. Stools 
large and difficult; colicky pains, or loud rumbling or rolling in the bowels. 
Constipation in persons who have been in the habit of using purgatives. 
Rush of blood to the head during stool. 

Dose : Four pills every evening, dry on the tongue. 

Ignatia can be made use of when the same symptoms as given after 
Nux . , with the addition of an empty feeling at the pit of the stomach ; 
sighing and full of grief. 

Dose: Four pills every morning, dry on the tongue. 

Bryonia. The stool is mostly dark, dry and hard, as if burnt, and is 
evacuated with much difficulty. The lips are parched and cracked. 
Much thirst. Stinking flatulency. Obstruction of the bowels from hard- 
ened stool. Stool too large to be evacuated without pain. 

Dose : The same as directed for Nux. 

Sepia. Sensation of a weight or heavy lump in the anus ; this is a 
very characteristic indication. The stool is very difficult to pass, even 
with the most terrible and involuntary strainings. Knotty and insuffi- 
cient stool. Sepia, 200, has given very marked benefits. 

Dose : A powder each second night. 



TOOTHACHE DURING PREGNANCY. 

Toothache is a common and very distressing accompaniment of preg- 
nancy, being in fact only a particular form of neuralgia. 

If toothache occurs in sound teeth, as is quite frequent, they should 
never be extracted, and only the greatest care should be used in extracting 
decayed ones, especially if the patient be of a very nervous temperament. 
The female should, as soon as she is in proper state, put herself under 
proper treatment, for this is a valuable indication of some constitutional 
taint lurking in the system, and no remedies can be otherwise than palli- 
ative until this tendency is eradicated. 

TREATMENT. 

Alumina — (Alum) when the pains are exceited by mastication 
(chewing of the food), and when they are of a tearing nature, extending 
to the cheek bone, temple and forehead. 



628 DISEASES PECULIAR TO WOMEN. 

Calcaria . When the toothache is excited or aggravated by cold 
air, or anything hot or cold, and attended with painful sensation of the 
gums, and pulsative, gnawing, or throbbing pains which are aggravated 
by noise. 

Sepia is particularly indicated when there is pulsative, shooting, 
drawing toothache, with pain extending to the ears or to the arms and 
fingers, excited by compressing the teeth or by cold air, and attended 
with swelling of the cheek, and enlargement of the glands under the 
lower jaw. 

Magnetia carboxica. Nocturnal pains in the teeth, insupportable 
when lying down, an 1 compelling the patient to get up and walk ; pains 
generally boring, burning, drawing, tearing, and resembling those of ul- 
ceration, attended with swelling of the cheek on the affected side. 

Dose : These remedies may be given every three hours, six pills at a 
dose, until relief, and then the time may be lengthened. 

The above are the four leading medicines for this peculiar condition, 
though there are others which may be called for by particular symptoms, 
of which I will mention a few: 

Arsenicum, Belladonna, Chamomilla, Gelseminum, Hyoscyamus, 
Merc. Sol., Nux-vorn., Pulsatilla. 



SWELLING OF THE LOWER LIMBS. 

VARICOSE VEINS. 

This is a very common attendant of pregnancy ; it often occasions no 
little inconvenience and is usually confined to the seventh, eighth and 
ninth months. It is supposed to arise in most instances from mechanical 
pressure alone, and to be free from constitutional disease. This is true 
in those cases where it is not accompanied by dropsical affections. Stand- 
ing and walking serve to aggravate this condition ; it becomes worse toward 
evening, gradually increases as pregnancy advances, and is often combined 
with a varicose state of veins. 

Many females suffer much during pregnancy from distention of veins 
in the thigh and other parts, which, becoming violent, eventually cause 
great pain and inconvenience. These varicose veins generally arise from 
obstructed circulation, caused by the pressure of the uterus upon the 
blood-vessels. Considerable alleviation is experienced by constant bathing 
with water or with diluted alcohol or brandy. Also by bandaging from 
the foot upwards with a gentle and equal pressure, and by preserving a 
recumbent posture, which is required in severe forms of the complaint, 
accompanied with considerable swelling of the feet, ankles, etc. In 
order to afford relief we would recommend the following remedies. 

TREATMENT. 

Pulsatilla may be given, particularly when there is excessive pain 
and swelling with a good deal of inflammation, or when the veins are of 
a livid color which is imparted to the whole limb. 

Arnica is of great service when the occupations of the patient render 



PREGNANCY. 629 

it impossible for her to lay herself up and avoid much standing and mov 
ing about in discharge of her domestic duties. 

Pulsatilla and Arnica given in alternation a dose every day will 
prove very beneficial in such cases. 

Nux vomica. — When the affection is attended with constipation and 
piles and irritability of temper. 

Dose : Six pills every evening. 

Arsenicum. — When the veins are attended with severe burning pain 
with a sensation as if scalding water was running over them. 

Dose: Eight pills every second evening. 

Carbo veg.— When Arsenicum is not sufficient to subdue the scald- 
ing burning sensation. 

Dose : As for Arsenicum. 

Belladonna. — Varices with considerable erysipelatous inflamma- 
tion. 

Dose : Six pills every four hours. 



ITCHING OF THE GENITALS.-(PRURITIS.) 

Itching of the genitals, which is a frequent attendant upon pregnancy, 
is caused by congestion of blood to the parts, and may often be relieved by 
bathing the parts with water in which borax has been dissolved, or with 
common soda and water. 



URINARY DIFFICULTIES AND DERANGEMENTS DURING 

PREGNANCY. 

As gestation advances, the increasing size of the uterus causes it to 
press more and more against the bladder. Thus the capacity of that or- 
gan is diminished by the pressure which necessitates a much more fre- 
quent discharge of urine. The same frequent micturation results, too, 
from direct irritation of the neck of the bladder ; causing hourly calls to 
pass water, which are sometimes but partially relieved by the flow of a 
few drops, only, at a time, or the irritation may amount to dysury, (pain- 
ful urination), or even to a complete retention of urine. 

Where some displacement seems to be the cause, which may some- 
times be known by the suddenness of the onset of the difficulty, especial- 
ly if it follows some accident or over-exertion, the case should receive 
treatment for the difficulty, different than that which arises from other 
causes, of which I will mention at the end of this article. 

Incontinence of urine sometimes appears, especially in the latter 
stages of pregnancy. When it appears in the early months, it may re- 
sult from the pressure of the womb upon the neck of the bladder before 
it rises out of the pelvic cavity, causing the loss of tone of the part. This 
difficulty will often yield to the proper remedy, but if not, when it comes 
on in the early stage of pregnancy, it may be expected to disappear when 



630 DISEASES PECULIAR TO WOMEN. 

quickening takes place, and the uterus emerges from the cavity of the 
pelvis . 

For the medical treatment of these difficulties, the following reme- 
dies should be studied. It is to be noted, likewise, that these remedies 
should be consulted and may be required for urinary difficulties occur- 
ring, not only during pregnancy, but before, during and after parturition 
as well. 

TREATMENT. 

Aconite. Retention of urine, with stitches in the region of the kid- 
neys. Difficult and scanty emission, with pinching around the umbili- 
cus (naval). Bright-red, hot urine. Desire to urinate, accompanied with 
great distress, fear and anxiety. Worse from exposure to dry, cold air. 

Dose : Six pills every half hour or hour owing to the severity of the 
case. 

Arnica. After passing a little urine she wishes to pass more, but is 
unable to do so at that time. Brown urine with brick- red sediment. A 
bruised and sore feeling exists across the lower part of the abdomen. 

Dose: Four or six pills every two or three hours. 

Cantharis. Very frequent urination, even sixty times an hour, with 
violent cutting pain, causing her to scream. The urine is often bloody. 
The urine does not flow in a stream, but dribbles away, or passes drop by 
drop, with cutting and burning pains, and tenesmus of the bladder, 
which is agonizing in severity. 

Dose : Same as for Aconite. 

Causticum. Frequent desire to urinate, a small portion passing away 
involuntarily. Involuntary passing of urine at night. 

Dose: As for Arnica. 

Conium. The urine flows and stops, and flows and stops again, and 
so on. There are cutting pains during the flow, and burning or smarting 
afterward. Vertigo, particularly on lying down. 

Dose : As for Arnica. 

When the cause can be traced to displacement from accident or over- 
exertion, Belladonna and Platina have given me the best results. They 
are to be taken, in alternation, every four hours. Complete rest will be 
necessary for a few days, in a case of that kind. 



MISCARRIAGE. 

Women who have suffered once from this affection are exceedingly 
subject to its recurrence and this liability is still further increased after a 
second or a third attack. When it occurs before or about the third or 
fourth month it is attended with much less pain or danger although fre- 
quent miscarriages, owing to the abundant discharge that is generally 
present, break down the constitution, and frequently develop severe chro- 
nic diseases. When a miscarriage takes place at a later period it assumes 



MISCARRIAGE. 631 

a very serious outlook, and is accompanied with a considerable degree of 
peril to the patient. 

Exciting Causes — Are sudden mental emotions, such as fright, grief, 
or excessive joy, mechanical injuries, or excessive physical exertion, such 
as lifting too great a weight, reaching up high, going up or down stairs, 
long walks, riding on horseback or in carriage over rough roads, railway 
traveling at too great a speed, etc. Other causes are, a luxurious mode of 
life, fashionable habits, neglecting to take air and exercise, while an un- 
healthy state of the constitution giving rise to numerous local and gene- 
ral derangements is undoubtedly the predisposing muse. 

The Symptoms vary so much in particular cases that it is almost 
impossible to give any particular train of symptoms — though most cases 
of miscarriage are preceded and attended by the following symptoms: A 
chilly sensation followed by fever with more or less bearing-down, par- 
ticularly when occurring late in pregnancy ; also severe pains in the belly ; 
drawing and cutting pains in the groins; or pains frequently bearing 
resemblance to those of labor; discharge of viscid mucus and blood some- 
times bright red frequently mixed with clots ; at other times dark and 
clotted followed by the emission of a thin, colorless fluid. The mis- 
carriage generally takes place during this discharge which occasionally 
continues, if not properly checked, to flow for hours, therefore placing 
the sufferer in considerable jeopardy. After the child has been expelled, 
the flooding and pains generally disappear gradually ; but if a portion of 
the placenta (after-birth) be left within the womb the pains may continue 
with more or less severity and irregularity, the flooding will frequently 
become excessive and alarming, and offensive, putrid discharges will take 
place from the vagina. 

When miscarriage is threatened the individual must assume the 
recumbent posture, and in some cases indeed should be strictly confined to 
the bed, sleeping with few bedclothes ; the apartment should be kept 
cool and every means should be employed to ensure perfect repose to the 
mind. 

In all cases of miscarriage medical assistance should be summoned as 
promptly as possible; but as life may be lost in urgent cases before a phy- 
sician can be obtained, the following additional particulars should be 
observed : — When the misfortune gives evidence of being unavoidable and 
the hemorrhage is excessive and is not promptly arrested by properly 
selected medicines, the following directions should be observed. Apply 
cold to the abdomen in the form of cold cloths or sacks of ice or cloths 
wrung out of ice wate», etc., which will frequently have the desired effect 
by causing the womb to contract and discharge its contents. As perma- 
nent cessation of the flow cannot be expected until this is accomplished, 
and as it is frequently slow to dilate sufficiently for that purpose, the 
passage should be plugged to prevent the flow until the womb is suffi- 
ciently dilated. A piece of sponge of sufficient size or a plug made of old 
muslin or linen rags with a string attached of sufficient length to disen- 
gage it when necessary (called a tampon) maybe used for the purpose and 
should be cautiously inserted. The tampon should be large enougii to 
entirely fill the passage, so as to obstruct the flow of blood. At the same 



632 DISEASES PECULIAR TO WOMEN. 

time the indicated remedy should be given and frequently upon removing 
the plugs, the womb will be found dilated and will expel its contents. 
The tampon, (plug) however, is only to be used in miscarriages occurring 
before the period of quickening, never afterwards. 

Another and perhaps the best and safest plan to adopt for dilating the 
mouth of the womb is this: The patient should be placed upon the bed 
in the same position as for labor. The bed should be first protected with 
oil cloths or india rubber cloth so arranged as to guide a stream of water 
from the vulva into a pail or tub placed near the bed. Another pail must 
be provided containing tepid water ; with a common syringe, the warm 
water should be thrown directly upon the mouth of the womb. This oper- 
ation irritates and softens the neck of the uterus so that contractions set 
in in the course of an hour or two, and thus labor is provoked and takes 
place in the most natural manner possible, except when it occurs in na- 
ture's own way at full term. This operation should be repeated in the 
course of two hours, if the first experiment should not prove sufficient. 
This will fail unless the stream is directed upon the mouth of the womb. 
The following are remedies. 

TO PREVENT AND ERADICATE A TENDENCY TO MISCARRIAGE. 

Sabina is particularly applicable to women who habitually miscarry 
about the third month. Feeling of sinking or faintness in the abdomen- 
Violent forcing or dragging pains extending from the back through to the 
pubis. 

Dose : Six pills in a teaspoonful of water, repeated after the lapse of 
twelve hours, and again after the lapse of twenty-four hours, grad- 
ually lengthening the interval for each successive dose, until the 
period of danger is past; — being careful, however, to watch the ef- 
fect of each administration to discontinue or lengthen the intervals 
as the case may require. 

K- Sec ale. Especially after miscarriage has already occurred more than 
once, and is generally more suitable to thin, scrawny, exhausted women ; 
passive hemorrhage with little or no pain. Great debility, feeble almost 
extinct pulse. 

Dose : Six globules, as directed for Sabina. 

Sepia. Painful sensation of emptiness at the pit of the stomach. 
Sense of weight in the anus like a heavy ball. Yellow saddle across the 
nose. Pressing in the womb, with oppressed breathing. Very fetid urine, 
depositing a clay-colored sediment which adheres to the vessel with great 
tenacity. § 

Dose : As directed for Sabin. 

Viburnum Prun. Spasmodic pains shooting from the abdomen in- 
to the legs. Frequent and very early miscarriages, thus causing sterility. 
This remedy is almost specific for miscarriage, as a preventive. . 

Dose: Six drops of the tincture to be taken every evening, in mild 
cases, in urgent ones, every morning, noon and evening. 

[the actual attack. 
Arnica. When the symptoms have been excited by an accident — 



MISCARRIAGE. 633 

such as a fall, blow or concussion, and there is a sore, bruised feeling, this 
remedy will prove effectual if administered as follows : — 

Pose: Take six pills every ten, fifteen or twenty minutes (in very 
urgent cases), and subsequently every half hour, gradually extend- 
ing the intervals to three hours, and continuing the administration 
until decided improvement or change. 

Rhus. If the symptoms have originated in a strain from lifting, 
pulling, or dragging a heavy weight. Pains worse in the latter part of 
the night. 

Dose : As for Arnica. 

Belladonna. Flushed face, red eyes, throbbing and heat in the 
head. Pain in the back, as if it would break. Severe bearing down, as 
if everything would fall out. Profuse discharge of blood, neither very 
bright nor very dark colored. Pains which come on suddenly and ceases 
just as suddenly. Great intolerance to light and noise. 

Dose: As for Arnica. 

Chamomilla. Periodical pains resembling those of labor, with dis- 
charge of dark colored or coagulated blood. Violent pains in the bowels 
extending to the sides with frequent urination. Becomes almost furi- 
ous about the pains. Hot perspiration about the head. 

Dose : In every respect as for Arnica. 

Nux Vom. Every pain produces a desire to evacuate the bowels or 
to urinate. Much pain in small of the back which is made worse by 
turning in bed, writhing pains in the abdomen accompanied by nausea 
or pains in the back or loins as if dislocated, constipation of large diffi- 
cult stools. Persons of sedentary habits. 

Dose : As for Arnica. 

Pulsatilla. Labor-like pains, attended with hemorrhage; rest- 
lessness. The discharge is arrested for a little while, then returns with 
redoubled violence. Suffocative spells. She craves fresh air, and is worse 
in a warm, close room. Inclination to be chilly, even in a warm room. 
Mild, tearful women. 

Dose : As for Arnica. 

Ipecac. Profuse and continuous discharge of bright red blood, ac- 
companied with a pressure downward. Cutting pains around the naval. 
Continual sense of nausea, without a moment's relief. Disposition to 
faint. 

Dose : As for Arnica. 

China. In weak and exhausted persons, when there is loss of fluids. 
After miscarriage, when there has been loss of blood unto fainting, gid- 
diness, drowsiness and loss of consciousness. Heaviness of the head, 
ringing of the ears, and coldness of the extremities. Twitching and 
jerking of single muscles. 

Dose: As for Arnica. 

Home Remedies.— Something simple, and in almost every house, is 
Nutmeg, of which take one and grate into a bowl or cup, and pour boil- 
ing water on. Drink the tea. This often arrests very severe cases of 
hemorrhages. 



634 DISEASES PECULIAR TO WOMEN. 

TREATMENT BEFORE CONFINEMENT. 

PREPARATION OF THE BREASTS. 

Young mothers frequently find much difficulty in nursing their in- 
fants in consequence of some defect or incapacity of the nipple. In many 
instances the structure of the breasts is disorganized by an ignorant 
nurse having compressed them in childhood, under the idea that such 
barbarous management was necessary to expel some of the contents of 
the breast; mothers should be particularly watchful against this practice. 
The use of improper stays in after life, by which the cuticle is rendered so 
tender as to preclude suckling, often occurs. 

The first two cases are beyond the power of art, and if suckling be 
attempted hardening of the nipple and breast ensues, attended with 
severe suffering. Another difficulty frequently occurring is a shortness 
or retraction of the nipple so that it is impossible for the infant to take 
hold of it. I have frequently had charge of young mothers whose nip- 
ples were so small that they were unable to nurse their babe. If this 
should be the case — if the nipple should be sunken instead of protruding — 
it has to be drawn out by means of some suitable instrument in the shape 
of shields or an exhausting pump ; a convenient one, in many instances, 
can be made in this way : Take a bottle with rather a large neck, pour 
hot water into it, then empty and place the neck of the bottle over the 
nipple; the air cooling in the bottle will cause the nipple to draw down 
and thus lengthen it. i 

After the nipples have been drawn out they have to be gently pressed 
and worked with the fingers in order to harden them, lest the delicate 
skin should be injured by the sucking of the infant. During the two 
months previous to the expected confinement, the nipples should be 
washed every day with cold water, borax and water, alum and water or 
with rum or brandy. The whole breast should be washed quite frequent- 
ly, more especially during pregnancy. It may also be here remarked 
that when any tenderness exists during the period of nursing the shield 
should be resumed between the intervals of the infant being applied to 
the breast, and the bathing continued — due care being always taken to 
lave the nipple carefully with tepid water before it is again offered to the 
child. 

Sulphur will frequently be found useful if an eruption breaks out on 
the nipples, six pills the first thing in the morning, after which the erup- 
tion generally disappears. 

PRECURSORY SIGNS OF PARTURITION. 

A few days, or even two weeks, before confinement, the uterus begins 
to descend. Until the thirty-eighth to the thirty-ninth week of pregnancy 
the uterus keeps rising in the abdominal cavity, and the breathing is very 
much interfered with. As soon as the uterus begins to descend, the 
breathing becomes freer, and the pit of the stomach again becomes visible; 
but now the uterus presses upon the pelvis, like a heavy burden, and the 
female feels as if her hips would come apart. The small of the back is par- 
ticularly affected by the presence of the child's head against the internal 



PREPARATION FOR CONFINEMENT. 635 

surface of the sacrum, which sometimes feels bruised and numb, in con- 
sequence. 

HOME TREATMENT. 

One month before child-birth take 4 oz. Castor Oil, 4 oz. Brandy. 
Mix them together and bathe the hips, bowels, and. back two or three 
times a week, rubbing the mixture well in with the hand. 

Another sign of impending parturition is the frequent and anxious 
urging to urinate, caused by the increasing pressure upon the bladder by 
the descending uterus. The last and most reliable sign of parturition is 
the appearance of the first labor pains, which may set in a few days pre- 
vious to the act of parturition, but which, generally, are not felt until a 
few hours before the event. 

THE BOWELS. 

If the bowels have been constipated, an artificial evacuation previous 
to delivery, may be obtained by a lavement of luke-warm water repeated 
with a small quantity of linseed or sweet oil, when necessary from a fail- 
ure in the first attempt to obtain the desired effect. 

Injection. — If of luke-warm water simply, inject about a pint; if the 
addition of oil be necessary, to a pint of water add two tablespoonsful of 
the oil ; shake them well together in a bottle, or other closed vessel, and 
inject the mixture. 

PREPARATION OF THE BED FOR LABOR. 

If the means allow, the confinement bed had better be arranged a 
few days previous to confinement, since at the last moment something 
might be forgotten, or a needful article might be wanting, because the 
hurry and anxiety of finding things are both unpleasant and injurious to 
the patient. 

The best thing for a patient to lie upon, is a simple mattress, which 
should be slightly raised toward the head. The nates (hips) should be raised 
upon a cushion about a hand high, which may be covered with oil cloth 
or rubber cloth, or any common cushion may be used for the purpose, the 
object of which is to raise the body so as to procure the necessary space 
for an examination, and for the reception of the infant. The bed should 
be arranged so that every part of the body, from the nates to the head, is 
supported . 

The body being thus supported, the following rules may be observed 
in regard to the thighs and legs : It is better to have the space between 
the thighs and the foot-board of the bed just long enough so that the feet 
of the patient may press firmly against the foot-board ; but if the space 
should prove too much, a foot-bench may be placed between the bed and 
the feet, so that she can press against it without drawing up the knees. 

It is sometimes necessary to have a cord or sheet attached to the foot 
of the bed, which the female may hold in her hands during the pains, 
for the hands are often spasmodically contracted during the pains, and it 
affords the patient great relief to hold something firmly in the hands at 
such a time. Holding another person's hands, likewise affords relief to 
the patient. 

Persons frequently arrange the confinement-bed by the side of the 



636 DISEASES PECULIAR TO WOMEN. 

regular bed, into which they are lifted soon after the act of parturition is 
accomplished . However, those who do not find it convenient to prepare 
a separate couch, must protect the mattress by some old cloths, or oil or 
rubber cloths may be placed under them, to prevent the fluids lost by the 
mother and child from soaking the mattress. Even after parturition, it 
is best to leave the oilcloth under the patient, for the flow of blood con- 
tinues quite freely for a few hours after labor. After preparing the bed 
for confinement, we will now consider — 

FALSE PAIXS. 

False pains sometimes precede labor but a few hours — but in many 
cases come on some days, or even weeks, before delivery, and chiefly differ 
from labor pains in these respects: they usually begin at the upper part of 
the womb, are seldom felt in the back, do not extend so greatly around 
the lower part of the body as the true pains, are either on all the time or 
appear with great regularity, and do not cause the womb to become firm 
and hard, while the true pains do. They are chiefly confined to the belly 
with sensibility to touch and movement, and in fact are very annoying. 
False pains can sometimes be distinguished from true ones by sitting over 
a vessel of warm water after which, if false, they will frequently abate, 
and if labor, they will continue with more regularity or strength. 

TREATMENT. 

Bryonia is indicated when there are pains in the loins resembling a 
dragging weight, much increased by motion with pains in the abdomen, pre- 
ceding tTiose in the back. This remedy is more particularly indicated when 
the above symptoms have been excited by a fit of passion or by taking 
cold. 

Dose : Of a solution of six globules to four teaspoonsful of water give 
a teaspoonful. If soon after the administration of the first dose an 
aggravation of the pain ensues, pause until two or three more par- 
oxysms have occurred ; and if these succeeding pains prove to be of 
diminishing intensity or frequency, do not repeat the dose until re- 
lapse threatens. On the other hand, if no improvement is the result, 
repeat the dose after an interval of three hours, and so on if the 
proper time for the expected time for labor is not nearly due— dis- 
continuing immediately on relief or change. 

Xux vomica.— When the exciting cause seems to be constipation or 
mental irritation or too luxurious mode of living, stimulants or spirituous 
liquors, etc. 

Dose: As directed for Bryonia. 

Pulsatilla.— Abdominal pains and pains in the loins resembling 
those from continued stooping, or the pressure of a tight bandage attend- 
ed with painful dragging and aching in the thighs, constipation or relax- 
ation, mildness of temper or great sensibility ; particularly when these 
pains seem to have arisen from indigestion brought on by rich indiges- 
tible food. 

Dose : As directed for Bryonia. 



LABOR. 637 

PARTURITION, OR LABOR. 

During the first pains of the female, she may remain dressed and out 
of bed, because a certain unrest drives her from place to place, and it 
would not be best to confine her to her bed . But all things should be 
made ready; the attending physician should be sent for; warm water 
should be at hand; and in some convenient place in the sick room (all in 
one place), the infant's linen bandages, and little strips of linen, should 
be kept all ready ; also, a pair of scissors and two pieces of string, each 
about one-half a yard long ; the strings may either be tape, about a quar- 
ter of an inch wide, or cord of sufficient size and strength suitable for ty- 
ing the cord attached to the infant; a little fresh lard, or oil, some soap 
and pins, should also be at hand. 

Besides the attending physician and nurse, a friend may, likewise, be 
present in the sick room (if requested by the patient), in order to comfort 
and quiet the sufferer. But all superfluous persons, such as callers and 
children, must be kept away. 

If the pains become stronger, the female should lie down. Perhaps 
by this time the water may break, which may take place with a feeble 
report. A young woman who has never borne any children, should be 
warned of this event, so as not to get frightened by the suddenness of 
the occurrence. 

Nothing should be done, by irritating the neck of the womb, dilating 
the mouth of it, or by any other artificial means, to hasten the moment 
of delivery. This is the business of Nature, who knows best when the 
right time has come for ushering the child into the world. Every arti- 
ficial interference is contrary to law, and is more hurtful than useful. Of 
course, these remarks apply only to natural labor. In preternatural la- 
bor, or those requiring mechanical means, the conduct of the attending" 
physician depends entirely upon his or her own tact and knowledge. 

The parturient female may adopt any position that is most comfort- 
able to her— on the side or back, with her limbs stretched out or raised ; 
but she must not bear down during a pain, until the right time for it has 
come. Premature bearing-down may result in distressing weakness of 
the womb ; for not only the child, but the whole organ, is pressed by such 
untimely efforts. No bearing-down should be resorted to until the mouth 
of the womb is dilated so that the infant's head is protruded at least half 
its length. At this period, the patient may assist Nature by holding the 
breath and bearing-down during a pain, with her head bent forward 
(never backward, lest she should give rise to the formation of Goitre). Du- 
ring the passage of the head through the soft parts, the perineum (bridge 
between the front and back passage) must be properly supported, lest rup- 
ture might take place; at each pain, the attendant should place the palm 
of the hand against the perineum without, however, making any press- 
ure against it, until the perineum remains hard and globular, even be- 
tween pains. At this season, the patient may contribute a great deal to a 
rapid and successful delivery by a suitable position of the body. As soon 
as the head shows a tendency to pass through the vulva, the patient 
should remain quietly on her back, with her feet firmly pressed against 
the foot-board, and legs extended and stretched apart a comfortable dist- 



638 DISEASES PECULIAR TO WOMEN. 

ance. At this stage, all bearing-down may cease, lest a too rapid delivery 
of the head should rupture the perineum. 

After the head is born, and the shoulders are still within the vagina, 
a short pause generally takes place, which must not be broken by any 
improper pulling on the head which may give rise to fatal dislocation of 
the vertebrae. Supporting the head with one hand, the abdomen may 
be gently rubbed with the other, in case the pains should not come on 
again with sufficient speed. The patient may now rest assured that, by 
assisting the remaining efforts of Nature, delivery will soon take place. 

Occasionally it has happened that parturient females, while com- 
pressing the teeth during a hard pain, have broken off a portion of the 
tooth, or have lost the whole of it; therefore, it is always best to have a 
handkerchief or napkin placed near her, which she may crowd into her 
mouth as soon as the pain is approaching, or if she should be surprised 
too suddenly, one of her attendants must do this office for her. 

THE PEACE OF THE ACCOUCHEUR (PHYSICIAN) AT THE BEDSIDE. 

As soon as the labor pains assume an expulsive character, the attend- 
ant should place himself or herself by the side of the bed where they can 
use the right hand most convenient, and should not leave the bed-side of 
the patient. We may assist the female, either sitting or standing, ac- 
cording as is most convenient. The patient should not be uncovered, as 
it is entirely unnecessary to expose the patient's person, and is also risk- 
ing the chance to take cold, which, at this time, would be very injurious. 
As soon as the little one makes its appearance into the world, it may be 
uncovered enough so that it may be wiped off with a soft cloth, which 
may be placed convenient for the purpose, but the mother need not be 
exposed, even at this time. 

THE CARE OF THE CHILD DURING LABOR. 

Immediately after the expulsion of the head we should feel with one 
ringer about the child's neck to see if the cord is around it ; in case it 
should be, a slight traction on the cord may loosen it from the placental 
end, so that it will slip over the child's head, leastwise will keep it from 
choking or strangling it. 

When the head is born it should be carefully supported from the clots 
and other discharges from the uterus, patiently waiting for the work of 
nature to complete the delivery. 

After the expulsion of the child, it is better to turn its back to the 
mother and let her covering fall between the child and herself, thus at 
the same time bringing the child to our full view and completely protect- 
ing the mother from cold and exposure. A soft cloth should now be used 
to wipe the child's face, eyes, and mouth. It usually cries lustily as soon 
as it is born, but it should be permitted to lie undisturbed for some four 
or five minutes, or until breathing is established. The cord should then 
be tied about three inches from the child and again about an inch further 
along the cord and then cut between the two places. The child should 
*hen be wrapped in a blanket and handed to a nurse to wash. 

After it lias been properly washed and thoroughly dried apiece of raw 
cotton or cotton batting the size of the palm of the hand should be laid on 



LABOR. 639 

the abdomen just above the navel, the remnant of the cord laid on it with 
its cut end pointing. upward — the cotton being arranged so as to embrace 
the base of the cord — and another piece of cotton of the same size placed 
over the cord, the whole being kept in place by the usual belly band. 

THE ATTENTIONS TO THE WOMAN AFTER LABOR. 

After the child has been handed to the nurse the next care of the at- 
tendant is to look after the delivery of the placenta (after-birth); until it 
is removed and the uterus is firmly contracted there is more or less danger 
of flooding. In most cases there is a short suppression of the pains im- 
mediately after the expulsion of the child, after which the pains return 
in a diminished degree and the after-birth usually becomes detached and 
either lies free in the vagina or is expelled without the vulva. If it should 
not be outside the vulva a very slight traction of the cord a little upward 
and outward, taking hold close up to the person, will be all that is neces r 
sary to disengage it after which it should be carefully scooped up and 
placed in a vessel ready for its reception. 

The woman should then be made comfortably dry and a soft dry cloth 
should be applied to the vulva. She should then be straitened out a little 
in bed and in all respects made as comfortable as possible, both mind and 
body, must be kept in a state of perfect repose ; everything which may 
tend to arouse the excitability of the patient, such as talking, noise, 
strong light, and odor must be carefully avoided and the room be kept at 
a moderate temperature. 

GENERAL MANAGEMENT, DIET, ETC. 

In the first place we would most severely disapprove of administering 
stimulating and even spirituous beverages after delivery, which, far from 
possessing a strengthening property, tend only to excite the whole ner- 
vous system. As a usual thing for some time after parturition, nature 
calls for but little nourishment; it should be given only, and when the 
woman herself, expressly feels the need of it, and then let her partake of 
such nourishment as she particularly craves, (unless it should consist of 
rich meats, pastries, and vegetables which create gases in the stomach and 
bowels) ; however, we must allow nature to pursue her own course which, 
as a general thing, prescribes but little nourishment for the first five or six 
days after delivery, and thereby avoids the necessary calling of the bowels 
into action, which state of constipation (if it may be so called) is ordained 
for the wisest purposes and attended with the most beneficial results ; 
the balance of the system is kept up by the passing off of effete matter in 
the shape of increased perspiration, etc. 

Then we cannot sufficiently condemn the use of physics, which only 
tend to promote irritation and occasionally aid in bringing on puerperal 
fever and other evil consequences. In many cases this artificial relaxation 
also interferes with the proper secretion of milk. After the fourth or 
sixth day nature generally acts spontaneously. When it appears neces- 
sary to afford mechanical assistance we may do so by application of warm 
friction to the abdomen, or the employment of a lavement as directed to 
evacuate the bowels before confinement, When a costive state of the 



640 DISEASES PECULIAR TO WOMEN. 

bowels continues so long as to cause inconvenience, the appropriate medi- 
cine may be selected and administered according to the directions for 
constipation of pregnant females. 



AFTER PAINS. 

These pains, which frequently annoy the patient so much, especially 
if she be of nighty nervous sensibility, and deprive her of the necessary 
rest, ought, under such circumstances to be subdued as soon as possible ; 
by means of the following remedies good results will certainly follow. 

TREATMENT. 
Arnica employed internally, and also externally as a lotion, when 
there is a sore feeling all through the patient as if from a bruise. The 
pains are not very severe, but there is a bruised sore feeling with pressure 
on the "bladder and retention of urine. 

Dose: — Internal. Six pills every two hours commencing immediate- 
ly after the delivery. Application — externally. To four table- 
spoonsful of tepid water add fifteen drops of the concentrated 
Tincture of Arnica and apply to the parts. 

Chamomilla should be administered an hour after the second dose 
of Arnica when the after pains still continue to a severe extent and the 
patient is highly excitable and sensitive. It is sometimes beneficial to 
alternate the two. 

Dose: Six pills repeated if necessary after the lapse of an hour from 
the first dose, then pause three hours and so on. 

Nux vomica should be employed when the after pains are very 
severe and there is a continual inclination to relieve the bowels when ly- 
ing dow r n, but passing away when rising accompanied with inclination to 
cramp in different parts of the body. 

Dose : As directed for Chamomilla. 

Pulsatilla is to be preferred when the pains are protracted and the 
patient is of a mild, tearful disposition, but sensitive and easily alarmed 
about herself; the pains become worse towards evening. 

Dobe: Six pills as directed for Chamomilla. 

Secale is indicated in feeble, thin and delicate women when the pains 
are more particularly of a pressing or forcing nature similar to labor 
pains. 

Dose: As directed for Chamomilla. 



FLOODING. 

With respect to the treatment of flooding or excessive discharge of 
blood as incidental to delivery, will require exactly the same medical and 
general treatment as is given in the article on miscarriage, page 630, and 
hemorrhagia page 641. It is to be remembered, however, that while in 
flooding after labor -dtfull term, the application of cold to the abdomen is 
allowable in severe cases, while the tampon or plug is not to be resorted to. 



DURATION OF CONFINEMENT. 641 

It may be mentioned in addition, that pressure made upon the womb 
through the relaxed walls by clasping it with one or both hands equally 
and forcibly, but yet gently and without roughness, very frequently arrests 
the hemorrhage with great promptness. 



RETENTION OF URINE. SPASM OF THE BLADDER. 

During the passage of the child's head out of the womb it is sometimes 
pressed against the bladder with so much force, that it causes an inflam- 
mation and irritation of this organ. The best remedy is Arnica. Next to 
Arnica Cantharis or Nux Vom. 

Dose : Four pills every half hour, especially if the urine passes off drop 
by drop and the discharge causes pain. 

It may be well to apply warm cloths or other warm applications to the 
parts, for the warmth will have a relaxing tendency. 

INCONTINENCE OF URINE. 

An incapability of retaining the urine is, on the other hand, another 
not unusual sequel of protracted or severe labor. 

TREATMENT. 

The employment of Arnica, internally and externally, as advised un- 
der the head of "After Pains " at page 640, is, in the majority of cases, 
sufficient to overcome this weakness. When it fails to accomplish this 
object, the following remedies should be had recourse to: 

Pulsatilla is frequently successful in remedying the defect in from 
two to four days. 

Dose: Six globules three times a day for two days. 

Belladonna may be given, if, in one or two days after the last dose 
of the foregoing medicine has been given, only partial relief has ensued. 

Dose : As directed for Pulsatilla. 



DURATION OF CONFINEMENT. 

Strict attention should be paid to cleanliness and ventilation of the 
lying-in chamber. Everything that produces an offensive odor should 
be promptly removed from the room, and a draught of air should be al- 
lowed to pass through the room (not, however, across the patient's bed). 
The parts should be bathed daily with lukewarm water so long as the 
discharge continues ; this should be performed under the bed-clothes. 

The patient should make no exertion during the first three or four 
days, or at least until the proper secretion of milk ; after that time, she 
may be carefully moved from the bed to a couch, long enough for the bed 
to be aired a little. After the tenth day, she may sit up, out of bed, for a 
short time, if she is able, which may be lengthened, gradually, from day 
to day, as she gains strength. Thus, too, she may begin to walk, little by 
little, until she gradually grows stronger and more accustomed to exer- 
cise. In summer, she may ride out during the third week ; and in win- 
ter, during the fourth week, all things being favorable. 

41 



642 DISEASES PECULIAR TO WOMEN. 

CHAPTER XXXII. 



DISEASES FOLLOWING CONFINEMENT. 



SECRETION OF MILK. 

This is one of the most interesting and remarkable changes occurring 
during the lying-in period. While the child is still in the uterus, all that 
pertains to the mother unites to affect its nourishment, growth and devel- 
opment there. Suddenly all this is interrupted, the child is expelled from 
the little world within, and has to find nourishment elsewhere. Nature 
intends it to be supplied, as before, from the maternal blood, though 
through the medium of the mammary glands. The reaction upon the or- 
ganism, from this change from the uterus to the breast, causes what is 
called milk fever, in consequence of which there results a disturbance in 
the system, more or less well marked, according to the obstacles to be 
overcome. 

In some cases appear chills, fevers, headaches, and a great variety of 
pains and suffering; while in others this period is passed without any of 
the above mentioned disturbances. As a general thing, all the disturb- 
ances incident to the coming of the milk, are less when the child is applied 
to the breast as soon after delivery as is practicable. Much advantage is 
gained, both to the mother and child, by this method, since it serves to 
lessen the suffering of one from hunger, and the danger of the other from 
fever. 

SUPPRESSION OR SCANTY SECRETION OF THE MILK. 

. It is of vast importance that the natural operations of the organism 
peculiar to this condition proceed with regularity. Among these the se- 
cretion of milk takes a prominent position, and its sudden suppression is 
apt to be followed by internal and local inflammation, flow r of blood to the 
head, hot and cold flashes, etc. The use of the following remedies should 
be employed according to their indications. 

TREATMENT. 

Pulsatilla should be promptly employed in cases of sudden suppose 
sion of the secretion of milk, whatever cause has occasioned it; and this- 
medicine will frequently be found sufficient to restore the natural flow of 
milk. 

Dose: Four pills repeated every four hours (or every eight in very 
mild cases) until change. 

Bryonia is to be preferred when there is oppression at the chest or 
stitching pains in the chest or side, or more particularly if the suppression 
can be traced to some sudden mental emotion or to catching cold. 

Dose: As for Pulsatilla. 

Chamomilla should be selected, if the patient be particularly irritable 
and excitable, and (lie suppression be followed by intense flushing of heat 
or burning heat of the hands and face either with crimson flush or alter- 
nate flushing and paleness or one cheek red and the other pale. 

Dose: As for Pulsatilla. 



SECRETION OF MILK. 643 

Belladonna should be given in cases in which the suppression is 
characterized by : redness of the face and general symptoms of congestion 
of the head, breasts feel a heavy and appear red and the redness running in 
streaks over them ; sensitiveness to noise, light, or touch. 

Dose : As for Puis. 

Aconite should be given if active feverish symptoms, such as hot, dry 
skin set in, and, under such circumstances will remove the whole disor- 
dered condition with promptitude. 

Dose : Four pills every two hours. 



EXCESSIVE SECRETION OF THE MILK. 

GALACTORRHEA 

Occasionally, on the other hand, it happens that too abundant a secre- 
tion takes place, causing distention of the breasts with spontaneous flow 
of milk keeping the breasts constantly wet. Relief from such an uncom- 
fortable state may be obtained by the appropriate remedy according to the 
indications below. The function of lactation being one purely physiologi- 
cal and provided for in the economy of suitable forces. Under the stimulus 
of maternal instinct and affection most women enjoy perfect health during 
its continuance. Many indeed are never so well as when giving suck to 
their children. Under the influence of this process, there arises a greater 
activity of all the functions at the same time and also a greater strength of 
appetite and corresponding energy of the digestive powers. The process 
of conversion of food is unusually rapid, the excess going to form milk. 
Where a greater amount is thus found than is required the system becomes 
gradually exhausted, even in health. This over-production may be due 
simply to excess of vitality, while it may result from the efforts of nature 
to supply the required material support. even under difficulties. The fol- 
lowing remedies will be found beneficial as the indications appear. 

TREATMENT. 

Aconite may be taken as a precautionary measure when there is high 
febrile action of the whole system and we are ignorant of the exciting 
cause. 

Dose : Take four globules repeated at intervals of four hours, until the 
frequency of the pulse is diminished and the skin becomes moist. 

Rhus tox frequently proves of much service where febrile symptoms 
arise from distention of the breasts induced by an excessive secretion and 
indications of what is generally termed milk-fever (which, however, fre- 
quently arises from other causes.) 

Dose: Three globules every six hours until amelioration or change. 

Calcarea Carb. should be employed in cases in which excessive 
distention of the breasts, spontaneous emission of milk and loss of flesh oc- 
cur without any marked and active fever symptoms — or after the previous 
employment of Aconite or Rhus., when the fever symptoms have been 
allayed. 

Dose; Six pills as directed for Rhus. 



644 DISEASES PECULIAR TO WOMEN. 

Phosphorus is of especial value in cases of this kind when there are 
marked signs of a tendency to consumption and emaciation takes place 
rapidly. Phosphorus is yet farther indicated when there are sensations as 
of a rush of blood with oppression at the chest and sometimes even short, 
dry, hacking cough. 

Dose: Three pills as directed for Rhus. 

PERSPIRATION AFTER DELIVERY. 

The increased perspiration whicli takes place after child-birth is, as be- 
fore mentioned, a substitute for the suspended action of the alimentary 
canal, consequently its sudden suppression is unavoidably followed by an 
injurious result and not uufrequently followed by fever. 

Exciting Causes. Exposure to cold or a sudden chill or applying 
damp linen or clothing not well aired, are the most frequent causes. 

TREATMENT. * 
Dulcamara should be promptly administered when the perspiration 
has been checked by a chill, and in such cases a single dose will often re- 
store the action of the skin and prevent further injurious consequences. 

Dose : Four pills repeated, if the^e be a degree of effect after the lapse 
of three hours, but if no evident reaction should have occurred, pro- 
ceed with the next remedy. 

Bryonia is to be administered when extreme oppression at the chest 
is present, or when there is a feeling of soreness and aching in all the limbs 
aggravated by movement. 

Dose : As directed for Dulcamara. 

Sulphur should be employed after the foregoing medicines in cases 
in which such treatment is insufficient and there is more especially intense 
heat of the skin and distress . 

Dose: As directed for Dulcamara. 



EXCESSIVE PERSPIRATION. 

On the other hand an excessive perspiration is equally as harmful ; it 
is chiefly injurious from the extreme debility and high susceptibility of 
taking cold whicli it occasions. It is generally brought about by keeping 
the room at too high a temperature, the use of too many bed-clothes or by 
stimulating beverages. 

TREATMENT. 

Our first care should be the removal of the exciting causes after which, 
if it still continues excessive, the following remedies may be employed. 

China should be employed if the perspiration be of an exhausting 
character and attended with great debility. 

Dose: Six globules every three hours. 

Acidium Sulphuricum is to be preferred when the perspiration is 
excessively profuse when lying still, but is diminished when moving 
about. 

Dose: As directed for China. 



MILK AND PUERPERAL FEVERS. 645 

MILK FEVER. 

The secretion of milk is considered an operation of nature and not one 
that requires medical aid for its regulation ; but occasionally women suffer 
some slight uneasiness for a few days following confinement; and when 
any of the below mentioned group of symptoms present themselves, the 
affection is known by the name of Milk Fever. 

Symptoms. Shiverings and heat terminating in perspiration ; the 
pulse is at first weak, changing to various phases, (sometimes quick and 
frequent), at others soft and regular ; and in some instances these symptoms 
are attended with a drawing pain in the back extending to the breast, a 
disagreeable taste in the mouth, thirst, oppressive breathing, anxiety, head- 
ache, etc. 

Exciting Causes— are neglecting to put the infant to the breast suffi- 
ciently early, which allows the absorption of the milk into the circulation, 
mental emotions, fright or anger, and excessive talking. 

TREATMENT. 

Nature herself, if not disturbed by improper treatment, will in most 
cases suffice to restore the equilibrium of the system ; should the affection 
become aggravated we may dread the setting in of puerperal fever. 

Aconite must be employed in all instances where considerable fever is 
present, and will usually remove all the symptoms. 

Dote: Give four globules repeated after the lapse of three hours if ne- 
cessary. 

Pulsatilla will will be found particularly useful in severe cases, 
especially when caused by taking cold and appearing more like a rheuma- 
tic affection and have the general symptoms of milk fever. 

Dose ; As directed for Aconite. 

Belladonna is very useful in particular cases in which complications 
with very severe disturbance of the brain, or when inflammatory action in 
the breast may supervene. 

Dose: Three globules repeated at intervals of four hours, until a de- 
gree of improvement sets in, and then at intervals of six hours. 

Rhus is also of considerable service when extreme fullness, tension 
and painf ulness of the breasts, with excessive secretion of milk, attend 
the case. 

Dose: As directed for Belladonna. 



CHILD-BED FEVER. PUERPERAL FEVER. 

This trouble is of so grave a nature that it is with reluctance that we 
approach the subject. Where it is at all possible, we would advise a 
skilled physician to be employed. As this work, however, will enter 
some home where no physician can be procured, it has been thought 
judicious to treat of the disease at sufficient length to be available in 
cases of emergency. 

Symptoms. — This disease assumes various types and degrees, and has 
received various names. Usually the disease begins on the second, third, 



646 DISEASES PECULIAR TO WOMEN. 

or fourth day, although in some cases it even appears later, as late even as 
the eighth or ninth. It somtimes begins with a distinct chill, and again 
there may be only slight chilliness, imperfect and merely noticed. The 
pulse is very rapid, full and soft. In some cases there is neither pain, dis- 
tention nor tenderness of the abdomen ; while in others the pain is very 
acute, the distention enormous, and the tenderness exquisite. 

Profuse sweating is a very common and distressing accompaniment of 
this disorder; the sweating of puerperal fever does not diminish the 
amount of urine, nor abate the quickness of the pulse. An intolerable 
thirst prevails, and the patient drinks immense quantities of whatever 
fluid she may be allowed. Dark spots appear on the wrists or other parts 
of the body. 

At first, the lochia may be unaffected ; they may be even increased in 
quantity, but more commonly they are entirely suppressed. As the dis- 
ease advances, usually about the third day, diarrhoea and vomiting may 
supervene. The patient becomes iistless and languid, losing all interest 
in surrounding circumstances, and even in her child, and the expression of 
her face indicates anxiety and greac prostration ; or, on the other hand, 
she may be unduly excited, nervous and tremulous. If the disease pro- 
gresses in spite of treatment, delirium commonly supervenes. Rattling 
of the breathing, with enormous distention of the abdomen, are usually 
regarded as fatal symptoms. 

As the disease advances, the womb, the peritoneum and other organs, 
and tissues of the abdomen become involved in the prevailing inflamma- 
tion. The first symptoms of this disease are similar to those of " milk fe- 
ver,'' but the distinction is to be made by the fact of absence of pain, and 
more particularly by absence of tenderness in the abdomen. 

Causes. — This disease may result in consequence of a chill occasioned 
by a draught of air, or other cause, or from the use of damp or wet 
linens, or it may be occasioned by violence ; or again, it may be impossible 
to a<sign any reason for its occurrence ; in which case we are led to believe 
that it is due to infection, or arises in consequence of some lurking taint 
or predisposition of the system. 

TREATMENT. 

Aconite should be employed at first being indicated by the feeble con- 
dition, and by other circumstances ; and will in very many instances, when 
promptly administered, particularly in those cases of a more simple form, 
serve to dissipate the entire disordered condition, and restore harmony 
to the system in an almost magical manner. 

])ose: Give four globules every hour, or half hour, according to the 
severity of the symptoms. If, at the end of twelve hours, the symp- 
toms have abated, the intervals may be extended two or three hours. 

Bkeladonna should be administered when the pain is violent and 
cramp-like, coming on suddenly and ceasing as suddenly, with swelling 
of the abdomen ; or the pains are forcing, as if the contents of the abdomen 
would be forced out; sensitiveness of the belly to the touch, she cannot 
even bear the jar of the bed; redness of the face and eyes; headache; dry 
mouth, with red tongue; sleeplessness and restiveness; delirious; suppres- 



CHILD-BED FEVER. 647 

. sion of the lochia or escape of red and fetid blood ; the breasts are red and 
inflammed, or swollen and empty. 

Dose : As directed for Aconitum. 

Hyoscyamus may be used in some cases of a similar nature to that 
indicative of Belladonna, but where the disease has been developed by 
mental emotions and is characterized by spasmodic symptoms, jerks and 
twitches, delirium, throwing oif of the bed-clothes and desire to be uncov- 
ered, etc., it is more particularly indicated. 

Dose: As for Aconite. 

Bryonia will be found useful in cases in which the abdomen is 
swollen equally and is sensitive to the touch; violent splitting headache 
the pains are aggravated by the slightest motion ; sitting up or even rais- 
ing the head causes nausea and fainting, great thirst with desire for cold 
drinks ; the patient is irritable or restless and apprehensive as to the results 
of her sickness. 

Dose : As for Aconite. 

Rhus tox. is suitable when the fever is of a low typhus grade ; the 
patient is very restless, constantly tossing about. The lochia is again 
tinged with blood or clots of blood are discharged ; aching soreness and 
stiffness of the limbs ; the tongue is red. 

Dose : As for Aconite. 

Mercurius is indicated by dejected expression of countenance ; great 
thirst ; constant flow of saliva ; lancinating, boring or pressive pains in the 
belly ; profuse sweat which does not relieve; mucous or bloody diarrhoea or 
ineffectual desire for stool ; very offensive wind ; the symptoms are usually 
aggravated at night. 

Dose: Give four pills every two hours until improvement or change. 

Nux vomica is suitable at the commencement when the lochia has 
been suddenly arrested by some mental emotion such as vexation; fre- 
quent desire to urinate, with pain, scalding, and burning ; heaviness and 
burning in the abdomen ; pain in the small of the back, worse in the morn- 
ing; frequent and ineffectual urging to stool; despondency; sleeplessness 
or else dreaming frightful dreams ; the symptoms are usually aggravated 
early in the morning. 

Dose : As directed for Mercurius. 

Colocynth will be found valuable when the abdomen is greatly dis- 
tended and the pains are unbearable, being of a sharp, cutting or lancin- 
ating character, which cause the patient to draw the thighs up as close to 
the belly as possible ; diarrhoea with colicky pains aggravated or excited by 
eating or drinking. 

Dose : As for Aconite. 

Chamomilla is useful for cases in which the breasts are flaccid and 
without milk; diarrhoea; pains in the abdomen like pains of labor; general 
heat with redness of the face, or one cheek is red and the other is not ; 
great agitation, impatience and nervous irritability. 

Dose : As for Mercurius. 

Arsenicum will prove valuable when there are great anguish ; sudden 



648 DISEASES PECULIAR TO WOMEN. 

prostration ; sunken countenance with a sallow complexion ; extreme rest- 
lessness and anguish with fear of death ; sleeplessness; dry and parched 
lips; great thirst with desire to drink but little at a time; burning heat in 
the abdomen ; feeble and intermittent pulse with coldness and desire to be 
covered. 

Dose : As for Aconite. 

Secale is good where there is strong tendency to putrify; the dis- 
charge is pus-like and offensive. 

Dose ; As directed for Mercurius. 

Diet and Regimen. — The most absolute repose of mind and body 
should be secured; all noise should be shut out, the room darkened and a 
moderate temperature maintained; the room should be well ventilated, so 
as to have the iir changed without admitting a cold draught. Purification 
of all aliment must be enforced and the thirst allayed by small quantities 
of cold water which should be iced in summer or when vomiting is present. 
If the lochia is suppressed flannels wrung out of warm water may be 
applied to the external genitals, or a tepid injection may be thrown 
into the rectum, if there be great constipation ; but it must be a small quan- 
tity that the bowels may not be much disturbed. The infant should be re- 
moved and fed on cow's milk and water until the patient is out of danger. 



LOCHIAL DISCHARGE AND IRREGULARITIES. 

By the detachment of the placenta from the inner sides of the womb, the 
parts are left open, and for some days after confinement the vessels dis- 
charge blood; in six to eight days this changes to serum, and finally to a 
white purulent mucus. This is the lochia! discharge. In most cases it 
lasts from two to three, while in others it continues several weeks. In 
cases where it becomes suppressed suddenly, it needs medical attention, 
also when profuse and long continued. 

Causes.— Prof use and protracted lochial discharge may be frequently 
traced to sitting up too soon after confinement, or to keeping the room too 
warm, or to mental emotions. 

Treatment. — If, after nine days, the discharge continues profuse, con- 
taining pure blood, whereby an unnatural state is indicated, one or more 
of the following medicines may be required : 

FOR EXCESSIVE DISCHARGE. 

Bryonia is to be preferred when the discharge is of a deep red color, 
and is attended with internal burning pain in the region of the womb. 

Dose : Six globules, three times a day. 

Nux Vomica is usually required when a chill or the use of stimulants 
has produced the mischief, and the patient is affected with severe pains in 
the back, and a constant and fruitless urging to stool. 

Dose: As for Bryonia. 

Calcarka is most particularly indicated when troublesome itching 
of the parts is experienced ; or when the discharge is protracted, and occurs 
in women of lull habit. 

Do.se: As directed for Bryonia. 



DIARRHOEA OF LYING-IN WOMEN. 649 

Silicea should be employed when pure blood flows with the lochia! 
discharge every time the infant is placed at the breast. 
Dose : As directed for Bryonia. 

SUPPRESSED DISCHARGE. 

Pulsatilla.— When the lochial discbarge is suddenly suppressed— 
which it sometimes is from a variety of causes— and from this cause pu- 
erperal fever is threatened to ensue, the danger may frequently be warded 
oft' by the administration of this medicine. 

Dose : Four pills every four hours. 

Aconite will generally suffice if promptly administered when the sud- 
den suppression is caused by fright, and is attended with febrile symptoms. 

Dose : Four globules every hour until relief. 

Dulcamara will be found beneficial when the suppression is caused 
by exposure to damp or cold. 

Dose: As for Pulsatilla. 

Belladonna. Where sudden suppression is followed by congestion 
of the brain, with flushed face, delirium, etc. 

Dose : As for Aconite. 

offensive discharge. 

Carbo-veg should be administered, if the discharge becomes thin, and 
offensive. 

Dose: Six pills four times a day. 

Kreosote or Secale should be given twelve hours after the sixth 
dose of Carbo- Yeg, if the discharge should still continue offensive. 

Dose : As for Carbo-Veg. 



DIARRHCEA OF LYING-IN WOMEN. 

Diarrhoea at this time is to be looked upon as a serious occurrence and 
immediate means must be employed for its correction by proper reme - 
dies. 

Dulcamara is generally indicated by the cause of the trouble being a 
check of the naturally increased perspiration from a chill. 

Dose : Four globules administered every three hours. 

Phos. acid is most effectual for the treatment of painless and almost 
involuntary evacuation. 

Dose : As directed for Dulcamara. 

Antimonium Crud. is generally sufficient when the evacuations are 
thin and watery and offensive. The tongue is coated white. 

Dose : As for Dulcamara. 

Rheum is to be preferred in cases which, in addition to the indications 
afforded for the last-named remedy. The evacuations and the body emit 
a sour smell. 

Dose : As for Dulcamara, 



650 DISEASES PECULIAR TO WOMEN. 

Phosphorus should be employed in very obstinate cases when the 
discharge is watery and almost painless. 

Dose : As for Dulcamara. 

Vekatkum should be given if the discharges are very profuse and 
watery attended with much pain, chilliness, coldness of the surface and 
cold sweat on the face. 

Dose : As for Dulcamara. 

For cases in which neither of the medicines above mentioned have the 
desired effect consult the " Article on Diarrhoea " page 280. 



WEAKNESS AFTER DELIVERY. 

We frequently find our patient very weak after delivery, especially if 
there has been considerable loss of blood, for which the following remedies 
will prove effectual. 

TREATMENT. 

China ranks first of all and will generally be found efficient in restor- 
ing the vital energies ; especially when there has been considerable loss 
of blood or very profuse sweating. 

Dose : Give six pills every three hours for the first two days, after that 
give twice daily. 

Aconite should generally be given at first when there is nervous 
weakness attended with great restlessness and want of sleep. 

Dose . As for China. 

Sepia. This remedy is indicated when there is a painful sensa- 
tion of emptiness at the pit of the stomach. Icy coldness of the feet and 
hands; the urine deposits a very hard crusty sediment; flushes of heat 
and loss of appetite. 

Do.se : Six pills once in six hours. 

Sulphur. Weak fainting spells coming frequently during the day; 
feels very faint and weak from eleven to twelve every morning; flushes 
of heat; cold feet ; heat on top of the head. 



ABDOMINAL DEFORMITY— PENDULOUS ABDOMEN. 

Abdominal deformity is more common to those women who have 
borne many children, or to those who present a disposition to corpulency. 
It may be caused by wearing tight stays, which have a tendency to relax 
the abdominal muscles, and increase the existing disposition to this affec- 
tion; or it may take place in consequence of a strain upon the muscles of 
the belly during pregnancy. 

accessory measures. 

An elastic bandage laced at the back, and exerting an equal pressure 

over the whole of the abdomen may be worn with advantage. In some 

cases where there is a tendency to this affection, particularly in corpulent 

persons, we may soon after delivery have recourse to mechanical aid by 



BREAST DISEASES. 651 

transfering the support of the abdominal muscles to the shoulder, by the 
aid of a properly constructed apparatus; but we must in the strongest man- 
ner object to this, or any other pressure being exercised upon the abdom- 
inal region during pregnancy, as such a measure is obviously calculated 
to entail injurious consequences upon the offspring. 

Diet and Regimen. Spare diet and regular exercise must in all 
cases be observed. 



SORE NIPPLES. 
In a previous chapter I have shown the necessity of preparing the nip- 
ples for their new function. In spite of all care, however, the nipples 
sometime becomes sore three, four or six days after confinement, especially 
if the skin is very fine and delicate. This is a most distressing affection, 
because of the cracks opening whenever the child takes held to suck. If 
the nipples are too short, the shield before mentioned should be worn be- 
tween the interval of nursing. In case however the nipples should be 
insufficient, or their tenderness remain in spite of treatment, nursing may 
yet be accomplished by using a proper shield, or artificial teat, numerous 
and excellent varieties of which may be procured. It is well to bathe the 
nipples with warm water and milk, or with borax water, as soon as the 
babe is done nursing, being sure to wash the breasts as soon as it is ready 
to nurse again. 

Arnica employed internal and externally, this remedy will very of- 
ten obviate all further inconvenience, if used at the onset. 

Dose: (Internal): Four pills three times daily. Application (exter- 
nal): To a half teacup-full of water add fifteen drops of concen- 
trated Tincture of Arnica with which a small strip of linen may be 
wet and applied to the nipple, this may be repeated three times a 
day. 

Chamomilla. The nipples are much inflamed, and are very tender, 
she can hardly endure the pain of nursing; she feels irritable and cross 
with impatience. 

Dose : Four pills three times daily. 

Sulphur should be given, if after nursing the nipples smart and burn 
badly, they chap badly about the base and bleed. 

Dose : Six pills night and morning. 



INFLAMMATION OF THE BREASTS. 

One of the greatest obstacles to nursing an infant is inflammation of the 
breasts. The breasts become red and inflamed, occasionally suppurating 
in some parts which open, and discharge, while others still remain hard, 
and inflamed, which either end in suppuration, or in the formation of hard 
lumps. 

Causes which produce this disorder are numerous. Anything which 
may operate as an exciting cause to disturb the local secretion, such as 
fright, passion, cold, etc ; though it not unf requently arises without being 
able to trace it to any particular origin. Inflammation of the breasts fre- 
quently arises from not applying the infant to the breast soon enough 



652 DISEASES PECULIAR TO WOMEN. 

after its birth ; and occasionally from a sudden cessation of suckling caused 
by the death of the infant, or from disinclination of the child, to suck, or 
from other reasons. 

When the milk is copiously secreted, and either from inability on the 
part of the child, or from the obstruction of the milk tubes, or from 
deficiency of the nipple, the milk cannot be freely drawn in the natural 
way, every effort should be made without loss of time to secure this end 
by such other means, as may be possible. Sometimes the breast may be 
drawn by another child, or by a friend, or by young puppies. The proper 
remedy should be selected, and faithfully administered in order as rapidly 
as possible t _■ remove all difficulty. In cold weather the breast should be 
warmly protected If the inflammation is caused and kept up by a tender 
and ulcerated state of the nipples, let these be particularly attended to, in 
accordance with the directions already given. (For further particulars see 
Mastitis, page 384). 

TREATMENT. 

Aconite. When a chill in dry cold air has been the exciting cause, 
and there is high fever prevailing. There is fear, anxiety, and restless- 
ness, thirst for cold water, etc. 

Dose: Six pills every hour until the fever moderates. 

Belladonna. When the breasts feel heavy ; there are red streaks 
running like radii from a central point; she is occasionally chilly, a dull 
and stupid feeling prevails. It is well to alternate Aconite with this 
remedy. 

Dose : Four pills every two hours. 

Bryonia. Her breasts have a stony heaviness in them, they are hot, 
hard, and painful, but not very red. She feels sick when first sitting up in a 
chair and still more sick on standing up, rough dry lips, thirst, and consti- 
pation, stools dry looking as if burnt, she feels worse when moving, and 
wishes to keep still. 

Dose : As for Belladonna. 

Phosphorus. Inflammation of the breasts, threatening ulceration 
with cutting or stitching pain. Hectic fever and night sweats, deep ulcers 
with blue appearance. 

Dose : Six pills every six hours. 

Sulphur. The inflammation runs-in streaks from the nipple, suppu- 
ration profuse, with chilliness in the fore part of the day, and heat in the 
after part. Some piles in complication. The breasts feel hot. She has 
night sweats, iluslies, or heat, weak and faint spells, irresistible hunger at 

11 A. M. 

Dose: Six pills every twelve hours. 

Another treatment of gathered breasts, which has never been known 
to fail, if employed as soon as threatened, is this: take of chloroform and 
glycerine equal parts. As the substances are of unequal weight, the vial 
containing them should be thoroughly shaken, the mixture quickly applied, 
and the part covered with oiled silk, or something equally impermeable, to 
prevent too rapid evaporation. 



TREATMENT AFTER BIRTH. 653 



Part Fourteenth. 



TREATMENT OF INFANTS. 



CHAPTER XXXIII 



TREATMENT AFTER BIRTH. 

As soon as the child is born it should be wrapped in a soft woolen 
cloth, it first being warmed, as care should be taken to gradually inure the 
infant to the temperature of the surrounding atmosphere. The skin 
should then be gently washed with a little warm water; or it may be 
annointed with lard, using a little fine toilet or castile soap in the water 
with which it is washed, but care must be used in the first washing lest it 
should get chilled. It is best only to wash part of the body at a time keep- 
ing the other parts protected. After washing the skin ought to be dried im- 
mediately to avoid the risk of taking cold. The child should be bathed 
every day, gradually lowering the temperature of the water after weaning. 
The best time for bathing is in the morning soon after being taken out of 
the bed. 

I wish I could impress every mother with the importance of dressing 
their infants in a more suitable manner. The practice of bandaging and 
swathing the tender bodies of their infants and loading them with a 
superfluity of clothing, which, by its weight and length presses upon the 
lower extremities and is frequently the cause of deformity and weakness 
in after life, and moreover causes rupture of both uavel and groin. 

STILL-BORN CHILDREN. 

SUSPENDED ANIMATION. 

Causes — in many cases arise from difficult parturition, pressure of the 
cord around the child's neck, natural debility arising from some scrofu- 
lous or syphilitic taint of either or both of the parents ; or from accumu- 
lation of mucus in the nose and throat ; or, if delivered with forceps, it 
might be caused by an injury from them; or again, it is caused by too 
sudden alteration of temperature, the action of the lungs not having com- 
menced . 

TREATMENT. 

From whatever cause the apparent death or suspended animation of 
the child should result, no time should be lost in making proper efforts to 
establish respiration. 

Mechanical Means to be employed is to immerse the child sudden- 
ly into cold water, or better still, cold or even iced water should be 



654 TREATMENT OF INFANTS AND CHILDREN. 

poured over it. In some apparently lifeless children pouring cold water 
on the head and letting it run down over the body establishes the circula- 
tion and respiration; the child should then be wrapped in woolen 
blankets until quite restored. Of course, in all those cases where the 
breathing is prevented by an accumulation of mucus in the throat and 
nose, such measures should be employed as to remove such obstructions. 
Should these methods fail, the one of which a description may be found 
in the article on " Apparent Death from Suffocation," will have to be re- 
sorted to. Should this method fail, the lungs may be directly rilled and 
respiration may be excited by an adult placing his or her mouth directly 
over the mouth of the child, closing the child's nostrils between the 
thumb and forefinger of his hand and blowing air into the child's lungs, 
and, when filled, by gradually and carefully compressing the walls of the 
chest, emptying the lungs again. This should be repeated again not often er 
than from ten to fifteen times in a' minute. This artificial respiration, and 
all other methods employed to restore suspended animation, should be 
persevered in for some time, life having returned after the lapse of an 
hour from judicious and careful treatment. 

Medicinal Treatment. — If the child should still continue to 
breathe feebly and imperfectly after animation has been restored, the fol- 
lowing remedies may be resorted to. 

Aconite if the child is hot, purple-hued, pulseless, and breathless or 
nearly so. 

Dose: Two pills on the infant's tongue. 

Belladonna. The face is very red and the eyeballs are greatly in- 
jected. 

Dose : As for Aconite. 

China if the face is pale, the infant small and of a delicate frame and 
in cases where the mother has had profuse hemorrhage. 

Dose : As for Aconite. 

Opium is good if improvement takes place slowly and the face is livid 
and bluish. 

Dose : As for Aconite. 



SWELLING OF THE HEAD. 

Immediately after birth the head of the infant appears more or less 
swollen ; this in most cases is but a trifling affection and will disappear 
of itself; medicinal treatment may sometimes be required. 

Arnica or Rhus will usually be sufficient to hasten the swelling to 
subside; when it is very extensive it is necessary to resort to external ap- 
plication of the same remedies. 

Jtose: Two pills repeated again in twelve hours. 

Application— external : To four tablespoonsful ol water add six drops 
of the tincture and apply this lotion to the part, repeating the oper- 
ation after the lapse of twelve hours. 



RUPTURE OF INFANTS. 655 

If there should result an ichorous discharge and caries of the bone and 
prostration. 

Calcarea will in many cases produce a cure. 

Dose : Two pills every second day. 

Silicea is useful if the trouble yields slowly to Calcarea to finish the 
cure. 

Dose : Two pills as for Calcarea. 



RUPTUKE IN INFANTS. 

NAVAL RUPTURE. 

Hernia or rupture may be developed before birth and a predisposition 
to this affection may be observed in children whose parents are similarly 
affected. The mechanical treatment of naval rupture is as follows : — 
Take a piece of lint or soft cloth just large enough, when folded five or six 
times to cover the rupture effectually, then press in the protrusion and 
keep it reduced with the hand until the compress is rightly adjusted 
and secured in its position by means of two strips of adhesive plaster 
placed over the compress in the form of a cross. 

Another compress may be made by taking a button-mold about 
an inch or an inch and a quarter in diameter and cover it with a piece of 
soft linen ; apply and secure it the same as the before mentioned compress, 
or by a bandage made of suitable form to secure it properly. 

This disease being frequently brought on by violent fits of crying, to 
which delicate children are subject, the bandage may be worn for some 
time after the cure as a precautionary measure against its return. 

It is best to administer a remedy or remedies in order to assist the 
mechanical measure, and in nearly every case whether subsequent treat- 
ment be required or not. 

Nux vomica may be looked upon as a medicine of primary import- 
ance. 

Dose : Two pills every morning and evening. 

Aconite. — This remedy is suitable when the infant feels hot and is 
restless; in that case it is best to give it in alternation with the Nux. 

Dose: Two pills in alternation with the Nux every six hours. 

Chamomilea is sometimes of service ; more particularly when the 
infant is very fretful and the motions of the bowels be too relaxed and of 
an unhealthy color, or if there be evidence of griping in the bowels. 

Dose : As for Nux. 

Sulphur is also of great service after any of the previous remedies 
in obstinate cases when there has been partial improvement, but the 
treatment prescribed has been insufficient to complete the cure. It is also 
good for the treatment of soreness of the navel, remaining after the liga- 
ture has fallen off, or even before this takes place. 

Dose ; As for Nux, 



656 TREATMENT OF INFANTS. 

Sieicea should be given four days after the fourth dose of Sulphur in 
cases of soreness of the navel in which no decided improvement has been 
effected by the last named medicine. 

Dose : As for Nux. 

RUPTURE IN THE GROIN. 

All the remedies just enumerated are just as good in those cases of 
rupture in the groin, which are occasionally met with. 



WHEN MAY THE CHILD BE PUT TO THE BREAST? 

Even before delivery the breasts secrete a milky fluid ; the genuine milk 
is only secreted after delivery. In some instances it has been the custom 
to draw off this first milk and feed the child in the meantime on catnip tea 
or chamomile tea, cracker water, or thin soup, etc. Nothing can be more 
irrational or inhuman. Nothing is more calculated to expel the meco- 
nium, (the excrementitious matter discharged from the bowels of a new 
born infant), than the first milk, which has a slightly loosening effect up- 
on the child's bowels. It is evident that nature has designed it so, else 
why should the milk be secreted and the child created with a desire to 
suck as soon as born ? 

After having a few hours rest the mother may take a little nourishment, 
if she should desire it. After this, the child may be put to the breast; if 
the mother should feel rested before, and the child should desire, it can 
nurse before, and at all events do not let more than twelve hours elapse 
before letting the child nurse. If the child was born in the evening or 
night, it need not be put to the breast before morning, especially if the 
mother sleeps ; often both mother and child sleep till morning, but if it 
should wake and become restless, it may be fed on a few teaspoonsful of 
water and milk, of equal parts, sweetened. 



OBSERVATIONS ON THE SUCKLING OF THE INFANT. 

Conquist, whose opinion in this respect we perfectly indorse in his 
u Outlines of Midwifery," remarks : 

" Unless very peculiar urgent reasons prohibit, a mother should sup- 
port her infant upon the milk she herself secrets. It is the dictate of rea- 
son, of nature, and of common sense. Were it otherwise, it is not probable 
that so abundant a supply of suitable food would be provided to meet 
the wants of an infant when it enters upon a new course of existence. 

It is difficult to estimate the mischief resulting from infants being de- 
prived of their natural nourishment; for, however near the resemblance 
may be between food artificially prepared and breast milk, still reason and 
observation demonstrate the superiority of the latter to the former. 

As a further inducement, it should be remembered that medical 
men concur in the opinion, that very rarely does a constitution suffer from 
secreting milk; whilst the health of many a woman is most materially 
improved by the performance of the duties of a nurse. 

Presuming that the laudable determination is formed to indulge the 



CHOICE OF A NTJRSE, AND HER DIET. 657 

child with that nutriment which is designed for its support, it becomes 
necessary to state that unless very strong objections should exist, twelve 
hours should never elapse before the infant has been put to the breast. 
Instinct directs it what to do, and the advantages of allowing it to suck 
soon after birth are many and important, both to the mother and child. 
By this commendable practice the patient is generally preserved from fe- 
ver, from inflamed and broken breasts, and from the distressing and 
alarming consequences resulting from those complaints . 

If the breasts should not have secreted milk previous to delivery, the 
act of suckling will encourage and expedite the secretion. Thus the 
mother will be saved from much of the pain connected with distended 
breasts, besides which, if the infant be not put to the nipple until the 
breasts become full and tense, the nipple itself will sometimes almost dis- 
appear on account of its being stretched, and without much and effectual 
labor on the part of the child, it cannot be laid hold of ; and even then the 
pain endured by the mother is exquisitely severe, and not unfrequently 
the cause of sore nipples." 



THE CHOICE OF A NURSE. 

For those who cannot give suck to their own children, the selection of a 
nurse is of great importance, and the medical attendant ought generally to 
be consulted, and the following points merit particular attention: 

She should be of sound constitution and of good health, of full and mod- 
erate plumpness, with a fresh complexion, and clear eyelids, free from any 
appearance of redness, scurftness or thickening. She should be thoroughly 
exempt from glandular enlargements, and possess deep red lips without 
cracks, sound white teeth, and well-formed, moderately firm breasts, with 
nipples free from excoriation or appearance of eruptions ; the child of the 
nurse is one of the best criterions to judge by — its being plump and 
healthy is a great point in her favor. We should also endeavor to discover 
if she is free from any hereditary taint ; she should, moreover, be of a mild' 
patient and equable temper, not irritable, or disposed to fits of passion, or 
nervous ; of regular and temperate habits, and fond of children. She ought 
also to be about the same age, and to have been delivered about the same 
time, or, at least, within three months of the same period as the mother ; 
with respect to age, we must, of course, avoid extremes. A woman, hav- 
ing given birth to a child very late in life, should choose a nurse several 
years her junior, and fully qualified for her duties ; the reverse of the rule 
applies to extremely young mothers. 



DIET DURING NURSING. 

As regards the nurse's diet, it should be simple and easily digested, and 
she ought to live upon a proper proportion of animal and vegetable food. 
Nature generally provides for the increased call upon her powers by sup- 
pression of the menstrual discharge, and a moderate increase of appetite, 
which may be safely indulged; but all food of a highly concentrated, 
heavy description, is injurious, causing the milk to become unsuited to the 
delicate digestion of the infant ; the best guide, in the majority of cases is 

42 



658 TREATMENT OF INFANTS AND CHILDREN. 

the regular Homcepathic regimen, which may be consulted with advan- 
tage. Reference must, however, be had to constitution; thus, a strong 
woman of full habit will not require much animal food, and will have, 
generally speaking, a plentiful supply of good milk, if she drink nothing 
but gruel, barley water, toast water, cocoa, tea, etc.; whilst, on the other 
hand, a woman of somewhat delicate constitution and languid circulation, 
will want more nourishing food, milk, etc. 

But we cannot too strongly repudiate that too prevalent but deeply er- 
roneous idea that women, during the period of sucking, necessarily require 
stimulants to keep up their strength; under this impression, both wine 
and malt liquors, — and, among the latter, more particularly porter,— are 
frequently resorted to. Porter is not only injurious, from its stimulating 
properties, but the deleterious effect which the different ingredients com- 
posing it produce upon the milk, forms one of the most prolific causes of 
the many evils that attack infancy. We shall conclude this part of the sub- 
ject with a single quotation from a well-known medical writer:— 

" There is an evil too generally prevalent, and most pernicious in its con- 
sequences on individuals and society, and by no means confined to mothers 
in the lowest classes of the community, which cannot be too severely rep- 
robated; it is the wretched habit of taking wine or spirits to remove the 
languor present during pregnancy and suckling. It is a practice fraught 
with double mischief, being detrimental both to mother and child. The 
relief afforded is temporary, and is invariably followed by a degree of lan- 
guor which demands a powerful stimulus, which at length weakens, and 
eventually destroys the tone of the stomach, deteriorates the milk, and ren- 
ders it altogether unfit to supply that nutriment which is essential to the 
existence and welfare of the child." 



SUPPLEMENTARY DIET OF INFANTS. 

Unfortunately, some mothers do not possess sufficient milk for the prop- 
er nourishment of their offspring ; if this arises merely from a deficiency 
in the secretion, and the woman is in other respects healthy, we must have 
recourse to supplementary diet to make up for the diminished quantity of 
the natural nutriment. Goat's, ass's, and cow's milk are excellent substi- 
tutes, especially the latter, diluted w 7 ith one-third of water; goat's milk be- 
ing apparently objectionable from its peculiar aroma. The milk, therefore, 
of the cow ought, when possible, to be obtained, and, if given undiluted, to 
be boiled, — cow's milk being generally considered too heavy, which boiling 
in a great measure obviates; it ought also to be slightly sweetened, so as to 
resemble as closely as possible that of the nurse, and should, moreover, be 
about the same temperature, say from ninety-six to ninety-eight degrees, 
—a point less regarded than it should be, and easily determinable by the 
thermometer. If any constitutional taint exist in the mother, the sooner 
the child is transferred to another breast, the better for both parties; and 
if a nurse be not procurable, the above will generally prove sufficient nour- 
ishment until the trout teeth appear, which is a clear indication that the 
digestive organs are prepared for more solid food; if, however, the milk 
<!i»-t appears to disagree with the infant, we may give thin water gruel, or 
mix a little thin arrow-root, rusk, or well toasted bread in water, to which 



SUCKLING AND WEANING© 669 

the milk may be afterwards added; such alterations in diet are, however, 
but rarely required. 

We may here observe that no portion of the milk ought to be retained 
for a subsequent meal, from the quickness with which it becomes sour ; 
the same remark applies to any of the above preparations, in which milk 
forms the principal ingredient. 

In the cow's milk, at first diluted as above prescribed, we may, after two 
or three weeks, gradually diminish the quantity of the water, as the diges- 
tive organs become stronger; but we cannot too stringently press the 
point, that, where it is at all practicable, the child ought to derive as great 
a portion of its nutriment as possible from the breast, no food being able 
efficiently to supply the place of that which nature intended for it at its 
birth. 

When ic is necessary to give supplementary nourishment, a sucking-bot- 
tle ought to be used, as the best imitation of nature, in giving the food 
slowly ; particular care being taken to observe the utmost cleanliness. 
The child ought, in feeding, to be kept in a reclining, not supine position, 
as the latter frequently causes it to incur the risk of suffication; and when 
it evinces disinclination to its food, no more should be offered. 

The child should be accustomed to take its nourishment from each 
breast alternately ; as, if this precaution be not adopted, inflammation is 
likely to arise in the breast not used, and the child is apt to become 
crooked, from being always retained in the same position. 

The physician is frequently asked how often the child ought to be ap- 
plied to the breast; the best rule on this point is, to give the breast when 
the infant desires it, and to withdraw it when the child appears satisfied. 
As the infant increases in strength, it may be easily accustomed to regular 
hours. It should not be permitted to " lie at the breasts " during the 
night ; which is a most pernicious practice for both mother and child. 



DUKATION OF SUCKLING— WEANING. 

The period of suckling ought seldom to last longer than forty weeks ; 
but in this we must be guided, in a great measure, by the constitution of 
the infant; weak, ill-conditioned children, in whom teeth are long in 
making their appearance, it has been recommended to continue at the 
breasts for eighteen months, or even a longer period. Weaning ought, in 
fact, to be regulated by the constitution both of mother and child. The 
full development of the front teeth, which in healthy children is from 
nine to ten months, but in delicate or scrofulous constitutions is delayed 
for several months later, has been considered the best indication of wean- 
ing; but this is by no means an unexceptionable rule. If the strength of 
the mother appears unequal to the task, and the supply of milk begins to 
fall off, the child may be gradually weaned, even before the teeth appear; 
still, even when the supply is ample,, and the mother and child are appar- 
ently strong, a continuance of suckling beyond the tenth month is gen. 
erally injurious alike to parent and child. 

Weaning should not take place suddenly, but the infant should be 
gradually accustomed to other food, and a less frequent administration of 



660 TREATMENT OF INFANTS AND CHILDREN. 

the breast, until entirety weaned; the time to commence this gradual 
course is upon the first appearance of the front teeth, so that the weaning 
may terminate with their full development; thereby the secretion lessens 
by degrees, preventing all evil consequences of swollen or inflamed 
breasts, and the child also becomes quietly reconciled to the deprivation. 

Weaning ought not, however, to take place, if the child suffers con- 
siderably from the irritation of teething, or any acute infantile disease. 

When, however, it is found absolutely necessary to wean, the above 
precautionary measures should be observed, both with respect to the 
mother and child. 

FOOD OF THE INFANT. 

After the child has been weaned, its nourishment should generally 
consist of the same simple food as before mentioned. The transition to a 
more substantial diet ought to be extremely gradual and guarded, and no 
material alteration made until after the appearance of the eye-teeth. 



SLEEP— SLEEPLESSNESS. 

From the inability of the infant itself to maintain a proper degree of 
warmth,, it should sleep by its mother's or nurse's side, for at least the first 
six weeks, particularly during winter or early spring. Care must be taken 
not to overburden it with bedclothes, and to place it in such a position as 
to prevent it slipping under them, and thereby becoming exposed to the 
risk of breathing a vitiated atmosphere, or even of suffocation ; after six 
or eight weeks, when the organism becomes stronger, and able to pre- 
serve a proper degree of natural warmth, a seperate bed or cradle will be 
more conducive to the health of the infant; this change of arrangement 
will be found beneficial to both parties— to the child, from its breathing a 
purer air ; and the mother, being freed from the necessary watchfulness 
and restlessness consequent upon the child sleeping with her, will enjoy 
better health, and be more likely to secrete good and nutritious milk. 
Moreover, sleeping in the same bed with an adult, and particularly with an 
old person, is somewhat detrimental to the health not only of infants, but 
even of children. 

As to the length of sleep allowed to the infants, the chief business of 
the first months of its existence being sleep and nourishment, we may 
safely leave the point to nature, and not attempt to coerce the inclinations 
of the child ; if the infant is lively on waking, we may conclude it has not 
slept too much ; and as it increases in vigor, and is able to endure longer 
intervals of wakefulness, we may proceed (recollecting that night is the 
proper period for sleep), so to regulate its habits of taking its food and 
rest, as to accustom it to an uniform system, and particular hours. Chil- 
dren, up to two years of age, require rest during the day, and the nurse 
ought to endeavor to get them into the habit of taking it in the forenoon; 
for, if it be taken in the afternoon, it generally interferes with the night's 
sleep. Whether by night or day, we must carefully exclude both light and 
noise from the nursery; for although they may be insufficient to arouse the 



SLEEPLESSNESS. 661 

infant, still they cause its sleep to be disturbed and unref resiling, and, by 
acting upon the nervous sensibility, predispose the child to convulsion^ or 
spasmodic attacks from slight accidental causes. 

It is true that, during the first month, the infant sleeps immediately 
on leaving the breast, and no evil consequences ensue ; but it must be 
borne in mind, that it takes but a little at a time, and milk is at that time 
wisely adapted to its delicate digestion; but as the secretion becomes' 
richer, and suited to the increasing power of those orgaas, it is injurious' 
to put the child asleep immediately after a full meal, for its rest is' then 1 
unquiet and disturbed, from the process of digestion being interfered 
with, more particularly when the nurse foolishly endeavor to force na- 
ture, by resorting to the baneful practice of rocking. 

Nothing causes greater annoyance and even anxiety to the mother, • 
than a disposition to wakefulness on the part of her infant. A healthy 
child should always be prepared for its rest at the usual hours; if, in- 
stead of going to sleep, it appears restless, fretful, and disinclined for its 
accustomed rest, it is an evident indication of some derangement of the 
child's general health; frequently, through ignorance, nurses, instead of 
attending to this warning voice of nature, — which by the sleeplessness of 
the infant demands appropriate relief, — endeavor to stifle it, and some- 
times, to free themselves from a little temporary annoyance, administer 
opiates, often in the form of "carminatives," "soothing syrups,'' which in- 
duce an unf reshing slumber, and not unfrequently a deep stupor, mistaken 
for sleep, while the original evil still continues to make head against the 
vital power. This baneful practice has not only been the ruin of 
many constitutions in after life, but to it, conjoined with improper diet» 
stimulating or unwholesome drinks, quack medicines, together with the 
highly erroneous practice of a frequent administration of laxatives, in in- 
fant maladies, a considerable number of diseases and even deaths are 
annually attributable. Every mother should not only caution her nurse 
against the use of opiates, but use her utmost vigilance to detect any 
breach of her injunctions, which should be visited with the immediate 
discharge of the person so offending ; for she must be truly unfitted for 
such an important trust, who, after being warned of its injurious ten- 
dency, will persevere in a practice placing in jeopardy the life of her infant 
charge. 

TREATMENT. 

Amongst the homoeopathic remedies which have been found the more 
generally useful in removing restlessness and sleeplessness in children, the 
subjoined deserve especial notice. 

Coffea is very efficacious when the child seems unusually lively, rest- 
less, and wakeful ; but will commonly fail to answer its purpose when the 
nurse is in the daily habit of taking coffee as a beverage. 

Dose : Two globules, dry, at night and morning. 

Opium may be substituted for Coffea when the nurse is in the daily 
habit of taking coffee, and is especially indicated if the face of the child 
looks red. 

Dose : As for Coffea. 



662 TREATMENT OF INFANTS AND CHILDREN. 

Chamomilla will do good when the child is tormented with flatu- 
lence, and distention of the bowels, and appears to suffer from colic, 
indicated by drawing up the legs, screaming, etc. 

Dose : As for Coffea. 

Aconitum is preferable to any of the preceding, when there is general 
febrile heat and great restlessness. 

Do.se; Two globules, dry, on the tongue, three times each day. 

ADDITIONAL PARTICULARS. 

The reader should further consult, if necessary, the general article on 
11 Sleeplessness,'' and that on " Crying, Wakefulness, and Colic of Infants," 
in the subsequent pages. 



EXERCISE. 

For the first six or seven months the great business of nature seems to 
be the proper development of the infant frame, and particularly of the 
respiratory, and digestive organs. During this period, also, the cartilage is 
gradually forming into bone, and the infant's delicate muscles are acquir- 
ing power and strength. We find, however, that consciousness is yet 
indistinct, and the infant evinces no anxiety to indulge in voluntary 
motion, the muscles of the neck and back not possessing sufficient power 
to support the head, or to keep the body in an erect position ; for this rea- 
son, children during this period should, when carried in the arms, be kept 
in a reclining position, so as to avoid an undue pressure upon the spinal 
column ; a neglect of this precaution, and a premature carrying of the 
infant in an upright position, is a too frequent cause of deformities of the 
spine, and derangement of the functions in after life. 

As its powers gradually develop, the infant seems inclined to exercise 
them, and evinces a desire to sit upright, which we may safely indulge, 
taking care not to overtask its strength by keeping it sitting up during the 
greater part of the time it is awake. A careful attention to nature in this, 
as in all other cases, is the best guide. 

The practice of dandling the child in an upright position, seems rather 
to proceed from the pleasure of indulging the feeling of parental affection, 
than from any benefit the child can, by any possibility, be expected to de- 
rive from it; in fact, it is highly injurious, even at a rather more advanced 
period, as exciting a premature involuntary exercise of the muscles, and 
consequent deformity. The act of respiration bringing into play a great 
variety of muscles, occasional crying seems sufficiently active exercise dur- 
ing this period. 

In mild spring and summer weather the child may, under favoring 
circumstances, after the first fortnight has elapsed, be carried out into 
the air tor a quarter of an hour at a time, and the period of exercise grad- 
ually increased; in fact, if the weather be fine, it can scarcely be too much 
in the open air. Should its birth occur in winter, advantage may be taken 
of a tine day, after it is a month or five weeks old, as the frame is grad- 
ually acquiring the power of generating heat; but, at the same time, great 



BET AR]&Ei> STRENGTH! OF TflE LIMBS. 663 

care must be taken to prevent its catching cold; and should the child 
exhibit the slightest sigu of being affected by the atmosphere, the practice 
of carrying it out of doors should' be immediately discontinued, and it 
should be carried up and down in a well ventilated room, the nurse moving 
it quietly in her arms from side to side. Many children are lost through 
a foolish idea of making them hardy, by accustoming them 1 to' endure cold ; 
this can occur only through ignorance; for nature, in very early infancy, 
does not possess sufficient energy of reaction to overcome the power of a 
sudden or long-continued chill. We may recommend an occasional gen- 
tle friction of the haud over the body and limbs, which materially assists 
in the promotion of the circulation of the blood, and will, in unfavorable 
weather, serve, in some measure, as a substitute for exercising the infant 
out of doors. 

The practice of assisting children to walk, or of exciting them to a 
premature exercise of their powers, is highly reprehensible, causing, in 
many cases, curvature of the limbs, the bones not being yet sufficiently 
formed to bear the burden imposed upon them. By allowing nature to 
act, the infant's power will become more gradually, but at the same time 
more fully developed ; its carriage will be more firm and erect, and its 
limbs straight and well formed ; moreover, it will walk with greater con- 
fidence and independence by the expiration of the first year, than those 
who have been taught to walk by the assistance of the nurse, leading 
strings, or mechanical inventions. 



RETARDED STRENGTH OF THE LIMBS. 

TREATMENT. 

Calcarea carb. is, in the majority of cases, the appropriate medi- 
cine when the child continues to be feeble, and any attempt to walk, or 
the capability of sustaining an erect position, is unduly procrastinated. 

Dose: Two globules every morning, the first thing, fasting for four 
days (unless some condition requiring other treatment should sooner 
arise) ; then pause eight days, after which repeat the course as be- 
fore ; then pause again for three weeks, and repeat the course once 
more. But if within three weeks after completion of the third 
course no very apparent change should have taken place, consider 
the following* medicines. 

Sieicea or Suephttr may be required after the previous employment 
of Calcarea, when the last named medicine has been productive of no very 
apparent improvement, more particularly if the child manifests a gener- 
ally feeble or scrofulous habit, and is affected with enlargement of joints 
or tendency to curvature of the bones, or rickety affections. 

Dose : Of the remedy selected, give two globules, as directed for Cal 
carea. 



664 DISEASES OF INFANCY. 

CHAPTER XXXIV. 



DISEASES OF INFANCY. 



INFLAMMATION OF THE EYES. 

OPTHALMIA. 

New born infants and older children are subject to Purulent Optlial- 
mia or inflammation of the eyes . This disorder is always more or less 
serious, for, unless speedily cured the inflammation may result in ulcera- 
tion and the contents of the eye-ball be discharged, causing permanent 
deformity as well as hopeless blindness. 

The first indication of the disease is generally the eyelids becoming 
glued together during sleep, with redness and swelling externally. 

The Causes are sudden exposure to the light of day, to cold, or the 
glare of a lamp or fires. Many cases of inflammation of the eyes occur in 
babes whose mothers are affected with leucorrhoea, therefore we must 
conclude a discharge from the genitals of the mother is a very frequent 
cause of opthalmia in newborn infants ; or it is sometimes epidemic ; and 
no doubt many children who are what is commonly called " born blind," 
owe their misfortune to the neglect of proper precaution, in many cases 
the external indications of this affection being so slight as to escape obser- 
vation. For additional particulars see page 179. 

TREATMENT. 

Aconite should be administered as soon as we become aware of the 
existence of this evil; a few doses will generally be found sufficient to 
subdue this affection in all mild cases. 

Dose : Two pills every four hours. 

Belladonna. The eyes look very red; cannot bear the light ; open- 
ing the eyes only when in a dark place. This remedy is good to alternate 
with Aconite. 

Dose: As for Aconite. 

Sulphuk. There are pimples, more or less over the body ; the eyes 
seem to itch very much. This remedy should be selected when we have 
reason to suppose the constitution of one or both of the parents is affected. 
A little breast milk applied to the affected eyes of an infant often affords 
speedy relief. 

Dose : Two pills repeated every twelve hours. 



HICCUP. 

This affection, though in itself of slight importance, frequently causes 
a consideraole degree of uneasiness to the young mother. It generally 
arises from exposure of the body, even in a warm room, to the atmospher- 
ic air, even during the operation of dressing and undressing the new 
born child. 



COLD IN THE HEAD. 665 

Wrapping the infant warm in bed, or better still, applying it to the 
breast will generally lead to a cessation of the affection ; should it, how- 
ever, continue, the administration of a small quantity of white sugar as 
much as will cover the end of a teaspoon, dissolved in a teaspoonful of 
water will frequently effectually remove the evil. 

Nux vomica. Two pills placed in the mouth of the infant will arrest 
the trouble if the other advice should fail. 

ALLOPATHIC TREATMENT. 

Hiccup is generally relieved by a sudden arrest of the attention, as 
by a reproof or a sudden expression of great surprise. Hot cloths wrung 
out of warm or hot water may be continually applied, or a mustard and 
flaxseed poultice laid over the region of the diaphragm. The common in- 
ternal remedies are cold water, snow, pounded ice, or ice cream. Ano- 
dyne and antispasmodic drugs are useful in this as in other coughs. A 
combination of Chloral, Bromide of Potassium with or without an opiate 
is generally effectual. Take of Hydrate of Chloral and Bromide of Po- 
tassium and Bicarbonate of Potash one scruple, Paregoric two drams, 
Peppermint Water sufficient to make two ounces. Mix. 

Dose : A teaspoon half full, to a dessertspoonful every two or three 
hours. Obstinate cases will require professional advice. 



SNUFFLES, OR COLD IN THE HEAD. 

CORYZA. 

Snuffles or cold in the head is one of the earliest and most common 
affections of the young infant. It consists of an inflammation of the mu- 
cous lining of the nose. The first that is known of it is, that the infant's 
nose is stopped up so as to hinder its breathing, hindering it in the action 
of sucking by not allowing the breath to pass through the nostrils, oblig- 
ing the infant to release the nipple in order to breathe, causing it to 
become fretful and irritable. 

While this state continues, it has its influence against the infant's 
thriving, both by hindering it from taking a sufficient amount of nour- 
ishment and by annoying the breathing of the child so as to disturb its 
sleep. When the nose is dry while administering a remedy, to remove 
the evil, relief may be obtained by oiling the nose on the outside and by 
using a feather or camel's hair pencil on the inside. Fresh lard, goose 
grease, cream, or a little breast milk will often afford grateful relief. 

TREATMENT. 

Aconite. This remedy, if administered at first when there are febrile 
indications, will often cut short an attack of coryza. 

Dose : Two globules every two hours. 

Nux. The trouble is worse at night, particularly toward morning or 
in the morning. Through the night the nose is very dry. 

Dose : As for Aconite. 

Euphrasia. Profuse fluent discharge and acrid discharge from the 
eyes ; the eyes are much involved. 

Dose : As for Aconite . 



666 DISEASES OF INFANCY. 

Chamomilla. Where there is watery or mucous discharge ; the child 
is quieted by carrying it up and down the room. One cheek red the 
other pale. 

Dose : As for Aconite. 

Pulsatilla is indicated by thick green or yellow bloody matter like 
discharge from the nose attended with frequent sneezing. Worse towards 
evening. 

Dose: As for Aconite. 

ALLOPATHIC TREATMENT. 

Cold in the head generally requires but little more than maintaining 
an equable temperature for a few days, when it naturally subsides. It is 
necessary to keep the nostrils open that the child may nurse. 

For this purpose the nostrils may be moistened with glycerine applied 
with a camels' hair pencil. Nurses are in the habit of provoking sneez- 
ing by dropping milk into the nostril, so clearing it out, and smearing 
the nose with Olive or Almond Oil. A very useful application when the 
discharge tends to continue, is Tannin fifteen grains, Fluid Extract of 
Belladonna twenty drops, Glycerine two drams. Mix, and apply with a 
a camels' hair pencil two to four times a day after first cleansing the nos- 
tril with a camels' hair brush and warm water. If the discharge is offen- 
sive a solution of one or two grains of Permanganate of Potash to the 
ounce should be used to cleanse the nostril. In chronic cases the above 
mixture of Tannin may be used alternately with the dry powder or a so- 
lution of Alum, five grains to the ounce, may be employed. 

If the disease depends on scrofula, the following mixture may be 
given: Take of Iodide of Potassium sixteen grains, Pyrophosphate of 
Iron ten grains, water sufficient to make a solution, Syrup of Peppermint 
sufficient to make two ounces. Mix. 

Dose: A teaspoon half full, to a teaspoonfnl, three times a day. Or 
three to five drops of the syrup of the Iodide of Iron may be given. 



CRYING AND WAKEFULNESS OF NEW BORN INFANTS. 

COLIC. 

Occasional crying of new-born children is a wise provision to bring 
the respiratory organs into play, and to expand the chest. When, however, 
the crying becomes excessive and threatens to prove injurious, we must 
in the first place endeavor to discover its origin, which will frequently be 
found in some derangement in the infant's dress, a wet diaper or tight band- 
age, or perhaps it may feel thirsty and would like to be refreshed by a 
little cold water. Care and love will easily detect the cause of the child's 
cries, and a good, true mother will scarce ever lose her patience at such 
times. Sleeplessness is often caused by similar circumstances; the chil- 
dren sometimes lie with their heads too high, or they are too warm, or 
they are sometimes affected by nursing their mother when she is in a 
nervous and excited condition ; all these things must be considered. 



CRYING AND WAKEFULNESS. 667 

TREATMENT. 

Belladonna will frequently be found sufficient to remove the evil, 
when no exciting cause or guiding symptoms of disease present them- 
selves, and the infant is peevish and irritable, affected with incessant 
whimpering and wakefulness, or prolonged fits of crying. The infant's 
face looks somewhat flushed. 

Dose : Two pills every three hours, until relief or change. 

Chamomilla is of very great service, when the child appears to have 
griping pain (colic), indicated by drawing up the limbs, contortions of the 
body and face ; or when there is a yellowish, greenish water discharge 
from the bowels, the child wants to be carried all the time. 

Dose; As for Belladonna. 

Coffea ckuda will generally prove beneficial, when the child is ex- 
ceedingly wakeful and bright, may be somewhat fretful or not. 

Dose: As for Belladonna. 

Aconite should be emploj'ed when there is in addition to the above 
mentioned symptoms considerable dry heat of the skin, with extreme 
restlessness. 

Dose : As for Belladonna. 

Ntjx vomica will usually succeed in restoring ease, when flatulent 
colic, accompanied with violent fits of crying, drawing up of the legs, 
and a costive state of the bowels, appears to be the cause of the disturb- 
ance. 

Dose : As directed for Belladonna. 

Pulsatilla is very suitable when the derangement arises from over- 
loading the stomach, or improper food, and the crying, or wakefulness, 
is accompanied with colic, wind and diarrhoea of stools, with no two 
that look alike. 

Dose; As for Belladonna. 

ALLOPATHIC TREATMENT. 

Crying, when not dependent on hunger, fright, willfulness, or peev- 
ishness, is generally dependent on dyspeptic colic. These are loud and 
may be long. 

Whimpering, moaning, painful cries, depend on inflammatory or ex- 
hausting diseases. The smothered cry depends on true or false croup. 
The treatment, therefore, will have reference to the causitive conditions . 
The use of soothing syrups is not free from danger, as they contain a se- 
cret amount of Morphine, which is an unsafe drug to give to children. 
Simple restlessness may be relieved by two to five-grain doses of Bromide 
of Potassium, dissolved in syrup. 

When necessary to give an anodyne, it is best to give Paregoric ; the 
doses of which is on the printed label, suited to the age. It can be given 
with the Bromide of Potassium, or an equal amount of Tincture of Hy- 
oscyamus. But rather than by any drugs, should relief be obtained by 
correcting whatever derangement causes the crying. 



668 DISEASES OF INFANCY. 

Colic may be temporarily relieved by a dose of Paregoric suited to the 
age, given at suitable intervals of from half an hour to longer intervals, 
until the pain is relieved. Warm cloths or poultices, over the abdomen, 
are useful. The principal treatment consists in correcting the derange- 
ment of the stomach and bowels. Irritation from unsuitable milk is a 
frequent cause, as is noticed at the period of menstruation during lacta- 
tion ; the occurrence of another pregnancy, violent mental emotions, 
hard, exhausting labor, errors of diet, or some other causes which render 
the breast milk unsuitable. These causes suggest their own change. If 
the amount or quality of the breast milk is insufficient, the trouble will 
be relieved by proper artificial feeding. An excess of acidity in the 
stomach, as shown by sour eructations (belchings), sour and greenish 
stools, scattered, sometimes, with lumps of undigested material, call for 
alkalies sufficient to correct these symptoms. The best is Bicarbonate of 
Soda, in doses of one or two grains, or teaspoonful doses of Lime Water, 
given often enough to correct the sourness (acidity). Two to five grain- 
doses of Pepsin, with an equal quantity of Bismuth may be given three 
or four times day. 

The regulation of the diet to the exact wants of the system, is the 
most important part of the treatment. This will have to be accomplished 
somewhat by experiment. The milk for artificial, as tested by litmus 
paper, should be alkaline, and not used until sufficient lime water or soda 
is added to make it so. It should be perfectly fresh, and kept on ice to 
prevent any decomposition (souring), or if this is impossible, and it can- 
not be freshly milked each time it is used, scalding will help to keep it, 
and is, in this case, permissible. 

The juice of lean meat may frequently be given, instead of milk, 
with advantage, or raw lean beef, chopped fine and ground in a mortar, 
and strained through a sieve, may be salted or sweetened and fed a tea- 
spoonful at a meal. It will frequently be digested w T hen milk will not. 

In older children, the treatment will be the same for the relief of 
pain. If the irritating matter is not removed by a free, loose stool, a tea- 
spoonful or a dessertspoonful of Castor Oil (mixed with an equal quanti- 
ty of inodorous Glycerine, and flavored with a couple of drops of Oil of 
Wintergreen or Cinnamon, to make it palatable), should be given. 

VOMITING OF MILK. 

SOUR STOMACH. FLATULENCE. 

The infant, the same as the adult, is subject to attacks of indigestion, 
and the disorder in the one case bears a certain similarity to that in the 
other. Though vomiting in every case is by no means the result of indi- 
gestion, for when the stomach is simply overloaded or rather overfilled, 
it relieves itself of the excess by vomiting, and this act takes place with 
little effort and no suffering, the process of digestion still going on undis- 
turbed. 

When indigestion, colic, constipation or diarrhoea arises from impro- 
per food, in babies raised by hand— that is, from food which evidently 
does not agree with the child's stomach— or even from unwholesome ma- 



VOMITING OF MILK. 669 

ternal milk, we will frequently have to encounter many difficulties before 
we can select a suitable article of food that will agree with the delicate 
digestive apparatus of the babe. We should endeavor to make a good 
choice of food; and if, having done so, we find that the choice has 1 been a 
mistake we should try again, not despairingly, but remembering always 
that what is one baby's food is another baby's poison. 

TREATMENT. 

Ipecac. There is much sickness of the stomach the more constant tb,e 
nausea, the more certain will Ipecac relieve; the stools look fermented. 

Dose: Two pills, repeated after a lapse of four hours. 

Chamomilla. The child is very irritable and fretful, must be carried 
all the time; distress after nursing; sleepless starting and jerking while 
asleep ; stools smell like rotten eggs and are green, chopped, or consist of 
white and yellow mucus. 

Dose : As for Ipecac. 

Arsenicum. The food is thrown up as soon as taken into the sto- 
mach, and passes off through the bowels undigested; the stools are offen- 
sive; much crying during and after nursing, or as soon as the child begins 
to take food . Emaciation and restlessness. 

Dose : As for Ipecac. 

Nux vom. is indicated when vomiting of milk is attended with flatu- 
lence, constipation, uneasiness or irritability of temper. 

Dose : As for Ipecac. 

Bryonia. Should be given the second dose of Nux after the lapse 
of four hours, if the symptoms mentioned in the last remedy have not 
entirely yielded to its action. 

Dose : As for Ipecac. 

ALLOPATHIC TREATMENT, 

Flatus will be relieved by alkalies, given as above, and care regarding 
food. 

Vomiting, except as a symptom of serious disease, and not simply a 
regurgitation from over-distention of the stomach, will be relieved by the 
same means occurring from over-distention, the infant should be given a 
little less of that article of food at a time. With infants at the breast, it 
is generally of no consequence. 



flatulent;distention of the stomach and bowels. 

Gentle friction with the palm of the hand which has been previously 
warmed, will often give grateful relief. It is best to begin at the lower 
right side of the bowels, passing the hand gently up the right side as 
high as the stomach, then across and down the left side and so on. At 
the same time the following remedies should be employed. 

Nux vom should be employed at the onset for children of a spare, 
meagre habit, or who are more subject to a costive condition, 

Dose : One pill every two hours. 



670 DISEASES OF INFANCY. 

Pulsatilla is to be preferred if the children are of a relaxed habit or 
who are subject to discharge from the eyes and eyelids; or particularly 
when diarrhoea is present. 

Dose : As directed for Nux. 

Chamomilla should be administered four hours after the third dose 
of Nux or Pulsatilla, if no permanent relief should have resulted ; and 
more especially if convulsions or diarrhoea be developed as attendant 
symptoms. 

Dose : As directed for Nux . 

Diet. The diet must at the same time be attended to and altered if 
of an indigestible nature and the suspected cause of the mischief. 



MILK CRUST. CRUSTA LACTEA. MILK SCAB. 
Description and Symptoms. This eruption occurs in children 
while nursing, and more commonly while teething, and appears to be much 
closely connected with that process. It commonly commences on the 
cheeks, and forehead, by the breaking out of a number of small yellowish 
pustules, (pimples) crowded together upon a red surface. These pustules 
excite great itching, and are quickly broken, discharging a viscid fluid that 
dries, forming greenish-yellow scabs ; the scabs are frequently rubbed off but 
form again; fresh crops of pustules appear around the scabs which quickly 
extend to the scalp, and even the face. The eruption appears behind the 
ears, and patches will sometimes appear also, upon the neck and breast. 
The discharge from the pustules is caught by the hair upon the head, and 
forms into small irregular friable masses, which may resemble the bruised 
yolk of a hard boiled egg. The pustules or achores as the small superficial 
ulcers which they form upon the skin are sometimes called, have an irre- 
gular form, contain a straw-colored fluid, rest upon an inflamed base, and 
are succeeded by a thin brown or yellowish scab. There is much irrita- 
tion, heat, and itching ; the discharge is very profuse, and with so much 
itching that it is easily rubbed off, leaving the surface raw and excoriated. 
Whenever this discharge is brought in contact with the skin — in the face, 
where it trickles down upon the breast, where it falls, and upon the backs 
of the hands, violently used by the child to rub with— it proves so acrid as 
to produce there a fresh eruption. The same is true even of the arms of 
the nurse upon whicli the child rests its head at night. The itching and 
burning acridity of the eruption, and discharge are much worse at night. 
All external application should be voided, with the exception of a little 
sweet cream or olive oil, which has sometimes proved very grateful. Ev- 
erything should be carefully avoided which would have a tendency to 
drive this eruption in, since it might result in some more serious trouble. 

TREATMENT. 

ACONITE should always commence our treatment, when we find ex- 
cessive restlessness and excitability produced by this affection, and when 
the skin around the parts is red, inflamed and itching. 

Dose: Two pills repeated every two hours. 

Viola Tkioolob. As soon as the beneficial effect has resulted from 



PPTILE— -THRUSH. 671 

the administration of Aconite; and six hours after the last dose of that 
medicine, it will be well to proceed with the remedy under consideration,, 
which, in the simple and uncomplicated form of the disease, is often suf- 
ficient to effect a cure. 

Dose : Two globules every night and morning. 

Caucarea. Eruptions, with thick scabs and yellow pus underneath. 
Stools having a chalky appearance. Sometimes the eruption appears in 
the form of a ring-worm . 

Dose: Two globules every morning. 

Graphites should be given when a transparent, glutinous fluid ex- 
udes, which causes the crusts to fall off*; the eruption appears more par- 
ticularly on .the chin and behind the ears; emits a fetid odor, and itches 
intolerably. 

Dose : As directed for Viola Tricolor. 

Arsenicum is indicated when the eruption is very dry and scaly and 
causes destruction of the hair. 

Dose : As directed for Viola Tricolor. 

Rhus Tox when the scalp is considerably affected ; thick scales ; a 
bright edge of inflammation surrounds every portion of the eruption and 
there is much itching, particularly at night. 

Dose : As for Viola Tricolor . 

Sulphur when the eruption extends more or less over the whole 
body, with much itching ; although the main affection appears on the 
head. 

Dose : As directed for Calcarea. 

Sepia. Eruption very moist; almost constantly discharging pus- 
like matter. The child often jerks its head to and fro, seemingly from 
the itching. 

Dose : Two pills every evening. 



' APHTHAE. 



THRUSH. 



The thrush often attacks the infant in the second week, and is char- 
acterized by the mouth and tongue being covered with minute whitish 
blisters, which are rubbed off by the action of sucking. A succession of 
these vesicles is constantly taking place as long as the disease lasts, and if 
not checked, becomes confluent and sometimes present an ulcerated ap- 
pearance or form a thin, white crust which generally lines the whole 
cavity of the mouth, and in severe cases, extends to the throat and even 
throughout the stomach and bowels. 

The affection, although of itself neither malignant nor dangerous, 
frequently causes not only considerable suffering to the child by prevent- 
ing it from suckling, but great pain and inconvenience to the mother by 
being communicated to the nipples and causing excoriations, etc. 



672 DISEASES OF INFANCY. 

TREATMENT. 

Chamomilla. When the child exhibits much uneasiness and must 
be carried all the time, this remedy will prove more beneficial. 

Dose : Two pills every three hours. 

Mercurius is to be recommended when there is more than usual 
moisture in the mouth. There is inflammation in the whole cavity of the 
mouth ; the gums have ulcers on them. 

Dose : Two pills to be taken every four hours. 

Carbo veg. The mouth is very hot, the tongue almost immovable, 
and a sort of bloody saliva escapes occasionally. 

Dose : The same as for Mercurius. 

Sulphur. The child does not take its usually long sleep ; it awakens 
often and the same symptoms prevail, even after taking the other reme- 
dies. 

Dose : As for Mercurius. 

Bryonia. The mouth seems unusually dry with thirst ; dry lips, 
rough and cracked ; the child does not like to take hold of the breast, but 
when once in its mouth and moistened, and it is fairly at work, it nurses 
w ell. 

Dose: The same as for Chamomilla. 

EXTERNAL APPLICATIONS. 

The mouth should be carefully washed after nursing with a soft old 
linen rag dipped in tepid water or in water containing a small quantity 
of Borax and Honey in solution. Pure molasses applied by means of a 
piece of old linen or muslin or by the finger, constitutes one of the best 
healing washes where one seems to be needed. 

ALLOPATHIC TREATMENT. 

Thrush: A good digestion and regularity of the bowels, should be 
secured. The nourishment of the child is generally insufficient, so that 
in cases of weakly infants, additional feeding is necessary. A little new 
creamy milk, the juice of lean meat or freely ground lean beef may be 
given. Eor local use, awash of lime water, a solution of Chlorate of 
Potash or Borax is appropriate. 

If ulceration occurs, the popular Golden Thread tea and Borax may 
be used. Sulphurous Acid two drams in an ounce of water, may be ap- 
plied with a linen mop. Other remedies are given on page 216, in the 
treatment of Stomatitis. 



CONSTIPATION. 

Even very young infants are sometimes affected with constipation; in 
fact, during the first two months of infantile life, constipation is frequent, 
while diarrhoea is comparatively rare. This may be occasioned by some 
hereditary predisposition, and be maintained by the constantly imparted 
influence of a costive habit on the part of the nursing mother. 

In the medical treatment of the constipation of infants, recourse must 



CONSTIPATION OF INFANTS. 673 

always be had to the cause. If this be found in the nursing mother, the 
proper remedies should first be administered to her. Should there be any- 
thing in her diet which may be capable of rendering either her or her child 
constipated, this should also be attended to. With scarcely a single excep- 
tion, cases of costiveness in nursing infants will be found dependant upon 
the influence of diet, hereditary and constitutional weakness and inaction 
of the bowels or actual derangement of the liver. 

MECHANICAL MEASURES. 

Before proceeding to enumerate the remedies, we may observe that 
an injection (lavement) of tepid water, or of some milk and water, mav 
occasionally be used, if necessary to remove the obstruction of feces ; or, a 
suppository consisting of a small strip of paper or linen, spirally twisted 
and lubricated with oil, may be introduced by a gentle rotary movement. 
If these means should fail at first, they should be repeated after the lapse 
of a few hours. Rubbing the stomach and bowels frequently in the course 
of the day with a warm hand sometimes assists the means employed. In 
order to overcome the constitutional tendency, it will be well to use the 
appropriate remedies. 

MEDICINAL MEANS. 

Nux vom. when the stools are large and difficult or small, frequent and 
painful, with disturbed or restless sleep, frequent efforts to evacuate the 
stool without effect. 

Dose : In ordinary cases give two pills morning and evening for two 
days, then pause two days. 

Bryonia is suitable if the stools are very dry, as if burnt, and of a 
dark color : dry lips and mouth, and there is alteration of constipation and 
diarrhoea. This is a good remedy to alternate with Xux Yom. 

Dose: As for Nux Yom., or when alternate with Nux Yom., give 
Bryonia in the morning and Nux Yom. in the evening. 

Calcarea Carb. is to be preferred when the stools are of a whitish 
or a clay color. 

Dose: As for Nux Yom. 

ALLOPATHIC TREATMENT. 

Constipation is best relieved by injections of soap and water or cold 
water. I have known teaspoonful doses of Olive Oil to relieve constipa- 
tion in infants without being followed again by constipation. Syrup of Rhu- 
barb in doses of half a teaspoonful to a teaspoonful and a half may be used. 
Fluid Extract of Senna in doses of ten to thirty drops in syrup is gener- 
ally an effectual remedy in constipation. Change in the diet which will 
overcome costiveness is called for. To this end fruit is indicated. It may 
be raw or cooked. 

If hard feces have lodged in the rectum (lower bowel) which the in- 
jections do not remove, they should be broken down by the finger or 
removed with the handle of a spoon. 

In older children free exercise should be taken ; in cities the systema- 
tic use of gymnastics may be useful. Cold wet packing of the abdomen 

43 



'874 DISEASES OF INFANCY. 

"often succeeds. Exercise, cool bathing and a diet with plenty of fruit 
will probably relieve. The Fluid Extract of Senna may be given, and for 
continued use Tincture of Nux Vomica and Belladonna will establish the 
habit of a regular stool. Take of Tincture of Nux Vomica and Tincture 
of Belladonna each two drams, Syrup of Orange Peel four drams. Mix. 

Dose: One to twenty drops once a day according to the age of the 
child. 



DIARUHCEA OF INFANTS. 

Infantile diarrhoea constitutes one of the most frequent, and serious of 
all diseases that occur in infancy and childhood. Of itself alone diarrhoea 
does not often prove directly fatal, but its long continuance seriously 
weakens the patient, and endangers the health, and it constitutes more- 
over a very grave complication of other forms of disease. 

Causes of diarrhoea are various; the introduction into the stomach of 
inappropriate indigestible food ; the deranged condition of the mother's 
milk induced by mental emotions, improper diet, or other causes on the 
part of the mother; fright, and exposure of the infant to cold; and the im- 
proper use of laxatives, etc., may be enumerated as being the most 
frequent exciting causes of this disorder. 

It is well to notice closely as to the symptoms. A healthy infant at 
the breast, passes on an average from three to six motions in twenty four 
hours; but in some instances the evacuations are more frequent, yet with- 
out in any degree affecting the health of the child; in such cases then, 
there ought to be little or no interference, so long as the stools remain 
free from fetor, possessing merely the slightly acid smell, peculiar to un- 
natural indication. When, however, the stools become green, and watery, 
or yellow and watery, brown and frothy, as if fermented, mixed with 
phlegm or mucus, or consisting entirely of mucus, emit an offensive odor, 
and are generally preceded or accompanied by signs of suffering, it be- 
comes necessary to have recourse to remedial aid. 

TREATMENT. 

Aconite should be employed when the skin is hot and dry ; and the 
child is restless; stools watery and of ten of a dark color ; after the fever 
has subsided the diarrhoea will usually disappear also. 

Dose: Give two pills every hour, until the fever abates, then grad- 
ually lengthen the time. 

Antimonium crud. When the tongue is coated white, and there is 
some nausea and watery discharges; sometimes there are hard lumps of 
feces with the water. 

Dose: Four pills every four hours. 

Chamomilla is almost indispensible in bowel complaints, when the 
following symptoms are present: redness of the face or of one cheek, 
hardness and fullness of the belly, attended by severe colic; constant cry- 
ingand drawing up of its legs, wants to be carried. Its discharges smell 
like rotten eggs. 

Dose; Two pills every two hours. 



DIARRHOEA OF INFANTS. 675 

Arsenicum is suitable when there is much exhaustion and rapid ema- 
ciation ; stools undigested, offensive, and painful immediately after taking 
nourishment; stools and vomiting at the same time. 

Dose: The same as for Chamomilla. 

Bryonia. Diarrhoea from hot weather, or is aggravated by the re- 
turn every hot spell of weather. 

Dose: The same as for Chamomilla. 

Calcarea Carb. is particularly suitable for children who have larger 
heads and open fontanelles; the head perspires much so as to wet the pil- 
low far around. Muscles soft and flabby. 

Dose: As for Antimonium Crud. 

Carbo-Veg. should be administered when Bryonia fails. 

Dose: As for Bryonia. 

Pulsatilla is suitable for diarrhoea arising from indigestion, or from 
a chill. The stools are very changeable, no two alike, and are usually 
worse at night. 

Dose : As for Chamomilla. 

Ipecac is particularly good when there is much nausea and vomiting, 
or almost constant nausea; the stools are frequent. This remedy is 
particularly indicated at the time of weaning, or when food disagrees. 

Dose: As for Chamomilla. 

Mercurius is characterized by the following symptoms: much pain 
before the stool, great relief afterwards; stools frothy, slimy, bloody or 
dark green, with much straining. The child's legs and thighs are cold and 
clammy, particularly at night. 

Dose: As for Antimonium Crude. 

Belladonna. When the child is very drowsy, half asleep and half 
awake, much moaning. 

Dose : As for Ariti. Crud. 

Podophyllum should be employed when the diarrhoea is worse in 
the morning, stools green or watery,- or which may be quite natural, only 
too frequent. This is particularly good when there is falling of the 
bowel. 

Dose : As for Anti. Crud. 

Sulphur is particularly good for children who have delicate parents. 
Much redness around the anus, eruption of pimples upon the skin ; or, it 
the child, after getting better, under other remedies, always gets worse. 

Dose : As for Anti. Crud. 

Yeratrumalb. Much exhaustion after every passage, with cold 
sweats upon the forehead, or upon the skin in general. 

Dose: As for Chamomilla. 

ALLOPATHIC TREATMENT. 

For treatment of the diarrhoeas of children, see Chapter XIII, p. 27f). 



676 DISEASES OF INFANCY. 

CHOLERA INFANTUM. 

SUMMER COMPLAINT. 

This is a special form of bowel complaint, which requires special 
notice. This disease very often proves fatal, even under the best of treat- 
ment, since it appears usually in the latter part of the summer, when the 
young infant's system is already somewhat exhausted by the previous 
heat ; when the air is impure and the weather sultry, or warm and damp 
and seems to spring up as an epidemic from some atmospheric miasm 
which is little less than malignant. In this, the worst form of infantile 
diarrhoea, all the symptoms seem equal in intensity and the disease runs a 
very rapid course. Children under two years are most liable to at- 
tack. 

Vomiting and diarrhoea form the most noticeable symptoms. The 
stomach is so irritable that it rejects immediately and sometimes with 
great violence, everything that it receives . At first the matter vomited 
consists of the ordinary contents of the stomach, but this does not continue 
long, as the malady advances the matter vomited is tinged with bile and 
presents a greenish hue. 

The discharge from the bowels usually consists of a colorless or some- 
times greenish; inodorous and watery fluid ; occasionally with shreds of 
mucus mixed with it. The stools are usually discharged without effort— 
sometimes unconsciously— or are squirted out as though thrown from a 
syringe. Frequently there is considerable pain with straining, the infant 
manifesting its sufferings by a whining, plaintive cry, by restlessness and 
by drawing up and extending its limbs. As the disease advances vomit- 
ing becomes spontaneous and the matter ejected resembles that passing 
from the bowels, while the number of stools increase. Sometimes there 
is a sudden lull in the whole force of the disease or the diarrhoea may 
abate and the vomiting continue or the opposite. There is extreme languor 
and prostration and generally very rapid emaciation ; which conditions, 
together with the vomiting and the diarrhoea as above described clearly 
and unmistakably point to cholera infantum. 

As the disease progresses, the discharges from the bowels become still 
more frequent, are passed involuntarily, and are usually more profuse, 
resembling dark-colored dirty water or "washings of meat," and are 
very offensive ; emaciation becomes extreme ; the eyes are languid and 
dull, or hollow and glassy, and the child takes no notice of surrounding 
objects or persons ; the lips are dry and shrivelled. In many cases, the 
child lies in an imperfect doze, with half-closed eyes, and entirely insensi- 
ble to external impressions. The abdomen frequently becomes distend- 
ed, and hard, or is sunken or flacid. 

Frequently, in fatal cases, the child falls into a complete state of stu- 
por, and convulsions ensue. It not unfrequently happens, particularly 
in children predisposed to affection of the brain, that in an early stage of 
the disease, the brain becomes involved, and the child dies with all the 
symptoms of Inflammation of the brain. 

Favorable SYMPTOMS are: an abatement of the fever, and the 



CHOLERA INFANTUM. 677 

gradual restoration of an even temperature, with decreased frequency of 
the pulse; cessation of vomiting, and decrease in the number of evacua- 
tions, with a gradual return of the stool to a more natural condition and 
appearance; natural and peaceful sleep; desire for food; and a general im- 
provement in the appearance of the child, together with a return of 
playfulness. 

TREATMENT. 

Much of what has been said under the head of Treatment, in the pre 
ceding article on "Diarrhoea of Infants'' (page 674), may be made 
available in selecting the remedy suited to a case of cholera infantum, 
and that article should be, therefore, carefully consulted. The subjoined 
medicines, however, are those most frequently called for in the treatment 
of the disease under consideration, and are approved as of the utmost 
efficacy when carefully seletecd for the individual case. 

Aconitum is very frequently indicated, and should be given, in cases 
in which there is febrile excitation, manifested by acceleration of the 
pulse, heat and dryness of the skin, and thirst. Under such circumstances 
it often happens that Aconitum, when promptly administered, not only re- 
moves the febrile indication, but, as well, cuts short the entire disease, 
and very promptly aids in restoring the babe to health. 

Dose: Two globules dry, on the tongue, every one or two hours, accor- 
ding to the severity of the symptoms, until manifest improvement 
or change. If a favorable change should result, however slight, at 
once lengthen the intervals between the doses to two, three, or four 
hours, as the case may be, according to the existing condition, 
and finally cease giving medicine upon the exhibition of marked 
and decided amelioration and improvement. Should, however, no 
evidence of improvement be manifested after the sixth dose, or 
should symptoms indicative of some other remedy sooner occur, 
proceed at once to the administration of another and better indicated 
remedy. 

Arsenicum is suited particularly to cases in which there is great 
weakness from the first, so that the child does not care to hold its head 
up ; there is much thirst, while drinking induces vomiting and stool ; 
vomiting and purging occur at the same time, and greatly exhaust the 
child ; the child has a pinched and distressed look, and is very restless^ 
which restlessness, together with the other symptoms, grow worse after 
midnight; coldness of the hands, feet, etc. 

Dose: In every particular as directed for Aconitum. 

Ipecacuanha should be given when the stools, which are very fre- 
quent, have a fermented appearance, or resemble greenish water ; and 
when, more particularly, nausea and vomiting predominate, the child 
seeming to be sick at its stomach, almost constantly. 

Dose: In every particular as directed for Aconitum. 

Chamomilla will frequently prove useful in the early stages of some 
cases, particularly if the child be suffering from the irritation incident to 
dentition ; it is more particularly indicated by the presence of griping, 



678 DISEASES OF INFANCY. 

colicky pains, with greenish stools ; i ret fulness and crossness, with de- 
sire to be carried. 

Dose. Two globules dry, on the tongue, every three hours, until 
manifest improvement or change. 

Vebatjium is required in cases in which the purging and vomiting 
are almost constant and simultaneous, and are excited by even the small- 
est quantity of nourishment or drink ; motion even excites nausea ; there 
is very great prostration, with coldness of the face and extremities, and 
cold sweat forming on the forehead, and an almost imperceptible pulse. 

Dose: As directed for Aconitum. 

Secale is indicated by a chain of symptoms very similar to those 
pointing to Veratrum, but is more particularly indicated by paleness of 
the face, with sunken eyes, dry heat of the body, restlessness, and sleep- 
lessness. 

Done: As directed for Aconitum. 

Podophyllum should be given in cases in which the dejections have 
an exceedingly offensive odor, and are passed most frequently in the 
morning; the child moans during sleep, lying with half-closed eyes, and 
rolls its head from side to side. 

Done: In all respects as directed for Aconitum. 

Mercurius should be given, particularly at the commencement, if 
there be much colicky pains, which are relieved by the purging, the stools 
being slimy or bloody ; or, when there is a great deal of perspiration, par- 
ticularly on the thighs. 

Dose: As directed for Aconitum. 

Croton tig. should be administered in cases in which the stool 
Ls forcibly expelled, as though forced from a syringe, — one gush and it 
ceases. 

Dose: As directed for Aconitum. 

Bellalonna is required in some cases, particularly if there be great 
heat of surface, with flushed face, and evidences of a tendency to conges- 
tion of blood to the head; the child is very thirsty, drinks hurriedly, and 
thrusts its hands constantly into its mouth. 

Dose : As for Aconitum . 

Calcarea carb. will prove valuable in cases in which the stools are 
whitish and watery, and have a sour smell, as does the matter vomited ; 
there is great emaciation, while the abdomen is bloated; the face has an 
old, wrinkled look ; the extremities are cold. It is especially adapted to 
scrofulous children, with retarded dentition, or where the case has be- 
come chronic. 

Dose: Two globules, dry on the tongue, repeated every four hours, 
until manifest improvement or change. 

Sulphur may be called for, in cases similar to those indicative of 
Calcarea. It should be given, likewise, in cases where the patient, hav- 
ing got better, relapses, and this process is again repeated, so that the case 
sterns to linger, and has a tendency to become chronic. 

Dust: As directed for Calcarea. 



CHOLERA INFANTUM. 679 

Bryonia, Nux-vomica, may be called for in the treatment of this 
malady, in its earlier and later stages. For discriminative indications for 
their use, consult, under the heading of each medicine, respectively, the 
article on " Diarrhoea of Infants." 

Diet and Regimen. Very little nourishment will be taken by an 
infant suffering from cholera infantum. Breast-milk should constitute 
its chief source of food and drink, in cases in which the child suckles; 
but in other cases, however, great care must be taken to avoid giving any- 
thing that can add to the irritation already existing in the stomach and 
bowels. Pure dilute milk, boiled and sweetened, or thin, well-boiled oat- 
meal gruel, will afford sufficient food and drink. Water may be given in 
small quantities, if it does not excite vomiting ; in which latter case, the 
infant may be permitted to suck small pieces of ice from time to time, if 
its lips be parched and dry, or a small piece of ice may be enclosed in a 
linen rag, and the child allowed to suck at it. Every effort should be 
made to sustain the natural warmth of the body, particularly of the ab- 
domen and lower extremities, by the application of warmed woolen 
cloths; but the resort to the application of cloths wrung out of hot spir- 
its, or claret wine, or other poultices, is highly objectionable, and should 
not be resorted to. 

ALLOPATHIC TREATMENT. 

In the Cholera of infants, if vomiting and purging have not emptied 
the stomach and bowels of their irritating contents, as shown by undiges- 
ted substances in the stools or vomited matter, an emetic of three or five 
grains of Ipecac should be given in water, or a purge of three grains of 
Calomel should be given. The latter should be assisted in its operation 
by an injection of warm water. If no indigestible matter is noticed, 
neither a purge nor an emetic should be given, but no time should be lost 
n stopping the discharges. This is best and soonest done with Opium. 
One drop of Laudanum may be given with a teaspoonful of Chalk Mix- 
ture or three grains of Sub-Carbonate (or Nitrate) of Bismuth in a tea- 
spoonful of Lime Water. This may be given every hour to a child a year 
old. To those younger Paregoric should be given instead of Laudanum. 
If neither Bismuth and Lime Water nor Chalk Mixture are at hand, the 
opiate should be given with a grain or two of Bicarbonate (baking) 
Soda. 

The object is to diminish the discharges from the stomach and bowels 
and improve their character. When the discharges are checked or the 
child begins to be stupid the opiate should be discontinued or given less 
frequently. When the vomiting has ceased, if the bowels continue mov- 
ing, if the child is not inclined to be stupid an injection of two to five 
drops of Laudanum maybe given with half a teaspoonful of milk in a 
small hard rubber syringe. 

If the child is nursing it should be confined wholly to the breast, and 
then only allowed to draw small quantities at a time. If the breast milk 
is rejected it can be allowed lean meat finely minced, pounded in a mor- 
tar and strained, which may be seasoned with salt. The white of eggs 



680 DISEASES OF INFANCY. 

mixed with water and rendered alkaline with Bicarbonate of (baking) 
Soda, five to ten grains, is frequently well digested. The raw meat juice 
and white of egg are of great use when there is great prostration or ema- 
ciation. 

If the pulse weakens or collapse threatens stimulants should be freely 
given. Brandy or Bourbon Whisky is best suited. The dose is fifteen or 
twenty drops to a teaspoonful given with the milk, meat, or egg, and can 
be repeated at intervals varying from one to four hours. Stimulants are 
generally indicated early. 

Rice or .barley water can be drunk ; small lumps of ice may be al- 
lowed . 

A warm poultice over the stomach will be beneficial. Great heat of 
the skin will require cool sponging. If the skin is cool or cold a warm 
bath of 100° to 104° will be beneficial. 

Sometimes Cholera infantum is caused from ill nourishment. In 
these cases the acute symptoms are relieved by Opium as above directed, 
and better nourishment completes the cure. When the disease occurs 
from the effects of heat Bromide of Potassium is highly serviceable and is 
thought by some to be generally applicable. Take of Bromide of Potash 
two scruples, Mucilage of Gum Arabic two ounces. Mix. 

Dose : From fifteen drops to a teaspoonful. 

•Five grain doses of Cerium, an eighth of a drop of Creosote, or Car- 
bolic Acid in water, are useful in relieving the vomiting. Continued diar- 
rhoea will call for astringents as directed for that disease. Anaemia (thin 
blood) will require tonics, such as : Take of Citrate of Iron and Quinine 
ten to fifteen grains, Orange Water and Peppermint Water each an 
ounce. Mix. Give a teaspoon half full three or four times a day. If the 
cause of the disease is malarial, one or two grains of Quinine ought to be 
given at the first intermission. 



CHAFING; EXCORIATIONS. 

Excoriation, soreness, or chafing, frequently occurs in those parts of 
the skin of infants which are either rubbed together in the natural move- 
ments of the limbs, or liable to be fretted by friction of the diaper or 
other articles of clothing. Thus the groins, the surface between the geni- 
tals, and the thighs, behind the ears, under the arms, and even the folds 
in the neck of fleshy children, may become the seat of these excoriaj 
tions. 

Such tenderness of the skin is due, in the first place, in a great part, 
at least, to taint in the constitution ; and for its complete removal will 
require therefore a suitable remedy. Against this affection cleanliness is 
the bestpreventive. 

TREATMENT. 

Chamomilla will be found speedily effective if the child cries much 
and requires to be carried continually up and down the room. 

Done: Four globules night and morning. 



ASTHMA MILLARIS 681 

Mercurius. The excoriation is much worse at night ; it is very raw 
and bloody ; the child does not sleep much. 

Dose : As for Chamomilla. 

Calcarea cakb. will be suitable for very fat and flabby children. 

Dose : Two pills in the evening. 
. Graphites will be found useful when the affected parts discharge a 
quantity of transparent glutinous fluid, especially behind the ears and 
between the thighs. 

Dose : As for Calcarea Carb. 

Sepia. The skin is very delicate ; the least injury tends to ulcera- 
tion. 

Dose : As for Calcarea Carb. 

Sulphur. There is much itching of the skin in general and of the 
parts affected. 

Dose : As for Calcarea Carb. 

A most valuable application to the excoriated parts of infants is to 
take green tea and pulverize it to a fine powder and apply the same as 
any powder. 

ALLOPATHIC TREATMENT. 

Protecting the chafed or excoriated skin from irritation, will provide 
for its cure. If the trouble is caused by the discharges from the bowels 
or bladder, the napkin should be immediately removed and the child 
cleaned. These discharges must be rendered unirritating by giving Bi- 
carbonate of Soda, in doses of one or two grains, sufficiently often to ac- 
complish the result. 

The raw surface on the skin may be dusted by starch, flour, Oxide of 
Zinc or Calomel, or the Benzoated Oxide of Zinc Ointment, may be 
applied. 



ASTHMA MILLARIS. 

Attacks children between two and eight (seldom infants at the 
breast or full grown persons), is very similar to Croup. The attack almost 
always sets in in winter, in consequence of a cold; first at night, suddenly 
without any distinct premonitory symptoms, and sets in at once with 
the most violent symptoms of suffocation without any rattling or wheez- 
ing. 

The pulse is hurried and small. If cough sets in it is short, rough, 
without gagging or expectoration ; the voice is hoarse, deglutition, diffi- 
cult. However, the child does not complain of a local obstacle in swal- 
lowing or breathing or of pain in the larynx or trachea, but of a dull pain 
or spasmodic drawing throughout the chest, as if caused by suffocating 
vapors. Slight spasms and change of color are noticed. A general ere- 
thism of the circulation and nervous system, scanty and pale urine hav- 
ing a sweetish odor. The patient is suddenly roused with a fearful look 
and an expression of anxiety in the altered features. The voice is 



682 DISEASES OF INFANCY. 

deep, barking, hollow sounding, husky, very seldom wheezing or crowing. 
During the convulsive movements of the chest the labored inspirations of 
the chest are suddenly followed by a noisy expulsion of the air. The face 
becomes dark-colored, the eye becomes staring and protruded, the veins 
of the neck and temples swell. If the attack does not destroy life it ends 
in a few hours with sneezing, eructations and vomiting. The breathing 
becomes easier, the peculiar sound disappears and amid a general subsi- 
dence of the symptoms the child falls into a quiet slumber from which it 
awakes exhausted and desponding. Generally a second attack sets in the 
following night, moie violent than the former with increasing fever. The 
danger of suffocation is greater, the face and lips become mottled blue, the 
shoulders are raised, and all the muscles of the thorax are violently 
worked. The face becomes more and more distorted, the nostrils dilate, 
the pulse becomes very rapid and intermits ; the patient tosses about, is 
covered with cold or lukewarm perspiration, feces and urine are passed 
involuntarily, but the consciousness is undisturbed ; finally the patient 
dies of suffocation amid convulsions. Only a few children survive more 
than one attack and death almost always sets in during the third or fourth 
attack. 

The attacks never terminate with expectoration. 

Asthma Millaris cannot well be confounded with croup, if we remem- 
ber that in croup the larynx is always tender to pressure, and that the 
patients bore their heads into the pillow, whereas in this disease the 
child sits erect and does not complain of pain in the larynx, but of spas- 
modic constriction of the chest. In croup the breathing is fine and crow- 
ing ; in asthma millaris it is deep and hollow. 

If the disease is speedily recognized subsequent attacks may be aver- 
ted and the present attack modified and alleviated by one of the following 
remedies. 

TREATMENT. 

Ipecacuanha. Sudden paroxysms of suffocation at night with a 
sensation of violent constriction in the chest, short and anxious inspira- 
tions and sudden and jerking expirations, pale, bloated face with blue 
margins around the eyes ; peevish mood. 

Sanbucus nigra. Sudden starting up from sleep with a shriek, 
anxiety and trembling, sudden, wheezing inspirations which sometimes 
intermit, deep, hollow rough voice, bluish puffiness of the face and hands 
protruded eyeballs with the mouth half open. Anxious tossing about ; 
heat without thirst, hurried and tremulous pulse, torpor and copious, 
mostly cold, sweat. 

On comparing these indications with the symptoms of the disease, it 
is readily seen that Ipecac isonly given to advantage in the beginning of 
the attack, and if the attack attains to its full development Sambucus 
lias to be given. if the attack should set in again during the night fol- 
lowing, nothing can be expected of this agent, and it will be advisable to 
give Arsenicum. All these remedies have to be given in the form of a 
eatery solution— a dose every five or ten minutes. 



SWELLING OF THE BREASTS.— ATROPHY. 688 

Other varieties of Asthma can be most frequently controlled by Ar- 
senicum. 

For Asthma caused by the inhalation of sulphur, we give Pulsatilla. 

Asthma, caused by a fit of anger, or a cold, can be best relieved by 
Chamom. or Nux-vom, the latter being more particularly indicated by a 
vehement disposition. 

For Asthma caused by the inhalation of stone dust, in the case of 
stone-cutters, sculptors, etc., we give Calc. Carb., Silic. or Sulphur. 

Calc. Carb. is a main remedy for chronic Asthmatic complaints, 
with disposition to draw a long breath, and sensation as if the breath 
were arrested between the shoulder blades. The distress is relieved by 
raising the shoulders. Mere stooping causes the breath to give out fre- 
quent paroxysms of dry cough, at night especially. 



SWELLING OF THE BREASTS. 
These organs in infants — more especially female infants— sometimes 
become swollen and hard, which is often the result of the absurd and 
wicked practice on the part of nurses, of squeezing them, under the 
erroneous opinion that if the milk is not squeezed out of them, they will 
not perform their proper functions in after life. This practice is a cruel 
one, and very often brings about the state of affairs it is intended to pre- 
vent, for by squeezing the gland inflammation, swelling, and perhaps 
suppuration and destruction follow and the breast is rendered useless and 
the source of a great deal of trouble and suffering in after life. 

TREATMENT. 

Aconite should be given ; if there be much fever at the outset this 
remedy may dispel the whole difficulty. 

Dose : Two pills every six hours. 

Arnica. The breasts are merely hard with no apparent inflamma- 
tion, or if the redness has not appeared. 

Dose : The same as Aconite. 

Belladonna if the breasts are very red and run in streaks to the 
adjoining parts. 

Dose : As for Aconite. 

Bryonia when the breasts are quite hard and of a pale red color. 

Dose : As for Aconite. 

Chamomilla. The child is very fretful; the breasts are very tender 
to the touch. 

Dose : As for Aconite. 

Hepar sul will be useful if the matter or pus has already formed. 

Dose: As for Aconite. 



ATROPHY— EMACIATION— MARASMUS. 

General Causes. Emaciation of Infants and children usually arise 
from a predisposing constitutional cause, which frequently becomes de- 



684 DISEASES OF INFANCY. 

veloped during the irritation of teething, or is called into activity by in- 
appropriate or unhealthy nourishment, either from the breast, or in the 
form of supplementary diet, at an earlier period ; or again, and, unfor- 
tunately, not unusually, it is engendered or developed, and rendered 
more complicated, and almost incurable, at a somewhat more advanced 
age, by the pernicious habit of a free and reiterated use of mercurial pre- 
parations, in the vain hope of bringing about a healthy state of the pri- 
mary organs of digestion, when these have become deranged by repeated 
infractions of appropriate rules, as to diet and general habits. The man- 
ifestation of worms, and the usual attendant symptoms of invermination, 
and the enlargement and induration of the mesenteric glands, are fre- 
quent, antecedent, occasional causes of the disease. 

TREATMENT. 
Sulphur is appropriate in almost all cases at the commencement of 
the treatment, when the disease has become fairly developed, or occurs in 
scrofulous children, but is more especially indicated by the following 
symptoms : Craving appetite for food and drink, watches eagerly for the 
cup or spoon, and clutches at them, thrusting everything into its mouth; 
enlargement of the glands in the groin or armpits ; slimy, excoriating di- 
arrhoea, or obstinate constipation; pale complexion, sunken eyes ; jump- 
ing, starting, and screaming; restless sleep. 

Dose: Three globules every morning, the first thing, for ten days, 
unless decided change or new symptoms should sooner occur ; then 
pause five days, after which the course may, if still indicated, be 
repeated as before, and so on, until decided amelioration or 
change. 

Calcarea should either be employed at the onset, or after the pre- 
vious administration of Sulphur (as just directed), if the following symp- 
toms be more especially predominant, or should supervene; or if, again, 
Sulphur should not have been productive of apparent improvement within 
eight days after the completion of the second course. The indicative 
symptoms are: great emaciation, with craving appetite; enlargement 
and induration of the mesentric glands and of the belly ; great weakness, 
clayey evacuations, a dry and flabby skin ; too great a susceptibility of 
the nervous system ; large, open fontanels ; profuse sweat about the 
head ; cough with rattling of mucus. 

Dose: Three globules, as directed for Sulphur. 

Ciiamomilla is chiefly required when the following symptoms occur: 
Frequent screaming, with drawing of the legs towards the stomach ; 
hardness and fullness of the belly ; great restlessness and feverishness ; 
acidity ; flatulence, frequent purging, the stools being of a deep grass- 
green, or very yellow color, or whitish, yellow and frothy, sometimes re- 
sembling beaten eggs, and of an offensive odor, often like that of rotten 
eggs ; occasional sickness, the matter vomited being more or less of a bil- 
ious description; thirst; want of appetite ; frequent change of com- 
plexion. 

Dose: Three globules thrice a day. 

Pulsatilla is indicated when less restlessness and peevishness pre- 
vail than under Chamomilla, and little or no thirst, with complete loss of 



ATROPHY— EMACIATION, 685 

appetite; or, on the contrary, voracious and inappeasable hunger, with 
acid or other disagreeable risings; or disposition to vomiting the contents 
of the stomach ; frequent papescent stools of a greenish, bilious descrip- 
tion; or watery, slimy evacuations, at times of a light or whitish color; 
the child is always better in the open air. 
Dose : As directed for Chamomilla. 

Antimonium C. may be had recourse to, twelve hours after the last 
aose of the preceding remedy, if no improvement has resulted; or this 
remedy may be preferred, from the commencement, if the child cannot 
bear to be looked at, or touched by any one ; or if its tongue be covered 
with a thick, white coating. 

Dose: As directed for Chamomilla. 

Ipecacuanha is usually a most useful medicine, when nausea or 
copious and frequent vomiting form more prominent features in the case 
than purging; or, when there is both vomiting and purging; the substance 
ejected from the bowels being chiefly of a greenish-yellow color, and 
often bearing a resemblance to matter in a state of fermentation. 
Dose : As directed for Chamomilla. 

Mebourius is required when the evacuations from the bowels are 
very frequent, but generally scanty and slimy, and usually attended with 
distressing straining ; or greenish, sour-smelling, or fetid; also when 
small white ulcers make their appearance on the inner surface of the lips 
and cheeks, or on the tongue, etc.; Avhen, with less flatulency, most of the 
symptoms mentioned under the head of Chamomilla are present; or, and 
more particularly, when the patient is affected with enlarged joints and 
glands, and distorted limbs- -provided always these latter symptoms have 
not been induced, or at least materially aggravated by the abuse of Calo- 
mel, or other mercurial preparations, under allopathic treatment — this 
medicine is also of much efficacy. 
Dose : As directed for Sulphur. 

Nux vomica. The interposition of constipation, or alternate states 
of costiveness and relaxation, with fickle, variable, or entire loss of appe- 
tite ; regurgitations or vomiting, flatulency, acidity, excessive irritability 
of temper, great feebleness, soreness of the mouth, or formation of small 
white, ulcerative specks or spots, are all indicative symptoms for the em- 
ployment of this remedy. 

Dose : As directed for Chamomilla. 

Bryonia. Vomiting occurs almost immediately after eating ; consti- 
pation ; the child always feels cold; the lips are dry and parched, and the 
mouth is dry. 

Dose : As directed for Chamomilla. 

Arsenicum is one of the most important remedies ; it is indicated by 
dryness of skin, which resembles parchment ; hollow eyes ; desire to drink 
often, but little at a time; excessive agitation and tossing, especially at 
night; short sleep, interrupted by jerks; colic, with relaxed stools of 
greenish, brownish, or blackish color, or evacuations containing indiges- 
ed food ; night sweats; extreme prostration; pale, waxy appearance. 
Dose : As directed for Sulphur. 



686 DISEASES GF INFANCY. 

Baryta carb. is indicated by enlargement of the gland of the nape 
of the neck; tenderness of the belly, with tumefaction and induration of 
the abdominal glands; continual desire to sleep; great indolence, and 
aversion to exertion and amusement; dysenteric or loose stools, some- 
times containing thread-worms. 

Dose: As directed for Sulphur. 

Acidtjm nitricum is chiefly required in cases which have been devel- 
oped or exacerbated by the abuse of mercurial preparations; the bones 
and joints being swollen and tender, the mouth and gums more or less 
inflamed and sore, the mesenteric and other glands much enlarged ; the 
bowels confined, or much relaxed, and attended with straining. 

Dose: As directed for Sulphur 

Phosphorus is more or less useful, in cases with protracted and de- 
bilitating watery diarrhoea, and when the mesenteric glands are diseased 

Dose : As directed for Sulphur. 

Belladonna is to be preferred when the prevailing symptoms and 
conditions are as follows: capriciousness and obstinacy; nocturnal cough 
with rattling of phlegm ; enlargement of the glands of the neck ; unquiet 
sleep ; precocity of intellect; (blue eyes and fair hair.) 

Dose : As directed for Chamomilla. 

China is required for excessive emaciation; voraciousness; diarrhoea 
at night, or frequent, white, papescent motions, or evacuations of undi- 
gested matter ; frequent perspirations, especially at night; great debility 
and languor ; unrefreshing sleep. 

Dose: As directed for Chamomilla. 

China is more particularly required when the patient sutlers from 
worms ; or for wetting of the bed. insatiable appetite, etc. 

Do.se: As directed for Chamomilla. 

Khus should be selected, when there is slimy or sanguinous diar- 
rhoea; debility, and excessive languor, with constant desire for the re- 
cumbent posture ; great restlessness; the symptoms are all aggravated 
after midnight. 

Vo.se: As directed for Chamomilla. 

Diet AND Regimkn. When the disease is manifested in infants at 

the breast, recovery will, in many cases, take place on the substitution of 
a good nurse of sound constitution, or of appropriate artificial feeding-- 
such as goat's milk, or, sometimes, iDtak broths— for the faulty nutriment 
which has originated the disease. But when the child is of scrofulous 
constitution, and glandular enlargements, etc.. have become developed, 
the addition of regular and appropriate medicinal treatment is required. 
Again, when the affection has been engendered by improper food, in 
children who are being reared by the hand, or who are past the age of 
infancy, if the progress of decay is not too far advanced, and no organic 
disease !«■ developed, a cure may, as in the former case, be accomplished 
by the correction of the main source of all the mischief. The improper 
food ought, therefore, to be at once withdrawn, or the quantity reduced, 



DISEASES OF INFANCY. 687 

if that has been too great. Goat's milk or cow's milk, which has previ- 
ously been boiled and diluted (one part of water to about three of good 
milk), and. occasionally, chicken broth, or, to children of more advanced 
age, farinaceous food, generous beef tea, or mutton broth, free of fat, may 
be substituted for food of a more solid or indigestible nature with which 
the child has been dieted. Pure air and regulated exercise are also of 
great importance. 

ALLOPATHIC TREATMENT. 

Atrophy. A full discussion of the treatment of infantile atrophy 
(wasting away) would require considerable space. It may briefly be said 
to be caused by lack of proper nourishment. If the child is at the breast 
the amount of breast milk is insufficient, or its quality poor, or, from acci- 
dental causes, it is absolutely harmful. In the latter case, the child 
should be raised by a wet nurse, which is preferable, or weaned; in the 
two former cases, it ought to be raised by a wet nurse, or artificially fed, 
in addition to the food it gets from the breast. 

For artificial feeding, milk is most suitable. The milk should be daily 
tested with litmus paper, and if it is alkaline, i. e., turns red litmus paper 
slightly blue, it may be sweetened a little) and diluted as further directed 
and given to the baby, without further preparation. If it is not alkaline, 
sufficient Lime Water or Bicarbonate of Soda should be added to render 
it so. 

Previous to a month old, one-half water should be added to the milk; 
at a month old, only a quarter part water should be added. A little cream 
should be, also, added to make up for the water. After four months, 
milk may be given plain, except that it should be rendered alkaline if 
not naturally so, with Lime Water or Soda. Milk is the food for chil- 
dren. A child a month old should take a quart of milk a day prepared 
as above; but not over a quarter of a pint at a time Cow's or goat's milk 
should be treated as above. If possible, the animal should be fed on grass 
and should have only pure water to drink and subject to no confinement. 

If the child should continue to waste after being suitably fed as above 
directed, other foods may be given as directed in the dyspepsia of infants 
treated with colic. 

Cod Liver Oil may also be given in doses of ten drops in the first 
place, gradually increased to a teaspoonful. 

The tonic effect of Iron Quinine is of service. Take of Citrate of Iron 
and Quinine fifteen grains ; Syrup of Orange Peel and Peppermint Water 
each an ounce. Mix. 

Bo.se : From fifteen to thirty drops three times a day. 

Pepsin of Lactated Pepsin in doses of two to five grains, after feeding 
or nursing, may be advantageous, or Liquid Pepsin (Sheffer's formula) 
may be tried as an aid to digestion. 



688 



REPERTORY. 



Part Fifteenth, 



CHAPTER XXXV. 



THE REPERTORY. 

This Repertory is to be used in selecting a remedy to remove some 
disease, or symptom of disease from the system. It can be almost as well 
ustd when you do not know any name for the trouble, as when you do, 
having only to learn all of the symptoms you can, both those that can be 
seen and those which can only be felt, and arranging each symptom on 
a line by itself, you proceed to find each symptom in the Repertory and 
then note on the slip of paper you have your symptom down on, on the 
same line with each symptom the abbreviated names of the remedies that 
appear in this full faced black type. If you do not find any of that type 
following your symptom, take the remedies appearing in italics, and if 
none of them, then the Roman or common type. 

Full Faced type indicates remedies which are known to be the most 
certain to cure that symptom. 

Italic type indicates remedies that are good but not so good as those in 
full faced type. 

Roman, or common type, are used for remedies having a very general 
reference to the symptoms which they follow. Here is an example of a 
case of scarlet fever arranged and the remedy selected: 



1. Throat (Pharynx) Redness of page, 26. 

2. Throat Swelling, page 26 

:j. Urine Red, (Scanty) page 81 

4. Palate Redness of, page 25 

5. Headache as if Head would burst, p. 6 

6. Delirium, page 2 

7. Skin lied Burning, page 122 

8. Scarlet- Rash, page 124 



Aeon. 
Bell.. 

Can. . 
Ars... 
Bell.. 
Ars... 
Bry . . 
Aeon. 



Apis. . 

Bry. 

Bell.. 

Bell.. 

[Calc. 

Bell.. 

Acoll.. 

Bry.. 



Bell. 
Chi.. 
Bry. 



Sil... 
Bry. 
Bell. 
Bell. 



Merc. 
Jgn... 
Oarbv 



Spig. 
Op... 
Sil... 
Dulc. 



Merc 



Bi;j,r>ADONNA is the only remedy that appears in full faced type after 
every symptom arid it may be relied on to cure the case without fail. 
Sometimes there will be no remedy in the full faced type after every 
symptom, then take the one that approaches most nearly to it, being care- 
ful to get all the symptoms down. 



I. MIND AND DISPOSITION. 



CONDITION OF THE MIND AS CAUSED BY DISEASE. 



General Symptoms. 
AMOROUS : Ant. cruel Canth. 

Graph. Hyosc. Ign. Lye. Nux vom. 

Phosph. Plat. Puis. Sil. Strain. Ve- 

ratr. 
ANXIETY, FEAR: Aco. Arn. Ars. 

Aur. Bell. Bry. Calc. Carb. veget. 

Cham. Cocc. Graph. Hell. Ign. Lye. 

Nux vom. Puis. Rhus. Sep. Strain. 

Sulph. Veratr. 
BOLDNESS: Ign. Op. Puis. 
DISTRUSTFUL : Bar. Bell. Canst, 

Oic. Dros. Hell. Hyosc. Lye. Ph. 

ac. Puis. Sulph. ac. 
FITFUL MOOD: Aur. Carb. an. 

Ferr. Graph. Ign. Kali. Plat. Stram. 

Sulph. ac. Zinc. 
GENTLE : Cocc. Croc. Ign. Lycop. 

Puis. Sil. Sulph. 
GREEDY : Ars. Lye. Natr. c. Puis. 

Sep. 
HAUGHTY: Lycop. Plat. Stram. 

Yeratr. 
HOPELESS : Ars. Aur. Calc. Canst. 

Cham. Con. Graph. Ign. Lye. Puis. 

Rhus. Sulph. 
INDIFFERENT : Chin. Cocc. Con. 

Ign. Natr. mur. Phos. Ph. ac. Puis. 

Sep. 
IRRITABLE MOOD: Aeon. Aur. 

Bell. Bry. Cham. Coif. Ign. N. mur. 

IS. YOin. Phosph. Puis. Sep. Sulph. 

Yeratr. 
JOCOSE MOOD: Aur. Bell. Cann. 

Carb. an. Coff. Croc. Hyosc. Natr. c. 

Op. Phosph. Plat. Puis. Stram. 

Yeratr. Zinc. 
PEEYISH : Alum. Aur. Calc. Caust. 

Cham. Con. Ign. Lye. Merc. Natr. c. 

Nitr. ac. Phosph. Plat. Puis. Sil. 

Sulph. 
SAD: Aeon. Bellad. Cham. Graph. 

Ign. Lye. Natr, m. Plat. Puis. 

Rhus, 



SERIOUS MOOD: Cocc. Led. 

Sulph. ac. Thuj. 

Cloudiness. 

CLOUDINESS: Bell. Bry. Cann. 

Canth. Caps. Chin. Cocc. Carb. 

veg. Caust. Hyosc. Ign. Lpec. Kali. 

N. Tom. Op. Yeratr. 
CONFUSION: Ant. cr. Ars. Bell. 

Bry on. Canth. China. Euphr. Ferr. 

Ign. Kali. Natr. carb. Nux vom. 

Phosph. Ph. ac. Puis. Rhus. Sec. 

corn. Spig. Staph. Zuic. 
DIZZINESS: Aeon. Alum. Anac. 

Ars. Aur. Bell. Bry. Calc. Carb. 

veg. Caust. China. Coloc. Con. 

Graph. Lye. Natr. mur. Nitr. ac. N. 

vom. Op. Phosph. Phos. ac. Puis. 

Sep. Sil. Sulph. Veratr. 
DULLNESS: Aeon. Calc. Canth. 

Hyosc. Petr. Sep. Stram. Sulph. 

Zinc. 
INTOXICATION: Agaric. Antim. 

crud. Arg. Ars. Asar. Aur. Bell. 

Bry. Camph. Caps. Caust. Cham. 

Cic. Cocc. Coff. Con. Croc. Ferr. 

Graph. Hyosc. Ign. Ipec. Led. N. 

vom. Ph. ac. Op. Puis. Rhus. Sec. 

corn. Sil. Stram. Veratr. 
LOSS OF CONSCIOUSNESS: 

Ars. Bell. Calc. Canth. Hyosc. 

Nitr. ac. N. vom. Ph. ac. Rhus. 

Stram. Veratr. 
STUPEFACTION : Aeon. Ars. Asa 

Bell. Bry. Calc. Camph. Caps. 

Caust. Cham. Coff. Con. Cupr. 

Dulc. Ferr. Graph. Lye. Hell. Hy- 
osc. Ipec. N. vom. Opium. Phosph. 

Ph. ac. Rhus. Sepia. Stram. Sulph. 
VANISHING OF SENSES: Ars. 

Bell. Calc. Camph. Cic. Cupr. 

Graph. Hyosc. N. vom. Stram. 
VERTIGO : Ars. Bell. Bry. Camph. 

Cann, Caps* Cham, Chin, Qp f J?h, 



MIXD AND DISPOSITION. 



ac. Puis. Rhus. Sep. Sec. corn. Sil. 
Spong. Sulph. Yeralr. 

Mental "Weaknesses. 
ABSENCE OF MIND : Anac. Am. 

Bell. Caust. Cupr. Hell. Hep. Hy- 

osc. Ign. Z?/c. Aleve. Natr. mur. 

Op. Ph. ac. Rhus. Sep. 
AVARICE: P%fe. 
COMPREHENSION, ready: Goff. 

Ojj. Yaler. 
— heavy: Ambra. Camph. Cham. 

Con. Lye. Niir. ac. Op. Ph. ac. 

Zinc. 
DELIRIUM: Ars. Am*. BeU. Bry. 

Camphor a. Canth. Cham. Cina. 

Con. Cupr. Didc. Hyose. Op. 

Phosph. Phosph. ac. Plat. Rhus. 

Sec. cor. Stram. Sulph. Terati'. 
— with frightful specters : Bell. 
— nocturnal, raving about the clay's 

business : Bry. 
— without consciousness : Hyose. Puis. 
— loquacious, with open eyes : Coloc. 

Op. Teratr. 
— quiet, with stupefaction : Ph. ac. 
— with anxiety, fear of death, over- 
estimation of one's self : Plat. 
— bland, with loss of recollection : 

Rhus. 
— without consciousness, often ter- 
minating in rage : Sec. corn. 
— various, shameless, haughty : Strain. 
— religious, haughty : Teratr. 
— with disposition to escape: Bry. 

Cocc. Stram. 
DERANGEMENT, mental : Bell. 

Canth. Cupr. Hyose. Op. Plumb. 

Strain. Veratr. 
EXCITEMENT of the fancy: Aeon. 

AmhY.Jufic Ant. Crud. Am. JJ< !1. 

Chin. ('off. Hyose. Lachesis. Op. 

Phosph. Phosph. ac Pulsat. 

Stram. 
EXHAUSTION from mental labor: 

Aurum. Cham. Colch. Natr. Nnx 



vom. Phosph. Puis. Sil. Spig. 

Spong. Staph. 
— nervous : Aur. Bell. Calc. Dig. Iod. 

Natr. c. N. vom. Phosph. Sep. 

Staph. Sulph. Zinc. 
FOREBODINGS : Aeon. Spig. 
FOREBODING of death: Stram. 

Veratr. 
ILLUSIONS OF THE FANCY: 

Bell. Bryon. Caust. Hell. Op. 

Phosph. Rhus. Staph. Strain. 
ILLUSIONS OF SENSE: BeU. 

Op. Phosph. Ph. ac. Plat. Sec. 

Stann. Stram. 
— slow flow of : Cann. Chin. Ipec. N. 

vom. Op. Rhus. Rut a. Spig. Veratr. 
INSENSIBILITY : Hell. Hyose. 0p : 

Ph. ac. Sec. Corn. Stram. 
INSANITY: Aeon. Agar. Ant. 

crud. Ars. Bell. Cann. Canth. 

Coccul. Con. Cupr. Dulc. Hyose. 

Opjium. Sec. corn. Stram. Sulph. 

Veratr. Zinc. 
— with haughtiness : Hyoscyam. 

Stram. Veratr. 
— mirthful : Crocus. Ign. Stram. 
— mild: Croc. Veratr. 
— religious : Veratr. 
— talkative : Strain. 
—furious : Hyose. Stram. 
LAUGHTER: Bellad. Crocus. Hy- 
ose. Stram. Veratr. 
LOSS OF RECOLLECTION: 

Aeon. Alum. Anac Arg. Arn. Bar. 

Bell. Bry. Calc. Camph. Cannab. 

Cham. China. Con. Cupr. Dig. 

Hell. Hyose. Ign. Natr. mur. N. 

vom. Opium. Phosph. Plat. Rhus. 

Ruta. Sep. Silicea. Stann. Staph. 

St nun. 
LOSS OF CONSCIOUSNESS: 

Agar. Bell. Bryon. Canth. Cham. 

Cocc. Cupr. Hyose. Ipec. Nux 

vom. Op. Rhus. Strain. Verat. 
MISTAKES INTALKING: Cham. 

Chin, Con. Croc, [gn. Lach. Lye. 



MIND AND DISPOSITION. 



Natr. mur. N. vom. Puis. Sep. Sil. 
PAGE: Aeon. Agar. Ars. Bell. 

Camph. Cann. Canth. Cham. Coc- 

cul. Croc. Cupr. Drosera. Hyosc. 

Opium. Petr. Plumb. Euta. Sec. 

corn. Strain. Veratr. 
SHAMELESSNESS: Hyosc. N. 

vom. Op. Strain. Verat, 
WANDEBING OF THE MIND: 

Aeon. Am. Aiir. Bell. Caust. 

Cham. Cocc. Croe. Hell. Ign. Kali. 

Natrum mur. Phosph. Ph. ac. 

Plat. Sep: Stann. Sulphur. Yerat. 
WEAKNESS OE MIND : Bar. Bell. 

Defects of Memory. 
FOEGETFUL: Aeon. Alum. Anac. 

Arn. Ars. Bar. Bell. Colchic. 

Coccul. Digit. Hell. Hyosc. Ign. 

Laches. Lye. Natr. mur. Petr. 

Phosph. Plat. Rfms. Ehododend. 

Sec. corn. Siiic. Spig. Staph. 

Strain. Sulph. Veratr. Viol. odor. 
MEMOEY, involuntary : Hyosc. 
—quick: Aeon. Coff. Hyoscyam. 

Lach. Op. Viol. odor. 
— defective : Aeon. Anac. Arn. Bell. 

Bryon. Calc. Camph. Cocc. Graph. 

Hyosc. Puis. Sep. Spigel. Strand. 

Snlph. Veratr. 
— feeble: Aeon. Alum. Ambr. Anac. 

Ars. Aur. Bell. Bryon. Calc. Caust. 

Colch. Cupr. Dig. Graph. Hep. 

Hyosc. Ign. Lye. Natr. mur. Op. 

Plat. Pulsat. Rhus. Sep. Spigel. 

Staph. Strain. Sulph. Veratr. 
— loss of : Bell. Camph. Con. Hyosc. 

Nat. mur. Op. Strain. Veratr. 
MEMOEY, decrease of : Anac. Ars. 

Aur. Bell. Hell. Hyosc. Op. Stram. 

Veratr. 

Mental Derangements. 

ANGEB, also with vehemence: 

Cham. 
— with fright. Aeon. 
— with f eeling of coldness : Ars. 



— with subsequent ill-humor : Bry. 

— with silent grief : Ign. 

— with irascible mind : N. yom. 

— with pushing away that which one 

holds in one's hand : Staphis. 

— with mental derangement: Vera- 
trimi. 

ANXIETY AND FEIGHT. 

— with joyful surprise: Coff. 

— with subsequent starting during 
sleep : Hyosc. 

— followed by grief or spasms : Ign. 

— followed by anxiety or nocturnal 
pains : Merc. 

— with fear, heat of the head, and 
spasms: Op. 

— followed by mental confusion: 
Plat. 

— followed by diarrhoea : Puis. 

— with suffocative fits and blueish 
face : Samb. 

— with involuntary stool and icy 
coldness : Veratr. 

GEIEF. 

— caused by mortification and fol- 
lowed by mental confusion : Bell. 

— with shame and suppressed anger : 
Ign. 

— with nocturnal anxiety and com- 
plaints : Merc. 

— followed by spasms : Op. 

— -with emaciation, drowsiness, and 
morning-sweats: Ph. ac. 

GEIEF, with apprehensions for the 
future and day-drowsiness : Staph. 

HOMESICKNESS. 

— with flushed face and sleepless- 
ness: Caps. 

— with noctural anxiety and sweat: 
Merc. 

— with emaciation and morning- 
sweat, drowsiness : Ph. ac. 

JEALOUSY. 

— with vehemence and delirium : Hy- 
osc. 

— insane, with distrust : Lach. 



MIND AND DISPOSITION. 



UNFORTUNATE LOVE. 

— with thoughts of suicide : Aur. 

— with jealousy and loquacity: Hy- 
ose. 

— with silent grief : Igii. 

— with desponding mood : Lack. 

— with emaciation and morning- 
sweat : Ph. ac. 

— Avith unmerited mortification : 
Staph. 

WRATH. 

— with cries, haemoptisis, palpitation : 
Arn. 

— with loss of consciousness or delir- 
ium : Bell. 

— with flushed cheeks, thirst : Bry. 

— hot sweat about the head, spasms : 
Cham. 

— thirst, vomiting of bile, chilliness 
heat : Nux vom. 

— laughter, weeping, anxiety: Plat. 

— with internal chilliness, no thirst, 
but dizziness : Puis. 

— on account of unmerited humilia- 
tion, whole body sore : Staphis. 

Mental Derangement. 

FOREBODINGS OF DEATH. 

— with foretelling of the day of 
death : Aeon. 

FOREBODINGS OF DEATH, 
with anxiety and restlessness : Bell. 

— alternating with fits of rage : 
Stram. 

HYSTERIA AND HYPOCHON- 
DRIA, 

— with anxiety, disposition to sui- 
cide: Aur. 

— caused by suppression of the sexu- 
al instinct : Con. 

— with fitful mood, sleeplessness: 
Ign. 

— of those who load :i sedentary life 

and revel at night, will) consti- 
pation : N. vom. 
— after unmerited Insults, with flatu- 
lency: Staph. 



— with tremulous and excessive sensi- 
tiveness: Yaler. 

RAGE, 

— timorous, with frightful spectra: 
Bell. 

— amorous, with shameless gestures : 
Cantli. 

— with haughty manners and spasms : 
Cupr. 

— with furious jealousy : Hyosc. 

— with amorous tenderness and jeal- 
ousy: Lach. 

— silent, with religious melancholy: 
Lye. 

— with frightful visions, alternating 
with stupor : Op. 

— censorious, with trembling and 
spasms: Plat. 

— raving, with frightful spectra: 
Strain. 

— w. wicked imprecations : Yeratr. 

SUICIDE, DISPOSITION TO, 

— with amorous fancies : Ant. mid. 

— with nocturnal anguish and despair : 
Ars. 

— w. religious melancholy : Aur. 

— w. anxiety, restlessness, frightful 
sjjectra: Bell. 

SUICIDE, DISPOSITION TO, 
with silent anguish, fear of death : 
Puis. 

— with stupefaction of the head, rest- 
lessness: Rhus. 

SOMNAMBULISM, 

— with prediction of the day of death : 
Aeon. 

— with intense fancy, and dullness of 
feeling: Op. 

— with clairvoyance, increased sensi- 
bility: Phosph. 

Vertigo. 

According to Uh nature. 

GENERALLY: Aco. Ambr. Am. 

Bell. Bry. Calc. Campli. Cann. 

Garb, veg. Cic. Cocc. Coff. Cupr. 

Dig. Gra ph. Hell. Hep. Ipec. Merc 



HEAD. 



Mosch. Lye. Natr. JSfatr. mur. 
Nitr. Nitr. ac. N. vom. Op. Petr. 
Phosph. Ph. ac. Plat. Puis. Rhus. 
/Sec. Corn. Spic. Staph. Strain. 
Stann. Sulph. Thuj. Verat. Zinc. 
AS IF FALLING :^cwi. Arn. Ars. 
Carni. Cham. Cic. Con. Croc. Hep. 
Ign. Ipec. Nitr. ac. N. vom. Op. 
Puis. Sec. cor. Sil. Spig. Sulph. 
Staph. Stram. 

AS IF FALLING BACKWAED : 

Bry. Camph. Chin. N. vom. Ph. ac. 

Rhus. Spig. Stram. 
AS IF FALLING SIDEWISE: 

Arsen. Caun. Caust. Con. Euphr. 

N. vom. Puis. Staph. Sulph. 

AS IF FALLING TO EIGHT 

SIDE: Aeon. Ars. Calc. Elms. 

Euta. 
AS IF FALLING TO LEFT 

SIDE : Aur. Bell. Spig. Zinc. 
AS IF FALLING FOEWAED: 

Am. Cans. Cic. Cupr. Ferr. Graph. 

Natr. mur. Petr. Ph. ac. Puis. 

Elms. Sil. Spig. Sulph. 

TUENING: Aeon. Am. Bell. Bry. 
Calc. Carb. veg. Caust. Chel. Cic. 
Cocc. Croc. Cupr. Ferr. Merc. 
Mur. ac. Natr. mur. N. vom. Ph. 
acid. Puis. Rhod. Elms. Sep. Sil. 

TUENING IN A CIECLE : Aconit. 
Bell. Bmj. Calc. Caustic. Cic. Con. 
Ferr. Hell. Kali. Merc. Nux. vom. 
Op. Puis. Elms. Sep. Staph Yeratr. 



Vertigo. 

With accompanying ailments. 

ANXIETY: Ignat. Op. Rhus. Bho- 

dod. 
EEUCTATIONS : N. vom. 
EYES, gauzy before: Laur. Sabin. 
COLIC : Coloc. Petr. Spig. Stram. 
DEAFNESS : N. vom. Puis. 
DIM SIGHT : Stram. 
DIAEEHCEA : Cham. Stram. 
CHILLINESS: Cocc. Plumb. Ehus. 

Veratr. 
FAINTING: Bar. Bryon. Canth. 

Chamom. Croc. Hep. Ign. Laur. 

N. vom. Plat. Sabacl. 
HEAT: Aeon. Arg. Bry. Croc. Ign. 

Laur. Led. Merc. Nux vom. Puis. 

Stram. 
HEADACHE : Aur. Bar. Calc. Con. 

Canth. Cupr. Ferr. Graph. Hep. 

Ign. Lach. N. vom. Puis. Strain. 
NAUSEA: Aeon. Ant. cruel. Arg. 

Arn. Bar. Bell Bry. Chin. Coff. 

Calc. Coccul. Ferr. Hyosc. N. vom. 

Puis. Petr. Phosph. Sil. Spig. 
NOSE, BLEEDING: Aeon. Ant. 

crud. Sulph. 
OBSCUEED VISION: Aeon. Arg. 

Bell. Canth. Cham. Cic. Croc. 

Dulc. Ferr. Hyosc. N. vom. Natr. 

mur. Nit. ac. Op. Puis. Phosphor. 

Merc. Sec. cornut. Stram. Sulph. 
PALE FACE: Puis. 
SWEAT: Ehus. 
— cold: Ign. Veratr. 
VOMITING: Calc. Graph. Hyosc. 
YAWNING: Agar. Petr. 



II. HEAD. 



Internal. 

MENINGITIS: Aeon. Arn. Bell. 
Bry. Camph. Canth. Crotal. Cupr. 
Glonoin. Hell. Hyos. Laches. 



Mercur. Op. Phosph. Stram. (See 
general Index). 
CONCUSSION OF BEAIN: Arn. 
Bell. Cic. Merc. Ph. ac. Sep. 



6 



HEAD. 



HYDROCEPHALUS. 
— acute : Aeon. Bell. Bry. Hell. Merc. 
Op. Sulph. 

— chronic: Ars. Hell. Sulph. 
HEADACHE. 

Sensations as if the brain were 

distended: Bell. Caps. 
— like a band around the head : Aeon. 

Carb. veg. Mercur. Nitr. ac. Plat. 

Spig. Sulph. 
BEATING: Aco. Ars. Asar. Am. 

Bell. Bryon. Calc. taps. Carb. veg- 

et. Caust. Cham. Cocc. Hyosc. Ign. 

Ipec. Lycopod. Nitr. ac. Phosph. 

Puis. Rhus. Sep. Silic. Sulph. Ye- 

ratr. 
— as if the brain were moved : Aeon. 

Ars. Bell. Bry. Croc. Kali. Rheum. 

Spig. 
— rush of blood: Acou. Ambr. Ant. 

crud. Am. Asa f. Bar. Bell. Bry. 

Campjh. Cann. Canth. Chin. Coff. 

Calc. Carb. veg. Caust. Coloc. Dig. 

Ferr. Graph. Hell. Hyosc. Ign. Iod. 

Kali. Lack. Lye. Merc. Natr. Nitr. 

ac. Xux vom. Op. Plumb. Pulsat. 

Phosph. Rhus. Sep. Sil. Sulph. 

Spong. Staph. Stram. Thuj. Valer. 

Veratr. 
— boring : Ant. crud. Bell. Arg. Calc. 

Cocc. Chin. l)ulc. Hepar. Ipec. Ign. 

Plat. Stapjh. Phosph. ac. Ehodod. 

Sep. Sil. Spig. Strain. Sulph. 
— as if bruised: Aeon. Ars. Aur. 

Camph. Cham. Chin. Coff. Euphr. 

Hell. Ignat. Ipec. Phosph. Nux 

vom. Puis. Rhus. Sep. Veratr. 
— as if it would burst: Ant. crud. 

Asar. Bar. Bellad. Calc. Caps. 

Cham. Chin. Coff. Con. Ign. Natr. 

niur. Nux vom. Phosphor. Rhus. 

Sep. Sil. Spig. Sj>ong. Sulph. 
— burning: Aeon. Am. Bell. Bry. 

Cupr. Hell. Ipec. Merc. Natr. N. 

vom. Phosph. Ph. ac. Rhus. Sec. 



com. Spig. Staph. Stann. Yeratr. 
— buzzing : Caust. Cocc. Phos. Sulph. 

Yeratr. 
; — crawling : Aconit. Am. Bar. Cocc. 

Hyosc. Puis. Rhus. Sulph. Thuj. 
— digging: Agar. Aur, Bar. Bry. 

Dule. Ign. N. vom. Spig. 
— drawing: Aeon. Aur. Bell. Calc. 

Carb. veg. Cham. Clna. Coloc. 

Cupr. Dulc. Graph. Hell. Lye. 

Ipec. N. vom. Nitr. ac. Petr. Plat. 

Puis. Rhus. Sep. Sil. Sulph. 

Yeratr. 
DULL HEADACHE : Antimon. 

crud. Bry. Calc. Carb. veg. Chin. 

Camph. Cocc. Coff. Dulc. Hell. 

Ign. Natr. mur. Ph. ac. Plat. Puis. 

Yeratr. Zinc. 
HEAYINESS OF HEAD : Aeon. 

Arn. Asa f. Agar. Alum. Ars. 

Bell. Bry. CampAt. Cann. Cham. 

Chin. Cic. Coccul. Coff. Croc. 

Cupr. Calc. Carb. veg 1 . Caust. 

Con. Digit. Dulc. Dros. Euphr. 

Ferr. Hell. Hyosc. Ign. Ipec. Kali. 

Lye. Merc. Natr. mur. Nitr. acid. 

N. vom. Opium. Petr. Plumb. Puls- 
at. Phosph. Ph. ac. Plat. Sabin. 

Spig. Spong. Staph. Stram. Silic. 

Stann. Sulph. Thuj. Yeratr. 
HAMMERING: Calc. Chin. Coff. 

Lach. iXatr. mur. Phosph. Sil. 

Sulph. 
HEAT : Aconit. Alum. Arn. Bell. Bry. 

Calc. Canth. Caustic. China. Coff. 

Dig. Dros. Dulc. Euphr. Hell. 

Hyosc. Ign. Ipec. Lycop. Merc. 

Natr. mur. Nitr. ac. >'. vom. Petr. 

Phosphor. Plumb. Puis. Rhus. Sep. 

Sil. Stann. Si ram. Sulph. 
HEM1CRANIA: Asar. BRY. CI, hi. 

Coloc. Ign. Ipec. N. vom. Rhus. 

Sep. 
AS AFTER INTOXICATION: 

1m' von. Merc. Natr. mur. Puis. 
JERKS: Ambr. Bell. Bry. Calc. 



HEAD. 



Dig. Mur. ac. Natr. mnr. N. yobi. 

Puis. Petr. Phos. Spic. Spong. Sep. 

Stann. Thuj. FaZer. 
SIMPLE PAIN: ^ccm. Ars. Bar. 

Bell. Calc. Cantli. Carb. veg. Chin. 

Cof-r. Croc. Cupr. Hell. Hyosc. Iod. 

Lach. Lycop. Merc. Mur. ac. Natr. 

c. Natr. mm-. Nitr. Nux vom. Op. 

Ph. acid. Plumb. Puis. Rhus. Sep. 

Sil. Spig. St ram. Sulph. Yaler. 
AS FROM A NAIL (clavus :) Aeon. 
» Agar. Coff. Hep. Ign. N. vom. Ruta. 

Thuj. 
PRESSING ASUNDER: Aeon. 

Bar. Bell. Bry. Calc. Ign. Lye. 

Merc. Natr. mur. Nitr. Nux vom. 

Sep. Sil. Spig. Stann. Staph. 
PKESSING TOGETHER: Alum. 

Asa feet. Bry. Calc. Cina. Cocc. 

Graph. Hell. .Phosph. ac. Sil. 

Staph. 
PULSATING: Bell. Bryon. Chin. 

Petr. Phosph. Puis. Rhus. Sulph. 
PRESSURE : Aeon. Ambr. Arg. Am. 

Asaf. Asar. Anac. Ars. Am-. Bell. 

Bryon. Calc. Caps. Cham. Chin. 

Cic. Cina. Cocc. Coff. Croc. Dig. 

Hell. Hyosc. Iod. Ign. Ipec. Lach. 

Merc. Mur. ac. N. vom. Natr. carb. 

Natr. mur. Nitr. ac. Petr. Pulsat. 

Phosphor. Phosph. ac. Plat. Spig. 

Sep. Sil. Stann. Staph. Sulph. 

.Yaler. Zinc. 
ROARING: Aur. Ferr. Graph. 

Phosph. Sulph. 
STINGING : Aeon. Ambr. Arg. Ara. 

Asa f. Alum. Ars. Bar. Bell. Bov. 

Bry. Canth. Caps. Chamom. Chin. 

Cic. Calc. Caust. Con, Dulc. Ferr. 

Hep. Ign. Ipec. Natr. mur. N. vom. 

Petros. Phosph. Plumb. Puis. Ph. 

ac. Rhus. Sabad. Selen. Staph. 

Sep. Sil. Sulph. Thuj. 
STUPEFYING: Anac. Ars. Ant. 

crud. Am. Bell. Bov. Cann. Cic. 

Cina. Calcar. Hyosc. Ign. Mur. ac. 



Phosph. Natr. carb. Nitr. Ph. ac. 

Plat. Ruta. Sabad. Sepia. Stann. 

Staph. Verb. Zinc. 
TEARING: Alum. Ambr. Anac. 

Ant. crud. Arg. Am. Asar. Bell. 

Bry. Calc. Camph. Canthar. Caps. 

Carb. yeget. Caust. Cham. Chin. 

Cocc. Coif, Coloc. Con. Ign. Ipec. 

Lycop. Mur. ac. Natr. mur. N. vom, 

Ph. ac. Puis. Rhus. Sil. Spig 1 . Sulph. 
TWITCHING: Am. Bell. Bry. Carb. 

veg. Caust. Chin. Ign. N. vom. Ph. 

ac. Staph. Sulph. 
VIBRATING: Lye. Nitr. ac. Nux 

vom. Sil. Stann. 



According to the Part of 
the Head 

FRONT PART OF THE HEAD: 

Aeon. Alum. Ambr. Anac. Antim. 

GruAmArg. Am. Arsen. Asaitet. Asar. 

Aur. Bar. Bell. Bry. Camph. Calc. 

Cann. Canth. Caps. Carb. veg. 

Caustic Cham. Chin. dec. Cina. 

Coee. Cojf. Colch. Coloc. Con. Croc. 

Cupr. Dig'. Bros. Dulc. Euphr. Ferr. 

Graph. Hell. Hyosc. Ign. Iod. Ipec. 

Kali. Lye. Merc. Natr. mur. Nux 

vom. Op. Phosph. Plat. Plumb. 

Puis. Rhodod. Rhus. Sabin. Samb. 

Sep. Sil. Spig". Spong. Staph. Stann. 

Sulph. Veratr. Zinc, 
TEMPLES : Aeon, Agar. Alum. Ant. 

crud. Arg-. Am. Asaf. Asar. Bell. 

Bry. Calc. Camph. Cann, Canth. 

Caps. Chamom. Chin. Cina. Cocc. 

Con. Cupr. Dig. Euphr. Hell 

Hep. Ign. Lach. Nitr. ac. Op. 

Phosph. Phos. ac. Rheum. Rhus. 

Rhodod. Sabin. Spig. Spong. 

Stann. Staph. 

VERTEX : 'Aeon. Ambr. Ant, crud. 
Arg. Am. Asa f. Aur. Bell. Bry. 
Cann. Canth. Caps. Caust. Chin. 
Cina. Cocc. Corn Coloc. Con. Croc. 



8 



HEAD. 



Cupr. Fen-. Graph. Hell. Ign. Iod. 

Ipec. Lach. N. voni. Phosph. Pit- 

ac. Plat. Sabiu. Sarub. Sep. Sil. 

Spig. Spong. Stann. Staph. Strain. 

Sulph. Thuj. Yeratrum. 
OCCIPUT : Aeon. Ambr. Arg. Am. 

Asa f. Asar. Aur. Bar. Bell. Brtj. 

Calc. Camph. Cann. Canth. Caps. 

Carb. veg. Chin. Cie. Coif. Colchic. 

Croc. Cupr. Dig. Dros. Hell. H\j- 

osc. Ign. Ipec. Lye. Mercur. 

Mosch. Nitr. Nux Tom. Op. Peir. 

Plat. Puis. Rhus. Sabin. Sanib. 

Spig-. Spong-. Staph. Stann. Sulph. 

Thuj. 
EIGHT SIDE: Aeon. Alum. Ant. 

crud. Arg. Arn. Asa f. Bell. Bry. 

Camph. Canth. Canst. Chin. Cm. 

Coccul. Colchic. Croc. Dig. Bros. 

Gra]3h. Hep. Ign. Kali. Lach. Lye. 

Nux voni. Phosph. Ph. ac. Plumb. 

Puis. Bhus. Sabad. Sabin. Sil. 

Spig. Spong. Sulph. Thuj. 
LEFT SIDE: Aeon. Ambr. Ant. 

crud. Argent. Arn. Asa f. Asar. 

Aur. Bell. Bry. Calc. Camjjh. Cann. 

Caps. Carb. veg. Chin. Cie. Gin. 

Cocc. Coloc. Croc. Cupr. Dig. Dulc. 

Dros. Euphorb. Ferr. Hell. Hyosc. 

Iod. Lach. Merc. Nitr. Nitr. ac. 

Nux vom. Plumb. Puis. Petr. Plat. 

Rhodod. Bints. Sabin. Samb. Sec. 

cor. Sep. Spig el. Spong. Staph. 

Stann. Sulph. Veratr. 

External. 
BLOTCHES : Ant. crud. Ars. Aur. 

Hep. Natr. mur. Nux vom. Phosph. 

Sil. Thuj. 
BLOATING : Ars. Sulph. 
BOILS : Bell. Rhus. Arn. 
BURNING: Arn. Ars. Bar. Bell. 

Bry. Caps. Carb. veg. Coloc. Dulc. 

Dros. Graph. Phosph. Plat. Sabad. 

Sil. Spig. Spong. Staph. Stann. 

Sulph. Veratr. 



CHILLINESS: Bar. Calcar. Carb. 
veg. Dulc. Kali. N. vom. Ph. acid. 
Spig. Staph. Veratr. 

COLDNESS: Agaric. Alum. Bar. 
Calc. Phosph. Ph. ac. Rhod. Ve- 
ratr. 

— feeling of : Asar. Cann. Lach. Ve- 
ratr. 

DRAWING: Agar. Bar. Bell. Calc. 
Canth. Chin. Ignat. N. vom. Ph. 
ac. Puis. Rhus. Staph. 

ERUPTION : Anac. Ars. Aur. Bar. 
Calc. Carb. veg. Cie. Con. Graph. 
Hep. Kali. Merc. Natr. mur. Petr. 
Rhus. 

GNAWING: Caps. Dros. Thuj. 

HAIR FALLING OUT: Ambr. 

Ant. crud. Ars. Aur. Bar. Bell. 

x 
Calcar. Canth. Carb. veg. Canst. 

Con. Ferr. Graph. Hep. Ign. Iod. 

Kali. Lye. Mere. Natr. mur. Nitr. 

ac. Petr. Phosph. Plumb. Sec. cor. 

Sep. Sil. Staph. Sulph. 
HAIR AS IF PULLED: Aeon. 

Alum. Arn. Bar. Bry. Canth. Kali. 

Lye. Mur. ac. Nitr. Phosph. Ph. ac. 

Rhus. 
HERPES : Alumina. Graph. Petr. 

Rhus. 
ITCHING: Agar. Alum. Arg. Am. 

Ars. Asar. Aur. Bar. Bell. Bry. 

Calc. Caps. Carb. veg. Caustic. 

Chin. Conium. Dros. Graph. Hep. 

Kali. Merc. Lye. Mur. ac. Natr. 

mur. Petr. Phosphor. Puis. Rhod. 

Rhus. Buta. Sabad. Sep. Sil. Spig. 

Staph. Sulph. Thuj. Veratr. Zinc. 
LICE: Oleand. Sabad. Staph. Fine 

Comb. 
PAIN AS IF CONTUSED: Am. 

Ipec. Hints. Hula. 
PAINFULNESS : Arsen. Bell. Calc. 

Caust. Hell. Merc. N. vom. Rhod. 

Rhus. Thuj. 
PIMPLES: Ars. Bar. Bell. Kali. 

Mur. ac. Natr. c. Petr. Rhus. Sil. 

Zinc. 



EYES. 



9 



SCALES ON THE SCALP: Cal- 

car. Phosph. Khus. Staph. 
SCUBFS: Ars. Bry. Calc. Ferr. 

Graph. Hep. Lye. Merc. Natr. mur. 

Petr. Rhus. Buta. Sil. Staph. 

Sulpli. 
AS IF THE SKIN ADHEEED : 

Am. 
SWEAT : Bar. Bell. Bry. Calc. Cham. 

Chin. Coloc. Ipec. Graph. Hepar. 

Nux vom. Mere. Natr. mur. Nitr. 

ac. Op. Petr. Phosph. Phosph. ac. 

Plumb. Puis. Bheuin. Rhus. Euta. 

Sec. corn. Sep. Silic. Spig. Sulph. 

Valer. 
STINGING: Agar. Alum. Ant. cr. 

Am. Asa f. Aur. Bar. Bell. Canth. 

Canst. Chin. Digit. Hep. Iod. Kali. 



Natr. mur. Nitr. ac. Phosph. Phos. 

ac. Sabacl. Spigel. Staph. Sulph. 

Thuj. Yeratr. 
SWELLING: Ars. Bell. Cham.' 

Caust. Cup. Dig. Euphorb. Op. 

Phosph. Puis. Rhus. Sep. Strain. 

Sulph. 
TEAEING : Agar. Alum. Ambr. Bar. 

Bell. Cede. Digit. Graph. Lycop. 

Merc. Natr. Rhus. Euta. Sabin. 

Sep. Staph. 
TENDENCY TO COLD: Kali. 

Natr urn mur. 
TINGLING: Aeon. Arn. Arsen. 

Carb. veg. Ferr. N. vom. Ehod. 

Sabad. Spig. 
TEEMBLING OF HEAD- Cic. 
Coc. Ig-n. 



:. EYES. 



Visual Power. 
AMAUBOSIS: Bellad. Calc. Cann. 

Chin. Cocc. (Con.) Dig. Dulc. Hy- 

osc. (N. vom.) Mercur. Nitr. ac. 

Phos. Plumb. Puis. Rhus. Euta. 

Sec. corn. Sil. Spig". Strain. Sulph. 
— incipient: Aurum. China. Caust. 

Dulc. Hyosc. Natr. mur. Puis. 

Sulph. 
BLINDNESS: Ant. cruel. Phosph. 

Sil. Veratr. 
BLUBBED : Bell. Bry. China. Dros. 

Graph. Hyoscyam. Lycopod. Natr. 

mur. Sil. Stram. 
CATAEACT: Baryta. Cann. Caust. 

Conium. Euphr. Hyosc. Nitr. acid. 

Op. Puis. Euta. Sil. Sulph. 
DAZZLING: Con. Dig. Dros. Ign. 

Kali. Lye. Merc. Nitr. ac. Ph. ac. 

Sil. Stram. Sulph. 
GLAUCOMA: Phosph. 
HEMEEALOPIA : Bellad. Dig-. Hy- 
osc. Merc. Yeratr. 



ILLUSIONS OF COLOE: 

— pale: Dig. 

— blue: Bellad. Stram. Sulph. Zinc. 

— checkered : Euphorbium. Kali. Nitr. 
Sulph. 

— colored streaks : Con. 

— fiery yellow : Ph. ac. 

— yellow: Ars. Canth. Dig. Kali. 
Sulph. Santon. 

— gold-colored : Bell. Hyosc. 

— green : Dig. Merc. 

— red: Bell. Cann. Con. Croc. Dig. 
Hep. Hyosc. Spig. Stram. Sulph. 

— black : Caps. Chin. Cic. Cocc. Merc. 
Phosph. Staph. 

— white : Cann. Dig. Kali. Ph. ac. 

— halo around the light, many-col- 
ored: Bell. 

— gray: Phosph. Sep. 

— green : Phosph. Sep. Zinc. 

— bright: Calc. 

— ruin-bold: Nitr. 

—red: Bell. 

— black: Phosph. 



10 



EYES. 



ILLUSIONS OF SIZE, SHAPE, 

DISTANCE. 
. — seeing double: Agar. Aur. Bell. 

Cic. Digitalis. Euphorb. Graph. 

Hyosc. Nitr. acid. Merc. Petr. Puis. 

Secale corn. Sulph. Veratr. 
— seeing things half : Aur. Calc. Lye. 

Mur. ac. Natr. mur. 
VISION, false: Hyosc. 
— larger: Hyosc. Staph. 
— brighter: Camplt. Hyosc. N. vom. 
— smaller : Hyosc. 
— slanting: Strain. 
— confused: Strain. 
OPTICAL ILLUSIONS OF 

THINGS NOT PKESENT: 
— flashes : Croc. Natr. Spig. 
— flashes, black : Staph. 
— gray covering : Phosphor. Sil. 
— threads : Con. 
— feathers: Calc. Lye. Natr. Natr. 

mur. Spig. 
— fire: Bar. Bell. Bry. Dig. Dulcam. 

Natr. mur. Ph. ac. Spig. Staph. 

Stram. Veratr. > 
— spots, dark: Calcar. Carb. veg. 

Caust. Con. Dig. Kali. Lye. Natr. 

mur. Nitr. ac. Petr. Phosph. Sec. 

corn. Sep. Sil. Sulph. 
— gauze : Asa f. Alum. Ars. Aur. 

Bryonia. Caust. Cina. Croc. Drosera 

Euphorbium. Euphr. Hyosc. Ign. 

Lye. Natr. mur. Opium. Petr. 

Phosph. Plat. Khod. Khus. Sabin. 

Sec. corn. Sep. Strain. Sulphur. 

Thuj. 
— sparks: Arsenic. Aur. Bar. Bell. 

Bry. Calcarea. Caust. Coloc. Croc. 

Dig. Dulc. Kail. N. vom. Op. Petr. 

Sil. Spig. Veratr. 
— cobwebs : Agar. Caust. 
— figures: Camph. Samb. 
— mist : Aeon. Agar. Alumina. Ambr. 

Arg. Bell. Bry. Cann. Caust. Croc. 

Dig. Graph. Kali. Merc. Natr. mur. 

Ph. ac. Plat. Plumbum. Puis. Rata. 



Sec. corn. Spig. Staph. Stram. 

Sulph. 
— point : Calc. Con. Dig. Kali. Merc. 

Natr. mur. Nitr. ac. N. vom. Petr. 

Phosphor. Sulph. 
— halo around light : Staph. 
LONG-SIGHTED: Alum. Bell. Bry. 

Calc. Caustic. Con. Dros. Hyosc. 

Lye. Natr. mar. N. voin. Petr. Sil. 

SpAgelia. Sulph. 
AS IF THINGS WEKE MOVING: 

Bell. Con. Cic. Euphr. Hyosc. Ign, 

Merc. Sabad. Stram. 
PHOTOPHOBIA : Aeon. Alum. Arn. 

Ars. Bellad. Bry. Camph. Cham. 

China. Cic. Cina. Coff. Con. Croc. 

Eupliras. Graph. Hell. Hep. Ign. 

Kali. Lycopod. Merc. Mur. ac. 

Nitr. ac. N. vom. Ph. ac. Puis. Sep. 

Sil. Sulph. 
SQUINTING : Alumina. Bellad. Hy- 
osc. Puis. Sec. corn. 
SENSITIVENESS: Aeon. Antim. 

cruel. Bell. Chin. Coff. Hell, Ign. 

N. vom. Spig. 
SHOKT-SIGHTEDNESS : Agar. 

Anac. Calcar. Carb veg. Chin. Con. 

Euphr. Graphites. Hyosc. Natr. 

mur. Nitr. ac. Phos. Ph. ac. Plumb. 

Puis. Rata. Stramon. Valer. Thuj. 
STAKING AT ONE POINT: Cicu- 

ta. Coec. Kuta. Stram. 
VIBEATIONS: Arsen. Bell. Calc. 

Carb. veg. Caust. Cham. Con. Dig. 

Graph. Hell. Ign. Lye. Mur. ac. 

N. vom. Petr. Phosph. Ph. ac. 

Pulsat. Sec. corn. Sep. Staph. 

Sulph. 
VISION, sudden blackness of : Aeon. 

Alum. Arg. Ars. Asa feet. Atrc. 

Aur. Bell. Bry. Calc. Carb. veg. 

Caust. Canth. Caps. Cham. Cic. 

Cina. Croc. Dros. Dulcam. Ferr. 

Graph. Hepar. Hyosc. Lye. Merc. 

Natr. mur. Nitr. Nitr. ac. N. vom. 

Op. Fhosph. Plumb. Puis. Sabin. 



EYES. 



11 



Sec. cor. Staph. Stram. Sep. Sulph. 
VISION, dim: Alum. Bellad. Cham- 

om. Chel. Rheum. Ruta. Sabad. 
— pale : China. Croc. Dros. Petr. Puis. 

Rhus. Sil. 
— obscured: Aeon. Agar. Arn. Ars. 

Asar. Aur. Bar. Bell. Bryon. Calc. 

Camph. Caps. Caustic. Cham. Cic. 

Con. Cupr. Dig. Dros. Euphr. Ferr. 

Hyosc. loci. Kali. Lye. Natr. mur. 

Nitr. ac. Nux vom. Op. Phosphor. 

Plat. Pulsat. Ruta. Sil. Spig. 

Strain. Sulph. Thuj. 
— vanishing of : Agar. Bell. Calc. Cic. 

Con. Hep. Hyosc. Merc. Natr. m. 

Nitr. N. vom. Op. Phosph. Puis. 

Sec. corn. Spig. Staph. Strain. 

Veratr. 
— weak: Asar. Agaric. Alum. Ars. 

Bar. Bell. Calc. Can. Caps. Carb. 

veg. Chin. Con. Croc. Dros. Graph. 

Hep. Iod. Lye. Hijos. Ign. Natr. 

mur. Nitr. ac. Petr. Phosph. Ph. ac. 

Plumb. Rhus. Ruta. Sec. corn. 

Sep. Sil. Staph. 

Sensations. 
In the eye-balls and eye generally. 
AGGLUTINATION : Alumina. Bell. 

Bry. Calcar. Carb. veg-. Caustic. 

Croc. Euphorb. Hep. Ign. Kali. 

Lye. Nat. mur. Nitr. ac. Nux vom. 

Phosph. Plumb. Pulsat. Rhus. Ru- 
ta. Sep. Silic. Stann. Staph. Sulph. 

Thuj. 
BURNING : Aeon. Agar. Alum. Ars. 

Arn. Aur. Asa f. Bar. Bell. Bry. 

Calc. Cantli. Col. Con. Caps. Cham. 

Chin. Cic. Croc. Dig'. Dros. Ferr. 

Graph. Hell. Ign. Kali. Lye. Mur. 

ac. Nitr. ac. Nux vom. Phosph. 

Phcmb. Pulsat. Rhod. Rhus. Ruta. 

Sep. Sil. Spigel. Spong. Staph. 

Stram. Sulph. Thuj. 
CORNEA, spots on : Apis. Ars. Aur. 

Calc. Can. Chel. Con. Euphr. Hep. 

Lye. N. vom. Sep. Sil. 



— obscuration of : Ang. Cann. Caps. 

Chel. Chin. Nitr. ac. Op. Plumb. 

Puis. Sulph. 
— ulcers on : Euphr. Ruta. 
DRYNESS : Agar. Asa f. Asar. Bar. 

Bell. Bry. Caust. Croc. Euph. Kali. 

Lye. Natr. mur. Nux vom. Phosph. 

Puis. Spig. Staph. Sulph. Veratr. 
DISTORTION: Aeon. Amic. Ars. 

Bell. Bry. Camph. Canth. Cham. 

Cic. Cocc. Cupr. Hell. Hyosc. 

Opium. Petr. Plat. Plumb. Pulsat. 

Sec. corn. Spig. Stan. Stram, 

Sulph. Veratr. 
ECCHYMOSIS: Arn. Cham. Nux 

vom. Plumb. 
EYE-GUM. Agar. Alum. Calcar. 

Caust. Cham. Chin. Con. Dros. 

Euphorb. Graph. Hep. Lye. Nitr. 

ac. Phosph. ac. Sil. Spig. Sulph. 
EYES, blood flows from: Cham. 

Euphr. N. vom. Ruta. 
— gum : Euphr. Ign. Puis. 
FUNGUS HiEMAT: Apis. Bell. 

Calc. Lye. Sep. Sil. 
GLAZED: Bell. Cocc. Croc. Op. 

Ph. ac. Spig. 
HEMORRHAGE : Bell. Cham. 

Euphr. N. vom. 
INFLAMMATION : Aeon. Ambr. 

Apis. Arn. Ars. Bar. Bell. Bry. 

Calc. Camph. Canth. Carb. veg. 

Cham. Chin. Coloc. Con. Cupr. 

Dig. Dulc. Euphras. Euphorb. Ferr. 

Graph. Hep. Hyosc. Ignat. Ipec. 

Kali. Lye. Merc. Natr. mur. Nitr. 

ac. N. vom. Opium. Phosph. Ph. 

ac. Plumb. Puis. Rhus. Sep. Sil. 

Spig. Staph. Sulph. Veratr. 
LACHRYMATION : Aeon. Agar. 

Alum. Ambr. Anac. Arn. Ars. 

Asar. Bar. Bell. Bry. Calc. Camph. 

Canth. Caps. Carb. veget. Caust. 

Chelicl. Chin. Cina. Coff. Coloc. 

Con. Croc. Digit. Euphr. Fer. 

Graph. Hell. Hep. Ign. Kali. c. 

Lach. Lye. Merc. Natr. mur. Nux 



12 



EYES. 



Yom. Op. Petr. Phosph. Ph. ac. 

Plat. Puis. Ilhodod. Rhus. Ruta. 

Sabadilla. Seneg. Sejy. Sil. Spig. 

Spong. Stan. Staph. Stram. Sulph. 

Yaler. Yeratr. Z'mc 
L ACHRYMATION, smarting : Aeon. 

Bell. Calc. Carb. veg. Con. Dig. 

Euplir. Graph. Lyeop. Natr. nrnr. 

Phosph. ac. Elms. Sabin. Spig". 

Staph. Sulph. 
LOOKS, anxious: Strain. 
— staring : Aeon. Am. Bryon. Camph. 

Canth. Cic. Cilia. Cocc. Cupr. Hell. 

Hyosc. Nux vom. Op. See. corn. 

Spig. Strain. Yeratr. 
—disturbed : Camphor. Cupr. Op. 

Sec. corn. Strain. Yerat. 
— wild: Cupr. Hyosc. Opium. Sec, 

corn. 
MOTIONS, convulsive : Canthar. 

Cham. Cupr. Hyosc. 
— involuntary : Spig'. Stram. 
PAIN, simple: Aeon. Arnic. Bar. 

Bell. Bry. Calc. Canth. Carb. veg. 

Gin. Croc. Dig. Euphr. Petr. 

Phosph. Plat. Plumb. Pulsat 

Bhus. Ruta. Sabin. Sep. Sil. Spig. 

Stann. Staph. Yeratr. 
PELLICLE ON EYES : Cann. Eu- 

phras. Puis. Ruta. 
PRESSURE, outward: A.con. Asa 

foet. Asar. Aur. Calc. Camph. 

Cann. Canth. Con. Hell. Ign. N. 

vom. Rhus. Spig. Staph. 
— inward: Agaric. Anac. Aur. Bry. 

Calc. Canst. Kali. Ph. acid. Spig. 
—as from a foreign body: Ambr. 

Anac. Arn. Ars. Asa f. Aur. Bar. 

Belt. Calc. Caps. Carb. veg. Caust. 

China. Cina. Cocc. Con. Croc. 

Ferr. Hyosc. Ign. Merc. Xatr. 

inur. Nitr. ac. Petr. Phosph. Ph. 

ac. Plat. Plumb. Puis. Rhus. Sep. 

Sil. Spig. Stann. 
— together: Arg. Sabin. Yerat. 
PROTRUDED: Aeon. Am. Ars. 

Aur. Bell. Canth. Caps. Chi. Cocc. 



Con. Cupr. Hep. Hyoscyam. Op. 

Rhus. Spigel. Spong. Staph. Stram. 

Yerat. 
PUPILS, dilated: Aeon. Agar. Anac. 

Am. Ars. Asa f. Am-. Bell. Calc. 

Camph. Canth. Caps. Caust. Chin. 

Cina. Con. Croc. Cupr. Dig. Dros. 

Hell. Hep. Hyosc. Ign. Ipec. Mur. 

ac. Nitr. ac. Nux vom. Petr. Ph. 

ac. Plumb. Pulsat. Sec. corn. Spig'. 

Stann. Staphys. Strain. Yeratr. 

Zinc. 
— contracted: Aeon. Agar. Anac. 

Arn. Ars. Aur. Bell. Calcar. 

Camph. Canthar. CajDsic. Cham. 

Chin. Cic. Cina. Cocc. Croc. Dig. 

Dros. Hell. Hyosc. Ign. Mur. ac. 

Natr. carb. Ph. ac. Plumb. Puis. 

Sec. com. Staph. Stram. Stann. 

Sulph. Thuj. Yeratr. 
— immovable: Aeon. Baryt. Bell. 

Cham. Chin. Cupr. Dig. Ferr. 

Hyosc. Op. Plumb. Seneg. Spig. 

Strain. 
— suddenly dilating and contracting : 

Bar. 
PUS: Ars. Bry. Euphorb. Hep. X. 

vom. Ruta. 
RUSH OF BLOOD TO EYES: 

Aur. Bell. Plumb. Sep. Spig. 
SMARTING: Ambr. Agar. Alnm. 

Ars. Bell. Bry. Calc. Canth. Carb, 

veg. Caust. Ch In. Con. Croc. Droser. 

Euphr. Graph. Hell. Hep. Kali. 

Lye. Merc. Mur. ac. Nitr. ac. Nux 

vom. Phosph. Ph. ac. Rhus. Sep. 

Sil. Staph. Sulph. Thuj. Yal. 
SPARKLING : Aeon. Bell. Bnjon. 

Hyosc. Op. Strain. 
SPOTS ON EYES: Euphr. Nux 

vom. Puis. Ruta. 
SQUINTING: Alum. Bell Hyosc. 

Puis. Sec. coin. 
SUNKEN: Ambra. Camph. Chin. 

Cic Cupr. Bros. Ferr. Hyosc. Op. 

Sec. corn. Spong. Staph. Yeratr. 
SWELLING: Ars. Bry. Carb. veg. 



EYES. 



13 



Hep. N. vom. Pliosph. Plumb. 

Rhus. Kuta. Strain. Sulphur. 
ULCERATION: Ambr. Am. Calc. 

Caps. Cham. Lye. Phosphor. Sil. 

Spong. Staph. Sulph. 
VEINS ENGORGED : Aeon. Ambr. 

Spig. 
VEINS, red : Euphr. 
WHITES, blueness of: Veratr. 
"WHITES, yellowness of: Aeon. 

Ambr. Ant. crud. Arsenic. Bell. 

Bry. Canth. Cham. Chin. Cocc. Con. 

Ferr. Ign. N. vom. Op. Phosph. 

Ph. ac. Plumb. Puis. Rhus. Sep. 

Sulph. 
— without lustre : Asa f . Asar. China. 

Ferr. Hyosc. Merc. Ph. ac. Sabin. 

Veratr. 

In the eye-brows. 
DRAWING : Bell. Caust. Dros. Hell. 

Rhus. 
ERUPTION: Cuprum. Kali. Selen. 

Sil. Spong. Stann. Thuj. 
FALLING OF LASHES : Agaricus. 

Plumb. Selen. 
ITCHING: Agar. Alum. Caust. 

CkmsL.lSelen. Silic. Spigelia. Sulph. 
SWELLING: Kali. 
TW T ITCHING: Caustic. Kali. Zinc. 
WARTS: Caust. 

At the eye-lids. 

(u. signifies upper, 1. lower lid ; r. right, 1. left ; 
where these signs are wanting, both lids are 
meant.) 

EYE-GUM: Dros. Ferr. Rheum. 

Rhus. Staph. 
AGGLUTINATION: Aeon. Agar. 

Bell. Bry. Calc. Causticum. Chain. 

Con. Dig. Drosera. Euphr. Ferr. 

Graph. Ign. Kali. Mur. ac. Natrum. 

mur. Nux vom. Phosphor. Plat. 

Puis. Rhus. Sep. Silicea. Spigel. 

Staph. Stramonium. Sulph. Veratr. 
BLUENESS: Dig. 
BURNING : Ambr. Asar. Ars. Bell. 

Bry. Caps. Con. Graphit. Kali. 



JVux roin. Ph. ac. Rhus. Seneg. 

Spig. Stann. 
ECCHYMOSIS: Apis. Arn. 
INFLAMMATION : Aco. Apis. Ars. 

Bell. Bryonia. Calc. Carb. veg. 

Caust. Cham. Dig. Euphr. Hep. 

Hyosc. Ign. Lye. K. vom. Pulsat. 

Rhus. Sep. Spig. Spong. Staph. 

Stramonium. Sulph. Thuj. Veratr. 
ITCHING : Ambr. Ars. Bellad. Bry. 

Calc. Camph. Carb. veg. Caustic. 

Cocc. Drosera. Euphorb. Euphrasia. 

Lye. Nux vom. Pliosph. Rhus. 

SjDong. Staph. Sulph. Veratr. 
— u. : Bar. Carb. an. Cin. Croc. Sil. 

Staph. 
— 1. : Caust. Lach. Petr. Ruta. 
PARALYSIS: Bellad. Cocc. Nitr. 

ac. Rhus. Sepiae. Spig 1 . Stram. Ve- 
ratr. 
PIMPLES : Hep. Lye. Petr. Rhus. 

Sulph. 
— u. : Hep. 
— u. r. : Canth. Lye. 
— u. 1. : Chel. 
— 1. : Natr. mur. Seneg. 
— 1. 1. : Alum. 
SMARTING: Camph. Carb. veg. 

Caust. Ign. Rhus. Spig. 
— u. r. : Rhus. 
— u. 1. : Aur. 
SPASMS. Alum. Ambr. Bell. Croc. 

Hyosc. Rhododendr. Sep. Sil. 
STYES: Ambr. Apis. Digit. Ferr. 

Lye. Puis. Rhus. Sep. Stann. 

Staph. 
SWELLING: Aco. Arn. Ars. Bar. 

Bell. Bry. Calcarea. Caust. Cham. 

Euphr. Ferr. Hyosc. Ign. N. vom. 

Phosphor. Pulsatilla. Rhus. Ruta. 

Sen. Spong. Strain. Sulph. Valer. 
— u. : Aco. Asar. Natr. c. Sep. Sil. 

Sulph. 
— 1. : Ars. Aur. Bell. Bry. Croc. Pig. 

Lach. Op. Ph. ac. Rhus. Sep. 
AS IF SWOLLEN: Aconitiim- 

Croc. Rhus, Valer. 



14 



EAES. 



TETTEE : Bry. Rhus. Sep. 
ULCERATION: Colch. Croc. Igu. 

Lyc. Nux vom. PhosjDh. Puis. 

Rhus. Silicea. Spig. Staph. Strain. 
— 1. : Colch. Natr. miir. 

In the canthi. 

(Comers of the eye 

ABSCESS, int. : Bry. 
AGGLUTINATION : Phosph. Staph 
BLUEISH, int. : Aur. Sassap. 
BURNING : Alum. Stann. Staph. 
— int. : Agar. Asar. Aur. Bar. Bell. 

Cede. Graph. Hell. Natr. mur. 

Phosph. Ph. ac. Rhodod. 
— ext. : Carbo anim. Cina. Kali. Sep. 

Spig. Stront. Sulph. 
EYE-GUM: Agar. Ant. mid. Gale. 

Canst. Coff. Dig. Euphr. Graph. 

Ipec. X. vom. Staph. Thuj. 
— ext.: Chin. Euphorbium. Ipec. 

Sabad. Staph. 
— int. : Agar. Euphras. Helleb. Rhus. 

Sil. Staph. 
FISTULA LACHRYM: Calc. Cliel. 

Petr. Pulsatilla. Ruta. Stann. 

Staph. 



GUM: Natr. mur. 
INFLAMMATION : Aco. Alum. Ars. 

Cham. Euphr. Ign. N. vom. Phosph. 

Puis. 
— int.: Agar. Merc. 
— ext.: Calc. 
STYE : Puis. Sep 
— int. r. : Natr. mur. 
ITCHING: Arg. Am. Calc. Caust. 

Cina, Hell. Hyosc. Natr. mur. Plat. 

Puis. 
— int: Bellad. Caust. Con. Lyc. 

Nitr. ac. Nux vom. Pulsatilla. Ruta. 

Sep. Staph. 
L ACHRYMATION : Petr. Silicea. 

Thuj. 
PRESSURE, as from a foreign body, 

1. : Agar. Bar. Con. Ignat. Nitr. ac. 
PUS : Cham. Cina. Graph. N. vom. 

Puis. Staph. 
SMARTING: Carl), veg. Mur. ac. 

N. vom. Sep. Sil. 
— int.: Con. Graph. Hell. Kali. N. 

vom. Puis. Staph. 
— ext.: Camphora. Ign. N. vom. 

Sulph. 



IV. EARS. 



On the Ears. 

BORING: Alum. Aur. Baryta. Bell. 

Caust. Euphr. Helleb. Plat. Plum- 
bum. Sil. Spigel. Stann. 
DISCHARGE, of blood: Bryonia. 

Cic Graph. Mercurius. Petr. 

Phosph. 
— of pus : Alum. Aur. Bellad. Boy. 

Calc. Caustic. Kali. Lyc. Merc. 

Petr. J'ulsat. Sep. Sulph. 
— humor: Asa feet. Caust. Mercur. 

Natr. mur. Phosph. Sep. 
ERUPTION: Agar. Bar. Cic. Chin. 

Kali. Petr. PhospllQT. Pulsatilla. 

Sep. Sil. Spongia. Sulph. 



— behind the ears: Antim. crud. 
Canth. Chin. Puis. Sabad. Staph. 

EAR-WAX, liquid : Merc. 

— blood-red: Con. 

— hard: Selen. Soft water. 

— P a PP3 T : Lach. 

—deficient: Calcar. Carb. veg. 

— increased: Agar. Calc. Con. Selen. 
Sep. Sil. 

HEAT: Aco. Alum. Ars. Asar. Bel- 
lad. Bry. Calc. Cantharis. Capsic. 
Carb. veg. Chin. Hep. Ignat. Kali. 
Merc. Natr. mur. Petr. Ph. ac. 
Pals. Sah hi. Sep. Sil. 

ITCHING: Agar. Alum. Ambr. 



EARS. 



15 



Ant. cr. Arg. Bar. Bell. Calc. Garb. 

veg. Caust. Coloc. Con. Caps. 

Graph. Hep. Ign. Kali. Lijcop. 

Mur. ac. Natrum mur. Nitr. ac. 

Nux vomica. Petr. Phosphor. 

Phosphor, ac. Plat. Ptdsat. Ehod- 

od. Rhus. Sambuc. Selen. Sep. 

Sil. Spigel. Stann. Sulph. 
ITCHING of external ear: Arg. 

Spig. 
— of lobule: Argent. Sabadilla. Ve- 

ratr. 
INFLAMMATION: Aeon. Bryon. 

Kali. Lye. Merc. N. vom. Ph. ac. 

Puis. Sil. Spong. 
PAROTID GLANDS, pains on: 

Arg. Bry. Cham. Chin. Cocc. 

Hyose. Ign. Merc. Phosphor. Puis. 

Rhus. Sab ad. 
— pressure: Merc. 
— inflammation : Chamom. Rhus. 
— swelling: Bar. Bell. Bry. Carb. 

veg. Chamom, Chin. Cocc. Con. 

Dulc. Hyose. Ign. Merc. Nitr. ac. 

Phosph. Puis. Rhus. Sepise. Sil. 

Sulph. 
— hardness: Rhus. 
— painfulness : Puis, 
—stitches: Bell. China. Con. Ign. 

Nitr. ac. Pulsat. Sep. Sulph. 
STITCHES: Alum. Ant. cr. Arm 

Ars. Bar. Bell. Bry. Calc. Cann. 

Canth. Capsic. Carbo. veg. Caust 

Chamom. China. Colch. Coloc. Con. 

Bros. Dulc. Ferr. Graph. Hell. 

Hep. Ign. Ipec. Kali. Lycopod. 

Merc. Natr. mur. Nux vom. Petr. 

Platin. Plumb. Ph. ac. Puis. 

Rhodod. Sep. Sil. Spigel. Spong. 

Stann. Staph. Sulphur. Yeratr. 

Zinc. 
SWELLING: Ant cruel. Calcarea. 

Caust. Kali. Lycop. Merc. Natr. 

mur. Nitr. ac. Ph. ac. Puis. Rhus. 

Sep. Silic. Spong. Zinc. $ 
TEARING: Aconit. Agar/ Alum. 



Ambr. Anac. Am. Aur. Bar. Bel- 
lad. Camph. Cantharis. Capsic. 

Cham. Chin. Carbo. veg. Caust. 

Con. Cupr. Dros. Dulcam. Graph. 

Hyose. Kali. Lye. Merc. Mur. ac. 

Nitr. ac. N. vom. Plat. Plumb. Pit. 

ac. Pulsat. Stann. Spigelia. Sulph. 

Zinc. 
— behind the ears: Alumina. Ambr. 

Arg. Bar. Belladonna. Canth. Caps. 

Plumb. Rhus. Sep. Sil. 
TENESMUS : Ambr. Anacard. Aim. 

Ars. Asar. Bell. Carb. veg. Caustic. 

Coloc. Conium. Cham. Cina. Colch. 

Croc. Dros. Dulc. Hell. Kali. Lye. 

Merc. Mur. ac. Nitr. ac. N. vom. 

Phosph. Plat. Puis. Rhodod. Rhus. 

Sabad. Sep. Spig. Spong. Stann. 

Sulph. Thuj. 

ULCERS: Alum. Camph. Kali. 
Merc. Puis. Ruta. Spongia. Stann. 



Hearing. 

DEAFNESS: Ambr. Ant. crud. 

Am. Plumb. Puis. Sec. corn. 
., Yeratr. 
FLUTTERING: Bell. Cupr. Merc. 

Plat. Spig. 
GROANING: Puis. Sabad. 
HAEMORRHAGE: Bell. 
HAMMERING: Spig. 
HARD HEARING: Ambr. Anac. 

Ant. crud. Am. Arsen. Asar. Aur. 

Bar. Bell. Bry. Calc. Caust. Cham- 
om. Chin. Cic. Coccul. Croc. Dulc. 

Dros. Graph. Hyose. Ign. Iod. Kali. 

Lye. Merc. Natr. m. Nitr. ac. Petr. 

Phosph. Ph. ac. Puis. Ruta. Sabad. 

Sec. cor. Sep. Sil. Spig. Spong. 

Stram. Stann. Sulph. Veratr. 
— to human speech : Ars. Phosph. 
HUMMING: Aur. Bell. Bryon. 

Caust. Con. Laches. Lycop. Natr. 

mur. N. vom. Puis. Sabad. Sep. 

Spig. Sulph. 



16 



NOSE. 



Illusions of Hearing. 

ROARING: Aeon. Ambr. Aiit. crud. 

Am. Ars. Asar. Aur. Bell. Bryon. 

C'ale. Cann. Carb. veg. Caust. Cic. 

Cocc Coichic. Con. Graph. Ignat. 

Kali. Lye. Mere. Nitr. ac. N. vom. 

Op. Phosph. Ph. ac. Plat. Puis. 

Rhus. Sec. corn. Sep. Sil. Staph. 

Sulph. Thuj. Veratr. 
INTOLERANCE OF MUSIC : 

Aeon. Cham. Off. Ign. Viol, od. 
REPORTS: Graph. Kali. Natr. c. 

Rhus. S abaci. Sil. Staph. Zinc. 
RINGING: Alum. Arsen. Calc. 

Clemat. Kali. Lycop. Phosph. 

Rhod. Sil. Sulph. Valer. Zinc. 
RUSHING: Aur. Bar. Bell. Cocc. 

Con. Cham. Dulc. Kali. Natr. mur. 

Nux vom. Puis. Rhoclod. Stann. 
RINGING : Aeon. Agaric. Anac. Arn. 

Ars. Asa f. Aur. Bar. Bell. Bry. 

Calc. Camp. Cann. Canthar. Carb. 

veg. Caustic. Cham. Chin. Cic. 



Con. Dulc. Graph. Kali. Ignat. 

Lye. Mercur. Natr. mur. N. vom. 

Op. Petr. Plat. Ph. ac. Puis. Rhus. 

Sep. Silic. Stann. Staph. Sulph. 

Veratr. 
SENSITIVE HEARING, excessive: 

Anac. Bell. Carb. veg. Coif. Graph. 

Ign. Lye. Nux vom. Phos. Ph. ac. 

Sep. Sulph. 
SENSITIVENESS TO SOUND: 

Aco. Bell. Chin. Coff. Colch. Con. 

Ign. Iod. Merc. Natr. carb. Nitr. 

ac. N. vom. Ph. ac. Puis. Sil. Spig. 

Zinc. 
SENSITIVENESS TO MUSIC: 

Aeon. Cham. Coff. Ign. 
WHIZZING: Aeon. Agar. Alum. 

Anac. Arn. Ars. Asar. Aur. Bar. 

Bell. Bry. Calc, Canth. Carb. veg. 

Caust. Chamom. Chin. Cupr. Eerr. 

Hep. Kali. Lye Merc. Natr. mur. 

Nux vom. Op. Petr. Phosph. Puis. 

Rhod. Ruta. Sec. corn. Sep. Spig. 

Sulph. Terat. Zinc. 



V. NOSE. 



On the Nose. 

BLACK PORES : Nit. ac. Sulph. 
BLOOD BLOWN FROM THE 

NOSE: Agar. Alum. Ambr. Ars. 

Asar. Bar. Canth. Caps. Caust. 

Dros. Graph. Hep. Kali. Lach. 

Lye. Natrum mur. Nux vom. 

Petr. Phosph. Phos. ac. Puis. Sep. 

Silic. Sulph. 
BOILS : Alum. Carb. an. Arnica. 
BONE-PAIN: Aur. Hyosc. Lach. 

.Here. 
CANCEB: Aur. Calcar. Sep. Sulph. 
COLDNESS: Arn. Bellad. China. 

Dros. I.vji. N. vom. Plumb. Veratr. 
DISCHARGE OF PUS: Aur. Cina. 

Lach. Phosph. ac, I'uls, 



DULL : Anac. Calc. Caps. Carb. an. 

Ipec. Kali. Nux vom. Puis. Rhoclod. 
HAEMORRHAGE : Aeon. Cann. 

Conium. Croc. Led. Rhus. Sabin. 
INFLAMMATION: Agar. Arnica. 

Ars. Aur. Bellad. Cann. ('a nth. 

Lach. Merc. Natr. mur. Plumb. 

Rhus. Sulph. 
ITCHING : Agar. Alumina. Arn. 

Bell. Bov. Calc. Carbo veg. Cans/,. 

Cannab. Caps. Coloc. Con. Chel. 

Chin. Cilia. Kali. Lye. Hell. Ign. 

Ladies. Merc Mur. ac. Nux vom. 

Platina. Plumb. Phosph. Phosphor. 

ac. Santon. Sambuc. Selen. Seneg. 

Sep. Silic. Spig. Staph. Zinc. 
NOSE BLEED: Aronit. v,arir 



FACE. 



17 



Alum. Ambr. Ant. criid. Arg. Aril. 

Ars. Bar. Bell. Bry. Gale. Cann. 

Canth. Caps. Carb. veg. Causti- 

cum. Cham. Chin. Cina. Coff. 

Colch. Con. Croc. Cupr. Dig. Bros. 

Dulcamara. Ferr. Graphit. Hep. 

Hyosc. Ipec. Kali. Lach. Lycop. 

Merc. Mosch. Natr. mur. Mtr. ac. 

1S T . vom. Petr. Phos. Ph. ac. Pulsat. 

Bhocl. Rhus. Ruta. Sabad. Sabin. 

Sambuc. Sassa^p. Secale corn. 

Seneg. Sejj. Silicea. Spong. Stan- 

num. Sulphur. Thuj. Veratr. 
POLYPI: Teucr. inar. 
SCURFS IN NOSE: Alumina. Ant. 

crad. Arn. Aim Bry. Canth. Cham. 

Cic. Cocc. Hepar. Hyosc. Ignat. 

Kali. Lachesis. Merc. Nux vom. 

Ph. acid. Puis. Selen. Sil. Spigelia. 

Staph. Thuj. 
— under the nose : Bar. Kali. 

Smell. 
SMELL, of blood: Sil. 
— sensitive • Aeon. Aur. Bar. Bell. 

Cham. Chin. Cocc. Colch. Graph. 

Kali. Lycop. JSf. vom. Phosph. 

Plumb. 
— putrid: Aur. Bellad. Calc. Merc. 

Sulph. 



— fine, extremely : Aeon. Agar. Aur. 

Bell. Chin. Cocculus. Coff. Con. 

N. vom. 
— of lime : Sulph. 
— of foul cheese : N. vom. 
— deficient : Anac. Bell. Hep. Hyosc. 

Nat. mur. Op. Plumb. Pulsat. 

Ruta. Sec. corn. Sep. Sil. Zinc. 
— catarrhal : Graph. Merc. Puis. 

Sulph. 
— fetid: Belladonna. Phosph. Sep. 
SWELLING: Arn. Ars. Aur. Bell. 

Bry. Calc. Cann. Canth. Caust. 

Cham. Chel. Cocc. Lye. Merc. Natr. 

mur. Nitr. ac. Phosphor. Ph. acid. 

Puis. Bhus. Sep. Spigelia. Stann. 

Strain. Zinc. 
SWELLING OF BONES : Aur. 
TETTEB: Rhus. Spig. 
TWITCHING: Agar. Arnica. Aur. 

Caps. Con. Hyoscyam. Plat. Puis. 
ULCERATED NOSTRILS: Anac. 

Ant. crud. Arn. Aur. Bell. Bry on. 

Calc. Cham. Cocc. Graph. Hep. 

Hyosc. Ign. Lach. Lye. Merc. Natr. 

mur. Nitric acid. N. vom. Phosph. 

Phosph. ac. Puis. Sep. Spig. Stann. 

Staph. Zinc. 
— exter. nose: Puis. 
WARTS: Caust. 



VI. FACE. 



Color and External Ap- 
pearance. 

ACNE ROSACEA (reel pimples): 

Arsenic. Cann. C. an. Veratr. 
— blue: 4.C0. Ars. Asar. Bryon. 

Camph. Cham.. Cic. Cina. Con. 

Cupr. Dros. Hyosc. Ig-n. Ipecac. 

Mercurius. Op. Samh. Spongia. 

Stramon. Yeratr. 
—margins around eyes : Anac. Arsem 



Calcar. Cham. China. Cina. Cocc. 
Cupr, Graph. Hep. Ignat. Ipecac. 
Kali. Lach. Lycop. Merc. Phosph. 
Phosph. acid. Rhus. Sabad. Sabin. 
Sec. corn. Staph. Stram. Sulphur. 
Yeratr. 

-brown, changing to : Bryon. Hyosc. 
Iod. Op. Sec. corn. Strain. 
-bloated: Aco. Arnic. Aur. Bar. 
Bell. Bry. Cham. China. Cina. 
Cocc. Cupr. Dig, Dros. Dulcamara. 



18 



FACE. 



Fen*. Hyosc. Ipec. Kali. Led. Lye. 

Merc. Natr. c. Nux vom. Op. 

Phosph. Plumbum. Rhus. Sep. 

Spig. Sponsria. Staph. Strain. 
COMPLEXION, changing: Aco. 

Bell. Boy. Capsic. Cham. Chin. 

Cina. Crocus. Hyosc. Ign. Led. 

Opium. Natr. c. Phosph. Ph. ac. 

Yeratr. Zinc. 
— jaundieed : Aeon. Auibra. Ant. crud. 

Am. Ars. Bry. Calc. Causticum. 

Canth. Chain. Chel. Chin. Cina. 

Con. Croc. Ferr. Graph. Hell. Hep. 

Ign. Jod. Kali. Lye. Merc. Natrum. 

mur. Nitr. ac. N. yom. Op. Petr. 

Pliinih. Puis. Rhus. Secale corn. 

Sep. Spigelia. Yeratr. 
— shining: Auriun. Plumbum. Rhus. 

Selen. 
— sallow: Bryon. Carb. veg. Ferr. 

Merc. Phosphor. Sec. corn. 
— sickly: Anac. Bryon. Calc. Canth. 

Canst. Chin. Cina. Colch. Cupr. 

Kali. X. vom. Plumb. Phosph. Ph. 

ac. Puis. Rhus. Sec. corn. Silicea. 

Spigel. Stann. Staph. Sulph. Ye- 
ratr. Zinc, 
—red: Aeon. Arg. Arnica. Ars. Bar. 

Bell. Bryon. Calcar. Camph. Cann. 

Canth. Capsic. Caustic. Cham, 

China. Cic. Cina. Cocc. Corf. Croc. 

Cupr. Drosera. Euphr. Dig. Dulc. 

Ferr. Hyosc Hep. Ign. Ipec. Laur. 

Lye. Merc. Mur. ac. Natr. c. N. 

vom. Op. Petr. Phosph. Plat. 

Plumb. Puis. Rhus. Ruta. Sabad. 

Sabina. Sep. Sil. Secale cornut. 

Spigel. Spong. Stannum. Stranioii. 

Sulphur. Thuj. Yeratr. Zinc. 

red and bluish: Aco. Bell. Bry. 

Hep. Mere. Opium. Phosphor. 
— red, burning cheeks: Aeon. Am. 

Bellad. Bry. Cannab. Caps. C. an. 

Cham. China. Cina. Cocc. Coffea. 

DnlcHelL Tgn.K&li. Lycop. Mer . 

N. vom. Op. Plat. Sabad. Samb. 

Stann. Stram. I'nlrr. 



— red on one side : Aeon. Am. Cairn. 

Canth. Cham. Chin. Ign. Ipec. N. 

vom. Pulsat. Rheum. 
— red, erysipelatous: Bellad. (Cal- 
car.) Camphor. Cham. Lach. Rhus. 

Rut a. Stram. 
— sallow: Arsen. Bry. Canth. Chin. 

Cic. Euph. Ferr. Hyosc. Ignat. 

Ipec. Merc. Natr. mur. Nnx vom. 

Op. Plumb. Phosph. Sec. corn. Sil. 
EYES, sunken: Ambr. Arsen. Cal- 
car. Camph. China. Cic. Cupr. 

Coloc. Dros. Ferr. Hyosc. Jod. Lye. 

Nitr. ac. Op. Phosphor. Ph. acid. 

Sec. corn. Sponyia. Stannum. 

Staphij s. Sulph. Verat. 
FEATURES, altered: Ars. Bellad. 

Camph. Canth. Chamom. Colch. 

Rhus. Spig. Yeratrum. 
FRECKLES: Calc. Kali. Lye. 

Natr. c. Phosph. 
PALE: Aronltum. Ambr. Anac. 

Am. Ars. Bell. Bry. Calc. Camph. 

Cann. Cantli. Caps. Carb. veg. 

Cham. China. Cic. Cina. Coloc. Con. 

Cocc. Cupr. Dig. Euphorb. Euphr. 

Ferrum. Graphit. Helleh. Hyosc. 

Ign. Jod. Ipec. Kali. Laches. Led. 

Lye. Merc. Nnx vom. Op. Plum- 
bum. Petr. Phos. Ph. ac. Puis. 

Rhus. Sabin. Sec. corn. Sep. Sil- 
icea. Spigelia. Spong. Stann. Stram. 

Sulph. Teucr. mar. Yeratr. Zinc. 
SPOTS, yellow: Calc. Hell. Lye. 

Natr. c. Phosph. Sepia. 
— red: Alumina. Ambr. Bellad. 

Canth. Croc. Lye. Merc. Nux vom. 

Op. Phosph. Sabadilla. Samb. Sil. 

Sulph. Zinc. 
— white: Ars. Mere. Natr. c. 
SWELLING: Alum. Ars. Bell. Bry. 

Calc. Canth. Carb. veg. Chamom. 

Dulc. Graph. Hell. Hyosc. Kali. 

Lycop. Natr. mur. Nitr. ac. Op. 

Petr. Phosph. Rhus. gi!Hil>. Sep. 

Strain, 



FACE. 



19 



Sensations. 
In the face generally. 

BLOTCHES: Antim. crud. Canth. 

Cic. Hell. Lach. Led. X. vom. Op. 

Puis. Yiol. tr. 
BOILS: Alum. Am. BeU. 817. 

Chin. Laur. Led. 
BONES, inflammation of: Staph. 
— swelling of : Sil. Spig. 
— pains of : Asa f . Caps. Chel. 
COLDNESS : Asar. Camphor. Canth. 

Cham. Cilia. Dros. Hyosc. Ign. 

Ipecac. Ehus. Yeratr. 
CONVULSIONS: Bell. Calcarea, 

Camphora. Canth. Cham. Cupr. 

Dig. Ipec. Phosphor. Rheum. 

Strain. Sulph. 

CRAMPY FEELING: Bellad, Cina. 

Cocc. Dig. Dulc. Hyosc. Kali. 

Nitric acid. Platina, Rhus. 

Spongia. Stannum. Thuj. Va- 
leriana. 
CRUSTA LACTEA : Ambr. Arsen. 

Bar. Bellad. Bry. Hep. Ledum. 

Mereur. Rhus. Sassap. Staph. 

Viol. tr. 
ERUPTION : Alum. Anac. Ars. Aur. 

Bar. Galea r. Carb. veg. Caust. 

Chamom. Cic. Colcli. Coloc. Con- 

ium. Dulc. Graph. Kali. Lachesis. 

Led. Lye. Merc. Natr. mur. Petr. 

Plumb. Ph. ac. Rhus. Sep. Silic. 

Stann. Staph. Yeratr. Viola, tr. 
— on the lips : Aco. Ant. cr. Arn. 

Bar. Bell. Bov. Brg. Conn. Canth. 

Caps. Caustic. Chin. Coloc. Con. 

Dulc. Hep. Hyosc. Ignat, Ipec. 

Kali. Led. Mur. acid. Xux vom. 

Rhus. Samb. Scill. Spigelia. Sjjong. 

Staphys. Sulphur. Yeratrum. Zinc. 
— around the mouth : Ant. crud. Bar. 

Bov. Calc. Carbo veget. Cocc. 

Graph. Peti\ Phosphor. Ph. ac. 

Rhod. Rhus. Sep. Sil. Staph. 

Yeratr. Zinc. 



—around the ears: Ant. crud. Mur. 

ac. Petrol. Phosphor. Sulph. 
— on the forehead : Agar. Ambr. Ant. 

crud. Arn. Baryta. Boo. Calc. 

Canthar. Carbo veget. Chamom. 

Clem. Coccul. Euphorb. Hell. Hep. 

Led. Mur. ac. Natrum mur. Rheum. 

Rhod. Rhus. Sep. Sil. Staph. 

Sulph. 
ERYSIPELAS : Rhus. Bell. 
FEELING OF COLDNESS : Arn. 

Bar. Merc. Mosch. Phosph. Plat. 

Rhod. Ran. seel. 
FLASHES OF HEAT: Ambr. 

Arnica. Asa feet. C. an. Cocc. 

Graph. Lye. Nitr. acid. Petr. 

Sulph. Teucr. mar. Thuj. Voter. 
HEAT : Aeon. Agar. Alumina. Ambr. 

Anac. Arn. Ars. Asaf. Asar. Bar. 

Bellad. Bov. Bry. Calc. Cainph. 

Cann. Canthar. Caps. Carbo veget. 

Caust. Cham. Chin. Cina. Cocc. 

Cojfea. Coloc. Con. Croc. Cupr. 

Digital. Drosera. Dulcam. Euphr. 

Ferr. Graphit. Hell, Hepar. Hyosc. 

Ign. Ipec. Kali. Led. Lye. Merc. 

Mur. ac. Natnun mur. Nitr. ac. 

Xux vom. Op. Petr. Platina. Plumb. 

Phos. Ph. ac. Puis. Rheum. Rhod. 

Rhus. Ruta. Sabad. Sabina, Samb. 

Sassap. Senega. Sep. Scill. Sil. 

Spig. Spong. Stann. Staph. Strain- 
on . Tar. Thuj. Yeratr. Viol. tr. 
HERPES: Bar. Bov. Calc. Carbo 

veg. Caustic. Chel. Graph. Led. 

Natr. c. Nitr. ac. Pet. Phosph. 

Rhus. Sabad. Sep. Sil. 
— on the cheek : Ambra. Anac. Bar. 

Bov. Bryon. Caustic. Merc. 
— on the chin : Bov. Chel. N. vom. 
— on the lips (cold blisters) : Rhus. 
— on the temples : Alum. 
ITCHING: Agar. Alumin. Ambr. 

Arg. Arnic. Asa f. Aur. Bry. Bov. 

Calc. Caps. Carbo veg. Caustic. 

Clem. Coloc. Con. Dulc. Graph. 



20 



FACE. 



Kali. Lach. Lye. X. vom. Opium. 

Petr. Phosph. Ph. ac. Plat. Plumb. 

Rhus. Ruta. Sabadilla. Sabin. Sas- 
sap. Sep. Sil. Sulph. Veratrum. 

Zinc. 
MUSCLES, twitching of: Bell. 
PROSOPALGIA: Aconit. Alumina. 

Asa f. Aur. Bar. Bell. Bry. Calc. 

Caps. Chin. Cina. Colch. Coloe. 

Con. Daph. Graph. Kali. Lye. Mur. 

ac. Nitr. ac. Nux vomica. Phosph. 

Sep. Spigelia. Stann. Staph. Valer. 

Veratr. Verb. 
PULSATIONS : Agar. Cann. Cham. 

Clem. Croc. Hell. 
TEARING: Agar. Alum. Ambr. 

Arg. Aur. Bell. Bry. Calc. Garb. 

veg. Chel. Cina. Colch. Con. Daph. 

Dig. Dulcam. Euphorbium. Graph. 

Kali. Led. Lye. Merc. Mur. ac. 

Natr. c.'Nitr. ac. Phosph. Plumb. 

Rhus. Sassap. Senega. Seipitt.Stilig . 

Spigelia. Spong. Staph. Sulphur. 

Thuj. Teucrium mar. Zinc. 
PIMPLES : Agar. Ambra. Ang. Ant. 

cruel. Arsen. Bar. Bellad. Bov. 

Calc. Caps. Carbo veg. Caust. Cocc. 

Con. Drosera. Graph. Kali. Lye. 

Natrum mur. Nux vom. Nitr. ae. 

Petr. Phos. Ph. ac. Rhus. Sassap. 

Sep. Sil. Sulph. Stann. Staph. Ve- 
ratr. Zinc. 
— around the eyes: Calc. Hep. Ign. 

Merc. Petr. Sil. Staph. Sulph. 
— on the cheeks: Ant. crudum. Am. 

Calc. Canth. Carbo veg. Caust. 

Cham. Cina. Dulcam. Hyosc. Nux 

vom. Phosphor. Sassap. Sabina. 

Sep. Staph. Valer. Veratr. 
— on the chin: Ambr. Antimon. 

crudum. Bellad. Calc. Canth. Causl 

Cic. Clem. Con. Dros. Dulc. H(j>. 

Hyosc. Lye. Nitr. ac. Nux vom. 

Rhus. Sabina. Sil. Spigelia. Soon- . 

Sulphur. Thuj. Veratr. 
SENSATION OF HEAT: Am. 



Asa f. Bar. Bell. Bry. Camph. Croc. 

Dros. Euphr. Ipec. Merc. Nux 

vom. Petr. Platina. Eheum. Ehus. 

Euta. Sabadilla. Spong. Stramom. 

Thuj. 
SPASMS: Ambr. Carbo vegetab. 

Camph. Cann. Cham. Cocc. Cupr. 

Dig. Hep. Op. Sepise. Stram. 
STITCHES : Agar. Arg. Asa f. Asar. 

Aur. Bar. Bry. Calad. Canth. 

China. Cocc. Con. Dig. Graph. Ign. 

Kali. Lye. Merc. Natr. mur. Nitr. 

ac. Petr. Phosph. Plat. Plumbum. 

Rhod. Rhus. Sabad. Sabin. Sep. 

Sil. Spigelia. Spongia. Staph. 

Stann. Sulph. Thuj. Veratr. Verb. 
SWEAT: Aeon. Ambra. Arg. Am. 

Ars. Asa f. Bell. Bry. Calc. Camph. 

Cann. Capsic. Carb. veg. Cham. 

China. Cina. Coccul. Coff. Con. 

Croc. Cupr. Dulc. Drosera. Hell. 

Hep. Hyosc. Ignatia. Ipic. Law. 

Led. Lycop. Merc. Natr. mur. N. 

vom. Op. Petrol. Plat. Pulsat. 

Rheum. Rhus. Sambucus. Sassap. 

Sep. Spong. Staph. Stram. Stann. 

Sulphur. Thuj. Valer. Veratr. 
— cold, on the forehead: Bry. Cin. 

Cupr. Ipec. Eheum. Veratr. 
TENSION: Aconit. Alum. Am. 

Asaf. Aur. Bar. Bry. Calc. Canth- 

aris. Chel. Colch. Con. Eupliorb. 

Laurocer. Led. Lye. N. vom. Petr. 

Platina. Phosph. Ph. ac. Pulsatilla. 

Rheum. Rhus. Sabad. Samb. Sep. 

Spong. Veratr. Verb. Viol. od. 
THROBBING: Am. Bellad. Calc. 

Sabad. Staph. 
TITILLATION : Bell. Cann. Coloe. 

Laur. Phosph. 
ULCERS : Ars. Bry. Merc. 
VESICLES: Alum. Ant cr. Bar. 

Cantharis. C. an. Caust. Euphoru. 

Graph. Nitric acid. Petr. Plumb. 

Phosph. Rhus. Sepi®. Silicea, 

Sulph. Valer. Zinc. 



FACE. 



21 



WARMTH, feeling of: Asa feet. 
Asar. Cann. Cantharid. Chin. 
Cocc. Coff. Croc. Laur. Phos. ac. 
Puis. Samb. Seneg. Valer. 

On the lips. 

(u. signifies upper lip ; I. lower lip, and c. cor- 
ner of the mouth.) 

BLACK : Aconit. Bryon. Chin. Mer- 
cur. Phosph. acid. Yeratr. 

BLUE : Agar. Ars. Caust. Cina. Con. 

Cupr. Dig". Op. Phosph. Stramon. 

Yeratr. 
BLISTEES, bloody: Natr. mur. 

Bry. Ign. Ph. ac. Plat. 
— u. : Kali. Rhus. 
— 1. : Ars. Bry. Rhus. 
BURNING: Agar. Anac. Arnica. 

Ars. Bry. Caps. C. an. Chin. Hyosc. 

Kali. Merc. Muriatic ac. N. vom. 

Phosph. Rhod. Rhus. Sabad. 

Sulph. Thuj. 
— u. : Ant. cruel. Bar. Caustic. Daph. 

Graph. Merc. Natr. c. Rhus. Sa- 
bad. Sep. Spigel. Staph. Yeratr. 
— 1. : Asa f. Bar. Bellad. Bov. Bry. 

Clem. Daph. Graphit. Kali. Phosph. 

Phosphor, acid. Sabad. 
— c. * Arn. Coloc. Daph. Dros. Natr. c. 

Zinc. 
CANCER : Ars. (Bryon.) Clem. Con. 

Sil. 
CHAPPING : Alum. Arn. Bry. Calc. 

Caps. Carbo veg. Cham. Chin. 

Colch. Croc. Ign. Nux vom. Phos. 

Pulsatilla. Staph. Yeratr. Zinc. 
— u. : Caust. Natr. mur. Sab. Selen. 
— 1. : Cham. Chin. Daph. Dros. 

Graph. Natr. mur. Nux vom. 

Phosph. Ph. ac. Puis. 
CONTRACTION: Calc. Sec. corn. 
DEADNESS, u.: Calc. 
DISTORTION: Bellad. Graphit. 

Nux vom. Sec. corn. 
DRY : Aco. Agar. Alum. Ambr. Anac. 

Arn. Ars. Bar. Bell. Bry. Calad. 

Cann. Canth. C. an. Cham. China. 



Con. Croc. Cycl. Dros. Graphites. 

Hyosc. Ign. Merc. Mur. ac. Nux 

vom. Phosph. Plat. Puis. Rhodod. 

Rhus. Stram. Thuj. Yeratr. Zinc. 
— u. : Amm. Plat. Sulph. 
— 1. : Daph. Merc. Sabin. 
ERUPTION, vesicular: Alumina. 

Canth. Laur. Natrum mur. Rhus. 
— u. : Amm. mur. Ars. Carbo veg. 

Cic. Con. Graph. Hell. Laur. Mur. 

ac. Plat. Seneg. Sil. Stront. Yaler. 
— 1. : Aur. Bell. Bry. Carbo veg. 

Clem. Kali. Laur. Mur. ac. Natr. 

mur. Phos. Plat. Rhodod. Sassap. 

Sepia. Staph. Sulph. 
— c : Caust. Daph. Laurocer. Seneg. 
GLANDS, indurated: Con. Sulph. 

Zinc. 
— ulcerated: Ign. 
HEAT: Ambr. Arn. Bell. Canth. 

Carbo an. Daph. Hep. Sep. 
HERPES : Anac. Ars. Rhus. Sep. 
— u. : Phosph. Sep. 
— L: Sep. 

— c. : Carbo veg. Phosph. Sep. 
PALE : Ferr. Kali. Lye. Yaler. 
PEELING OFF : Ahun. BeU. Canth. 

Caps. Cham. Con. Daphne. Nux 

vom. Platina. Plumb. Puis. 
— u. : Sulph. 

— 1. : Daph. Kali. Natrum mur. 
PIMPLES: Cann. Caps. China. 

Dulc. Hyosc. Ipec. Kali. Mur. ac. 

Nux vom. Rhus. Spong. 
— u. : Aco. Ant. crud. Am. BeU. Calc. 

Carbo veg. Capsicum. Caust. Dig. 

Kali. Led. Lycop. Nux vom. Rhus. 

Sassap. Sep. Scill. Silicea. Staphys. 

Thuj. Zinc. 
— 1. : Bell. Bry. Calc. Capsic. Caust. 

Ign. Merc. Mur. acid. Natrum c. 

Rliu? Samb. Sil. Spig. 
— c. : Antim. crud. Bar. Bellad. Calc. 

Cann. Canth. Caustic. Coloc. 

Phosph. Rhod. Rhus. Yeratr. 
PRESSURE, u. : Sulph. ac. 
— 1.: Yaler. 



22 



FACE. 



RHAGADES: Am. Bryonia. Cairn. 

Caps. Croc. Ign. Plat. Puis. 
— u. : Agar. Kali. Natr. mur. Ph. ac- 

Sabad. 
— 1. : Bry. Cham. Nux vomica. Puis. 

Plat. Sulph. 
— c. : Ant. crud. Merc. 
ROUGH: Anac. Calc. Mur. acid. 

Plat. 
— u. : Calc. Sulph. 
— 1. : Merc. Natr. niur. 
SCURFS: Ars. Bar. Bryon. Cann. 

Cham. Ig'ii. Mur. ac. N. vom. Staph. 

Sulph. 
— u. : Ars. Cic. Kali. Mercur. Petr. 

Sil. Staph. Sulph. 
— 1. : Alum. Calc. Natrum rour. Ph. 

ac. Sulph. 
— c. : Calc. Graph. Ign. Sil. 
SPASM: Ambr. Bellad. Caust. Kali. 

Merc. Plat. 
SWELLING : Am. Alum. Aur. Bell. 

Bry. Carbo veg. Caps. Chin. Dig. 

Natr. mur. Opium. Rhus. Strain. 
— u. : Argent. Bar. Bell. Bov. Canth. 

Carbo veg. Con. Daph. Graph. Hep. 

Kali. Lye. Merc. Natr. mur. Nitr. 

ac. Petr. Phosph. PJius. Staphys. 

Sil. Sulph. ThuJ. Zinc. 
— 1. : Alum. Asa f. Calc. Caust. Daph. 

Lye. Mur. ac. Nafrram mur. Puis. 

Sep. Sil. 
TREMBLING: Sham. Sulph. 
— 1. : Am. Con. 

TWITCHING : Arsenic. Cham. Dulc. 
■ — a. : Carbo veg. Natr. c. Plat. Sabad. 

Thuj. ZillC 
-1.: Bry. 
TUBERCLES: Bell. Caust. Con. 

Sep. Sil. Sulph. 
— u. : Arsenicum. liar. Graphit. 

Magnes. c. 
— 1. : Ign. Sep. 
— c. : Bry. Stront. 
ULCERATION, c,: Cale. 
ULCERS: Ars. Bellad. Capsic 

Cham. ('bin. Cic Con. Dulc.(«raph. 



Natr. mur. Nitr. ac. N. vom. Staph. 

Sulph. 
— u. : Caps. Caust. Daph. Kali. Merc. 

Staph. 
— 1. : Bry. Caps. Ign. Lye. Merc. 

Nux vom. Phosphor. Phos. ac. 

Puis. Sep. Sil. Staph. Zinc. 
— c. : Am. Bell. Graph. Hep. Ign. 

Merc. Nux vom. Natr. mur. Phosph. 

Sil. Zinc. 
Lower jaw and articulation of the 
jaw. 

BONE, swelling of: Sil. 
CONTRACTION: Nux vom. Puis. 

Stann. 
CRAMP : Alum. Asa feet. Asar. Bell. 

Chamom. Cocc. Colch. Ignat. Kali. 

Merc. Mur. ac. N. vom. Plat. Rhus. 

Spig. Sjjong. Stann. Sulph. 
— in the joint: Aeon. Arnica. Bell. 

Bry. Calc. Camph. Canthar. Cic. 

Colchic. Con. Hyosc. Ign. Laur. 

Mere. N. vom. Op. Phosph. Plat. 

Plumb. Rhus. Sec. com. Spig. 

Strain. Sulph. Verat. 
CRACKING: Nitr. acid. Rhus. Sa- 
bad. 
DEPRESSION: Op. 
DISLOCATION: Ign. Petr. Ph. ac. 

Rhus. Staph. 
PAIN, arthritic : Caust. 
— crampy : Digit. Plat. Sassap. Spong. 

Stann. 
PRESSURE: Ambr. Arn. Asar. 

Aur. Bry. Chin. Coff. Cupr. Bros. 

Ign. Ltd. Phosph. Sabin. Sassap. 

Spig. Veratr. 
RICTDTTY: Bellad. Canst Cocc. 

Enphr. Graph. Hyosc. Merc. Nux 

vom. Petr. Sassap. Sep. Thuj. 
SWELLING : Aeon. Arn. Ars. Staph. 

Veratr. 
TEARING: Agar. Anac Arn. Aur. 

Bar. Bell. Bov. Bry. Canth. Carb. 

anim. Chin. Cocc. Coff. Colch. 

Droser. Graph. Laur. Mercur. Nux 



TEETH AND GUMS. 



23 



torn. Phosphor. Plumb. Puis. Sas- 

sap. Spig. Stann. Sulph. 
TWITCHING: Am. Bell. Bryon. 

Canth. Chin. Cina. Con. Ign. Rhus. 

Sabin. Yaler. 

Chin. 
BURNING: Anac. Ant. crud. Bov. 

Canth. Caust. Rhus. Spong. 
COLDNESS : Yeratr. 
CRAMP : Bell. 
DRAWING: Caust. Ctfpr. 
HERPES: Boy. Chelid. Natr. mur. 

Nux vom. Sil. 
ITCHING: Alum. Con. Dig. Kali. 

Lye. Natr. mur. Op. Phosph. Plat. 



Puis. Sassap. Scill. Spig. Stront. 

Sulph. Zinc. 
NUMB FEELING: Asa f. Plat. 
PIMPLES: Ambr. Anac. Ant. cr. 

Bell. Calc. Canth. Caust. Cic. Clem. 

Con. Dros. Dulc. Graph. Hyosc. 

Lye. Mere. N. vom. Nitr. ac. Rhus. 

Sabin. Sassap. Sil. Spig. Spong. 

Sulph. Thuj. Veratr. Zinc. 
PUSTULES : Merc. Oleand. Sabin. 

Zinc. 
SWELLING : Carb. veg. 
TEARING • Aur. Caust. Plat. 
ULCERS: Hep. 
VESICLES: Hep. 



VI. TEETH AND GUMS. 



Teeth. 

BLACK : Ig-nat. Merc. Plumb. Sep. 

Staph. 
BLEEDING: Ambr. Bar. Graph. 

Phosph. Ph. ac. Sulph. Zinc. 
BRITTLE: Lach. Plumb. Sabad. 

S taph. 
DECAY : Amm. Carb. an. Sil. 
DULL : Agar. Caps. Nitr. acid. Puis. 

Spong. Staph. 
FALLING OUT: Ars. Bry. Mere. 

N. vom. Plumb. Sec. corn. 
FETID: Calc. Carb. veg-. Daph. 

Graph. Kali. 
GRITTING : Aeon. Ant. crud. Ars. 

Bar. Bellad. Canth. Caust. Chamom. 

Cic. Coff. Con. Hyosc. Ign. Merc. 

Plumb. Sec. corn. Sep. Strain. 

Yeratr. 
HOLLOW: Asar. Calcar. Daph. 

Hyosc. Plumb. Phosph. Sabad. 

Selen. Sep. Sil. Staph. 
LOOSE: Aeon. Arn. Bry. Camph. 

Cham. Chin. Cocc. Hyoscyam. N. 

vom. Op. Puis. Rheum. Bhus. 



Staph. Veratr. 
MUCUS ON TEETH: Alum. Arn. 

Bov. Bry. Cham. Daph. Iod. Plumb. 

Selen. 
SMOOTH: Phosph. Selen. 
TEETHING: Aeon. Arn. Bryon. 

Chamom. Cic. Cina. Coff. Cupr. 

Hyosc. Ig-n. Ipec, N vom. Op. Puis. 

Rhus. Stram. 
TOOTHACHE, see Index. 
YELLOW: Iod. Lye. Nitr. ac. 

Gums. 
BLUE: Sabad. 
BLEEDING: Agar. Alum. Ambr. 

Ang. Bar. Bellad. Bov. Calc. Carb. 

veg-et. Caustic. Con. Euphr. Graph. 

Iod. Kali. Lycop. Mere. Natr. mur. 

Nitr. ac. N. vom. Phosph. Ph. ac. 

Ruta. Sep. Staph. Sulph. Zinc. 
BURNING: Bell. Chamom. Merc. 

Mur. ac. N. vom. Petr. Puis. Rhus. 

Sep. 
CORRODED : Merc. Staph. 
FISTULA : Calc. Canth. Caust. Natr. 

mur. Petr. Puis. Sil. 



24 



MOUTH. 



GROWTHS: Staph. 
HEAT : Bell. Lye. 
INDENTED: Merc. 
INFLAMED : Bov. Iod. Natr. mur. 

N. vom. Petr. Phosph. Sil. 
PALE: Carb. an. Merc. Nitr. acid. 

Plumb. Sabin. Staph. 
PUTEID: Ambr. Nux. vom. Staph. 
RECEDING : Bov. Carb. veg-. Graph. 

Merc. Natr. carb. Phospli. Ph. ac. 

Elms. Sep. Staph. 
REDNESS: Carbo an. Iodine. Merc. 

Nitr. Sep. 
SENSITIVE: Arnm. Ang. Arsen. 

Carbo veg. Canst. Natr. mur. 

Phosph. Puis. 
SPONGY: Ang. Bry. Graph. Merc. 

X. Tom. Staph. 
SCURVY: Cic. N. vom. Staphys. 

(See Index.) 



SUPPURATION: Canth. Caust. 

Lach. 3Ierc. Petr. 
SWOLLEN: Alum. Ambr. Ang. 

Bar. Bellad. Bism. Bov. Calc. Carbo 

an. Carbo veg. Caps. Caust. Cham. 

Chin. Cocc. Graphites. Hep. Hyosc. 

Joel. Kal'tv. Lach. Lye. Mere. Mur. 

ac. Natr. mur. N. vom. Nitr. ac. 

Petr. Phosph. Plumb. Puis. Sabin. 

Sep. Sil. Spig. Spong. Staph. Sulph. 
TUBERCLES: Caust. Phosph. ac. 

Plumb. Staph. 
ULCERATED : Alum. Aurum. Bov. 

Calcar. Kali. Kali biclir. Lye. Merc. 

Millef. N. vom. Phospli. Sabin. 

Stann. Staph. Zinc. 

VESICLES: Bellad. Calc. Canth. 
Daph. Nux vom. Petr. Sep. Staph. 
WHITE : Merc. Staph. 



VIII. MOUTH. 



Buccal Cavity. 

APHTHAE : Bry. Caust. Cham. Chin. 
Ipec. Merc. Nitr. ac. Nux vom. 
Sulphur. Sulph. ac. 

BLISTERS: Ambr. Anac. Canth. 

Calc. Caps. Jod. Merc. Nitr. acid. 

Phosph. Spong. Staph. Thuj. 
BLUE : Cic. Merc. 
BLEEDING : Bell. Canth. Manein- 

nella. Millefol. 
BURNING: Asa f. Asar. Bellad. 

Bov. Carbo veget. Cantharis. 

Cham. Cupr. Mr re Petr. Phos. 

Plumb. Spong. Sulph. Veratr. 
BREATH, sour: Nnx vom. 
— bad. Aeon. Ambr. Arn. Agar. Aur. 

Bar. Bell. Bry. Camph. Canth. 

Capsic. C;dc. Carbo anim. Carbo 

veg-et. Cham. ('kin. Croc. Digital. 
Perr. Graphit. Kali. c. Hyosc Ign. 



Ipec. Merc. N. vom. Petr. Plumb. 

Puis. Sepise. Spigel. Strain. Sulph- 
ur. Zinc. 
DRYNESS : Aco. Ambr. Amm. Ars. 

Aur. Antim. crud. Am. Asa f. 

Asar. Bar. Bell. Bry. Calc. Carbo 

veg. Cann. Canth. Capsic. Cham. 

China. Cina. Cocc. Coffea. Colch. 

Croc. Ferr. Hyosc. Ign. Ipec. 

Kali c. Kali biclir. Lye. Mur. ac. 

Merc. Natrum c. Nitr. Nitr. ac. 

N. vomica. Petr. Phosph. Phosph. 

ac. Bhod. Plumb. Puis. Sabad. 

Sassaj:>. Seueg. Sep. Sil. Spig. 

Strain. Sulph. Thuj. Veratr. Zinc. 
FOULNESS: Am. Ars. Aur. Bell. 

Bov. Bryon. Capsic. Carb. veg 1 . 

Cham. Chin. Crotal. Graph. Hyosc. 

Iod. Merc. N. vom. Nitr. ac. Puis. 

Rul;i. Sabin. Spigelia. Sltipll. 
GROWTHS: Staph. 



MOUTH. 



25 



HEAT: Amm. Calc. Camphora. 

Carbo veg. Cham. Mercur. Natr. c. 

Phosph. Plumb. Sil. Sulph. 
INFLAMED : Aeon. Bismuthuni. 

Brom. Calacl. Canth. Colch. Ign. 

N. yum. Veratr. 
ROUGH: Carbo veg-. Caustic. Ciua. 

Cocc. Dig. Ipec. Millefol. Ph. ac. 
SKIN DETACHED : Merc. 
SWELLING : Amm. Causticum. 

Canth. Merc* Sep. Zinc. 
TRISMUS: Calc. Con. Phosphor. 

Sulph. 
ULCERS: Arg. Graphites. Kali 

bichr. Merc. Natr. mur. Nitr. ac. 

N. Tom. Opium. Petr. Phosph. 

Plumb. Sepise. Sil. Staph. Zinc. 

Palate. 

BLISTERS: Iod. Nux vom. Nitr. 

ac. Phosph. Spig. 
BURNING: Carbo veget, Camph. 

Cann. Canth. Caustic. Cocc. Mur. 

ac. Phosph. Phosph. ac. Rhodod. 

Seneg. Spig. Staph. Thuj. 
DRYNESS: Camph. Cann. Cina. 

Cocc. Hell. Merc. Nux vom. Op. 

Plumbum. Samb. Sepise. Staph. 

Sir am. Sulph. Veratr. 
INFLAMMATION : N. Y©m, 
PEELING OFF : Amm. Euphorb. 
REDNESS : Ars. Bell. Canth. 
SMARTING: Carbo veget, Coloc. 

Canth. Cham. China. Kali c. Merc. 

Seneg. Zinc. 
SORE: Daph. Nitr. ac. Phosph. 

acid. 
STINGING: Bar. Camph. Canst. 

Coloc. Ign. Kali c. Phosphor. 

Stajjh. Zinc. 
SWELLING: Apis. Ars. Bell. Caps. 

Chin. Merc. Natr. mur. N. vom. 

Seneg. Stram. 
ULCERS: Apis. Aur. Kali bichr. 

Merc. Natr. mur. Nitr. ac. Ph. ac. 

Sil. 



WHITE: Merc. 

Pharynx. 

(Compare Larynx.) 
APHTH.E : Spong. Staph. 
BALL, hysteric: Calc. Causticum. 

Graph. Ign. Kali c. Natruni mur. 

Plumb. SejJ. Sil. Sulph. Valer. 
BURNING : Aco. Alum. Amm. Ars. 

Arn. Asa feet. Bellatl. Calc. Camph. 

Cannabis. Canth. Carbo veg. Caus- 
ticum. Cham. Cocc. Con. Digital. 

Dros. Euphorb. Graph lies. Hyosc. 

Iod. Merc. Nitr. ac. N. vom. Petr. 

Phosphor. Puis. Bhod. Sabad. 

Seneg. Stram. Sec. corn. Spongia. 

Sulph. Veratr. 
CONTRACTION: Aco. Alum. Arg. 

Ars. Asa feet. Bellad Calc. Caus- 
ticum. Chin. Cic. Daph. Hyosc. 

Merc. Natrum muriat. Phos. Sabad. 

Stram. Sulph. Veratr. 
CROUP, gangrenous : Ars. Chin. 
— membraneous: Aco. Brom. Cham. 

Dros. Hep. Iodine. Phosph. Samb. 

Spong. 
— disposition to : Lycopod. Phosph. 
DEGLUTITION DIFFICULT: 

Aconit. Arg. Arn. Asar. Bell. Bry. 

Calc. Canth. Carbo vegetab. Cham. 

Chin. Hyosc. Ign. Ipec. Kali bichr. 

Merc. Natr. mur. Nitr. Nux vom. 

Op. Phosph. Ph. ac. Puis. Pyro c. 

Sabad. Spong. Stramon. Sulph. 

Thuj. 
— desire for : Bell. Caust. Con. Ipec. 

Merc. Seneg. Sabad. Thuj. 
— painful: Aeon. Alum. Arg. Ars. 

Asa f . Bar. Bell. Bry. Calc. Camph. 

Canthar. Caps. Carbo veg. Causti- 
cum. Cham. China. Cocc. Coffea. 

Croc. Ferr. Graph. Hell. Hep. Ign. 

Ipec. Kali c. Lycopod. Merc. Natr. 

mur. N. vom. Petr. Phosph. Ph. ac. 

Puis. Rhus. Ruta. Sabad. Sabin. 



26 



MOUTH. 



Sep. Seneg. Sil. Spig. Staph. 

Strain. Sulph. Zinc. 
DRYNESS: Agaric. Alumina. Anibr. 

Anac. Ant. crud. Ars. Asa f. Bar. 

Bell. Bry. Calad. Calc. Canth. 

Cau&t. Cham. Cocc. Colch. Cupr. 

Hyosc. Ign. Ipec. Kali c. Lye. Merc. 

Mur. ae. Natr. mur. Nitr. ac. N. 

vom. Op. Petr. Phosph. Ph. ac. 

Flat. Plumb. Puis. Rhus. Sabad. 

Sabina. Sec. corn. Sepias. Sil. 

Spongia. Stann. Staph. Strain. 

Thuj. Sulph. 
INFLAMMATION: Aeon. Agar. 

Apis. Alum. Arg. Ars. Bar. Bell. 

Bry. Canth. Caps. Cham. Con. 

Euphorb. Iod. Lach. Lye. Mercur. 

Petr. Phosph. Ph. ac. Puis. Ruta. 

Seneg. Sep. 
LUMP IN THROAT: Ambr. Ant. 

crud. Arn. Ars. Bell. Calc. Caust. 

Croc. Hep. Mercur. Natr. m. Plumb. 

Sabad. Sab. Sep. 
PARALYSIS : Aco. Bell. Cocc. Ipec. 

Plumb. Sep. 
AS IF A PLUG IN THROAT: 

Amni. Bar. Chamom. Crocc. Ferr. 

Hep. Ign. Merc. Mur. ac. Natr. mur. 

Nux vom. Sep. Sulph. 
REDNESS : Aco. Alum. Apis. Bell. 

Canth. Merc. Nitr. ac. Spong. 

ROLLING OF DRINKS, audible: 

Cuprum. Lam. 
ROUGH: Aeon. Ambr. Antim. crud. 

Arg. Ars. Bar. Bry on. Carbo veget. 

Caustic. China. Coccul. Dros. 

Euphr. Graph. Hep. Hell. Hyosc. 

Ign. Ipec. Mur. acid. Natr. c. N. 

vom. Phosph. Ph. ac. Plat. Plumb. 

Rliod. Rhus. Sabad. Sassap. Sen' 

eg a. Spong. Stann. Staph. Sulph. 

Tlmj. Veratr. 
SCEAPING : Alum. Anac. Arg. Ars. 

Bry. Carbo an. (voce. Croc. Dros. 

Dulcam. Kali c. Hyosc. N. vom. 

Puh. Rhus. Sabad. Stann. Thuj. 

Veratr. 



SMARTING: Ambr. Carbo veget. 

Dros. Hyosc. N. vom. Ph. ac. Sep. 
SORE THROAT, chronic : Ammon. 

Arg. Bar. Bov. Dulc. Lach. Lye. 

Nitr. Pulsatilla. Rhus. Zinc. 
— in measles : Carbo veg. 
HEAT: Bellad. Cham. Dulcam. 

Euphr. Ferr. Hyosc. Iodine. Mer- 
cur. Natrumc. Nitric ac. Phosphor. 

Rhododend. Sepise. Stram. 
SPASM: Alumina. Carbo veget. 

Caps. Con. Dig. Graph. Ipec. 

Phosphor. Sassap. Sepise. Stram. 

Sulph. Yeratr. 
SWELLING: Aco. Arg. Bellad. 

Bry. Carbo animalis. Cham. Chin. 

Hep. Hyosc. Iodine. Ign. Lye. 

Merc. Petr. Spig. Stann. Sulph. 
AS IF SWOLLEN: Veratr. 
ULCERS: Arg. Calc. Iod. Ign. Merc. 

Nitr. ac. 
UVULA INFLAMED : Apis. Bell. 

Brom. Millefol. Mercur. Ruta. Zinc. 
— elongated: Caps. Chel. Croc. Plat. 

Sabad. Sulph. 
—swollen: Bell. Calc. China. Coff. 

Dulc. Kali bichr. Lycop. Merc. JV. 

vom. Pulsatilla. Sabad. Seneg. Sil. 

Sulphur. Zinc. 

Saliva. . 
FRONT OF MOUTH: Bell. Calc. 

Camph. Canth. Chamom. Cic. Cocc. 

Cupr. Hyosc. Ign. Laur. Op. Plumb. 

Sec. corn. Strain. Veratr. 
— bloody: Cantharis. Hyosc. Pyro- 

carb. Sec. cornut. Stram. 
MUCUS, bitter: Arn. 
-bloody : Alum. Amm. Bism. Iod. 

Lye. Mercur. Phosphor. Sec. corn. 

Selen. Sulphur. Strain. Thuj. Zinc. 
— foul : Bellad. Bov. Calcarea. Carbo 

veg. Cham. China. Sep. Zinc. 
— yellow : Bry. Spig. 
— gray: Arg. 
— green : Carbo vegetab. Colch. Natr. 

mur. Plumb. Zinc. 



MOUTH. 



27 



- — salt : Alum. Amm. Bovista. Graph. 

N. vom. Plios. Rhus. Sulph. 
— sour : Plumb. 
— sweetish: Asar. 
— tasting badly : Merc. 
— smelling badly : Chin. Ignat. Puis. 

Bheum. 
— viscid: Alum. Anibr. Anac, Ant. 

crud. Arg. Asar. Bell. Brij. Camph. 

Caps. Chamom. Coff. Dulc. Euphr. 

loci. Ign. Merc. Nux vom. Phosph. 

Ph. ac. Plumb. Pulsat. Rhus. 

Samb. 
SALIVATION : Ant. crud. Agar. 

xilum. Apis. Bellad. Brom. Bry. 

Camph. Canth. Cham. Chin. Cocc. 

Colchic. Con. Cyc. Dros. Dulc. 

Euphr. IT err. Hell. Hyosc. Ign. Iod. 

Kali c. Ipec. Merc. Nitrum ac. 

Nux vom. Op. Phosph. Plumb. 

Puis. Rhus. Strain, Veratr. 
SALIVA, bitter: Arn. Ars. Merc. 

Thuj. 
— frothy : Ant. crud. Bell. Bry. Cam- 

phora. Canth. Cic. Cocc. Ign. Ipec. 

Phosph. Plumbum. Sil. Sabin. Sec. 

corn. Spigelia. Stram. 
— watery : Asarum. C amphora. Colch. 

Dig. Dros. Hell. Iod. Ipec. Lach. 

Nux vom. Phosph. Plumb. Staph. 
— increased flow : Aeon. Alum. Arg. 

Asar. Bar. Bell. Bov. Brom. Bry. 

Calc. Camph. Canth. Carb. veget. 

Caustic/Cham. Chin. Cocc. Colchic. 

Dros. Dulc. Graph. Hell. Hep. 

Hyosc. Ign. Ipec. Merc. Natr. mur. 

N. vom. Phosph. Pulsat. Rhus. Sep. 

Spig. Spong. Staph. Strain. Sulph. 

Veratr. 

Tongue. 
BLACK: Ars. Chin. Op. Sec. corn. 
BLOTCHES: Apis. Dros. Lycop. 

Phosph. 
BLISTERS: Amm. Arg. Ars. Apis. 

Bar. Bell. Brom. Bry. Calc. Canth. 



C. an. Caust. Cham. Chin. Croc. 

Graph. Hell. Kali carb. Mur. ac. 

Natr. mur. Nltr. ac. N. vom. 

Phosph. Puis. Sabad. Sep. Spig. 

Spong. Staph. 
BLUE: Ars. Dig. Lach. Mur. acid. 

Sabad. 
BURNING: Aeon. Alum. Argent. 

Ars. Asar. Bar. Bell. Bry. Calc. 

Canth. Carb. an. Caust. Chin. 

Coff. Coloc. Croc. Graph. Hyosc. 

Ign. Kali carb. Merc. Natr. mur. 

Op. Phosph. Ph. ac. Plat. Plumb. 

Bhodod. Sabad. Spig. Spong. 

Sulph. Veratr. 
CANCER: Apis. Ars. 
COATED, brown: Arsen. Bell. Bry. 

Carb. veg. Crotal. Mancin. Plumb. 

Sabin. Sec. cor. Sulph. 
— yellow: Aeon. Alum. Arn. Ars. 

Bellad. Bry. (aim. Chamom. Chin. 

Cocc. Kali hichr. Lach. Merc. Nitr. 

acid. Sabad. Sabina. Senec. Stann. 

Zinc. 
— like a crust : Chin. 
— like fur : Merc. Puis. 
— frothy: Plumb. 
— slimy: Aeon. Agar. Bell. Canth. 

Chamom. Chin. Cina. Ignat. Merc. 

Nitr. Nux vom. Phosph. Plumb. 

Puis. Sec. corn. Sep. Sil. Stann. 
—dirty: Aeon. Ant. crud. Arn. Chin, 
—blackish: Ars. Bry. Merc. Sec. 

corn. 
— whiter Aeon. Agar. Alum. Anac. 

Ant. crud. Ars. Asar. Arn. Bell. 

Bryon. Calcar. Canth. Cann. Carb. 

veg. Cham. Chin. Cina. Croc. Dig. 

Euphr. Ign. Ipec. Merc. Mur. ac. 

Nat. mur. Petr. Phosph. Plumb. 

Puis. Rheum. Rut. Sabad. Sabin. 

Sassap. Selen. Seneg. Spigel. 

Staph. Sulphur. Veratr. Zinc. 
CRACKS : Bar. Calc. Ign. Merc. 
CRACKED : Bar. Bell. Bryon. Calc. 

Cham. Chin. Plum 1 - Ph. ac. Sec. 

corn. Spig. 



28 



mouth. 



DRY : Aeon. Ambr. Arn. Ars. Bell. 

Bry. Calc. Canth. Carb. veg. Caust. 

Cham. Cocc. Coif. Con. Dulc. 

Kali carb. Lye. Hell. Hyosc. Ipec. 
* Lach. Mere. X. vorn. Op. Phosph. 

Ph. ac. Plumb. Puis. Elms. Sep. 

Staph. Strain. Sulph. Veratr. Zinc. 
HEAT : Aeon. Bellad. Canth. Carbo 

veget. Plumb. Pulsat. Stram. 

Sulph. 
HEAVY: Anew. Bell. Calc. Carb. 

veget. Merc. Mm*, ac. Natr. mur. 

Plumb. N. vom. Ruta. 
INDENTED: Merc. 
INFLAMMATION: Aconit. Arn. 

Canthar. Cham. Nux vom. Plumb. 
PAPILLA, erect: Croc. Oleand. 
— inflamed : Bell. 
PARALYSIS: Aeon. Bar. Cocc. 

Crotal. Dulcam. Ipec. Hyosc. 

Laur. Mur. ac. N. vom. Op. Rhus. 

Rut. Sec. cor. Stram. 
PEELING OFF: Spig. 
RANULA : Ambr. Calc. Natr. mur. 

Nitr. ac. Staph. 
RED : Cham. Veratr. 
ROUGHNESS: Aeon. Alum. Bar. 

Calc. Carb. veg. Cocc. Dulc. Graph. 

Hyosc. Merc. Phosph. Sep. Stram. 

Sulph. 
SMARTING: Aeon. Am. Arsen. 

Asar. Bell. Cham. Chin. Coloc. 

Croc. Dros. Ign. Ipec. Natr. mur. 

Op. Sep. Sulph. Zinc. 
SORE : Agar. Ars. Canth. Cic. Dig. 

Kali c. Lye. Merc. Mur. acid. Natr. 

mur. Nitr. ac. Op. Sen. Si!. 
SUPPURATION: Canth. Mancin. 
SWELLING : Anac. Apis. Ars. Be!!. 

Bryon. Calad. Chin. Cic. Dig. Dros. 

-Ulouoin. Hell. Merc. Natr. mur. 

Plumb. Pyrocarb. Ruta. Sabad. 

Sec. Sil. Strain. Veratr. 
TONGUE PROTRUDED : Aco. 

Plumb. 
TREMBLING : BelL Phos. ac. 

Stram. 



TWITCHES : Sec. corn. 
ULCERS : Amm. Apis. Arsen. 

Canth. Chin. Cic. Dros. Kali bichr. 

Lye. Mur. ac. Merc Natr. mur. 

Nitr. ac. Op. 
— at the edge of tongue : Caust. 

Merc. Mtr. ac. Thuj. 
— under the tongue : Lye. 
WHITE : Arsen. Canth. Coloc. Hell. 

Kali carb. Nitr. ac. Nux vom. Op. 

Petr. Phosphor. Puis. Sep. Sulph. 

Veratr. 
WITHERING: Veratr. 



Speech. 
DUMB : Cicuta. Pyrocarb. Stram. 
SPEECH, impeded: Aeon. Anac. 

Arg. Arn. Ars. Bell. Bry. Calc. 

Cann. Canth. Carb. veg. Caust. 

Cocc. Conium. Dulc. Hyosc. Ign. 

Lye. Merc. Mur. ac. Natr. mur. 

N. vom. Op. Plumb. Petr. Phos- 
phor. Sec. cor. Spong. Staiin. Stram. 

Sulph. Veratr. Zinc. 
— hurried : Aeon. Bry. Hep. Merc. 
— stuttering: Cocc. Stram. 
— slow : Thuj. 
— low tone: Bell. Canth. Chamom. 

Chin. Hep. N. vom. Op. Sec. corn. 

Staph. 
— nasal: Bry. 
SPEECHLESS: Arn. Ars. Bar. 

Bell. Bryon. China. Con. Crotal. 

Cupr. Hyosc. Lye. Merc. Mur. ac. 

N. vom. Op. Phosph. Plumb. Pu!s. 

Ruta. Sec. corn. Strain. Veratr. 
STUTTERING: Aco. Arn. Bell. 

Cham. Euphr. Hell. Opium. Sec. 

corn. Strain. Verat. 

STAMMERING: Euphr. 

VOICE, clear: Chin. Secale com. 

Spong. Strain. Veratr. 
— low: Ant. crud. Canth. Ign. Nux 

vom. Op. Pills. Secale corn. Spong. 

Veratr. 



APPETITE. 



29 



— indistinct : Bry. Cann. Cocc. Hyosc. 

Sec. corn. Stram. Veratr. 
— loss of: Antimon. cruel. Cann. 



Dros. Hyosc. Lach. Plumb. Ruta. 
Spong. Veratr. 



IX. APPETITE. 



LOSS OF APPETITE : Aco. Agar. 

Alumina. Ant. crud. Arg. Arn. Am. 

Bar. Bell. Bry. Calc. Canth. Carbo 

vegetabil. Caustic. Cham. China. 

Cic. Cocc. Coff. Colch. Con. Croc. 

Cupr. Cycl. Dig. Dros. Dulc. Ferr. 

Graphites. Hell. Hep. Hyosc. Ign. 

Ipec. Lach. Lye. Mere. Natr. limr. 

Nux vom. Op. Phosphor. Plat. Puis. 

Rhodod. Rhus. Ruta. Sabad. Sec. 

corn. Sep. Sil. Spigel. Spong. 

Stann. Staph. Sulph. Thuj. Veratr. 

Zinc. 
AVERSION TO BEER: Bell. 

Cham. China. Cocc. N. vomica. 

Phosph. Spig. Spong. Stann. 

Sulph. 
— to brandy : Ign. Merc. 
— to bread: Con. Ign. Lycopod. 

Natr. mur. Nitr. ac. Nux vom. 

Phosph. Ph. ac. Puis. Rhus. Sep. 

Sulph. 
— to brown bread: Kali c. Lye. N. 

vom. Puis. Sulph. 
— to solid food : Ferr. Mercur. Staph. 
—to fat food : Ars. Bell. Bry. Calc. 

Carbo veg. Drosera. Hell. Hep. 

Merc. Natrum mur. Petr. Pulsatilla. 

Psorin. Rhus. Sep. Sulph. 
— fish: Graph. Zinc. 
— meat: Alum. Arn. Ars. Aur. Bry. 

Calc. Carbo veget. Causticum. Ferr. 

Graph. Ign. Kali bicher. Lye. 

Mercur. Mur. ac. Natr. mur. Nitr. 

ac. N. vom. Op. Petr. Plat. Puis. 

Rhus. Sabad. Sepiae. Sil. Sulph. 

Zinc. 
— broth : Arn. Ars. Belladonna. 

Graph. Rhus. 



— vegetables: Hell. 

— coffee: Bellad. Bry. Calc. Carbo 

veget. Chain. China. Coff. Dulc. 

Lye. Merc. Natr. mur. N. vom. 

Phosphor. Rhus. Sabad. Spig. 
— to milk: Arn. Bell. Bryon. Calc. 

Carbo vcg. Clna. Ign. Natr. c. 

Nux vom. Phosphor. Pulsat. Sep. 

Sil. Stann. Sulph. 
— sour things: Bellad. Cocc. Ferr. 

Ign. Nux vom. Ph. ac. Sabad. 

Sulph. 
— salt things: Carbo veg. Graph. 

Selen. 
— sweet things : Ars. Caust. Graph. 

Merc. Nitr. ac. Phos. Sulph. Zinc. 
— to water: Bellad. Brom. Bryon. 

Canth. Caust. China. Lye. Natrum 

mur. N. vom. Strain. 
— to wine: Ign. Lach. Merc. Rhus. 

Sabad. Sulphur. 
DESIRE FOR BEER: Aeon. Bry. 

Calc. Causticum. China. Cocc. 

Graph. Lach. Merc. Natr. c. N. 

vom. Op. Petr. I h. ac. Pulsat. 

Rhus. Sabad. Spig. Spong. Sulph, 

Zinc. 
— bitter things: Dig. Natrum mur. 
— brandy: Aco. Arg. Ars. Bov. Bry. 

Calc. China. Cic. Hep. Mur. ac. N. 

vom. Op. Puis. Selen. Sep. Spigel. 

Staph. Sulph. Sulph. ac. 
— bread : Ars. Bell. Bov. Ferr. Hell. 

Ign. Natr. m. Plumb. Puis. Staph. 
— bread and butter : Ferr. Ign. Merc. 
— something refreshing: Carbo an. 

Caust. Cocc. Phosph. Ph. ac. Pulsat. 

Rheum. Valer. 



30 



TASTE. 



— for fat food : Nitr. ac. Nux vom. 

— for meat : Hell. Sulph. 

— liquids : Ferr. Merc. Staph. Sulph. 

— j}astry: Plumb. 

— smoked things : Caust. 

— vegetables: Alum. Magnes. carb. 

— cucumbers: Ant. cruel. Veratr. 

— herrings : Nitric ac. Veratr. 

— cheese: Ign. 

— coffee : Ars. Aur. Bryon. Ca|jsicum. 

China. Colch. Con. Mosch. Seien. 
— chalk : Nitr. ac. N. vom. 
— sweet things: Anna. Calcar. Carbo 

veg. Chin. Ipec. Kali c. Lye. Natr. c. 

Xux vom. Petr. Rheum. Rhus. 

Sabad. Sulph. 
— farinaceous : Sabad. 
— milk: Anac. Ars. Aur. Bov. Bry. 

Calc. Cliel. Mercur. Natr. mur. Nux 

vom. Pit. ac. Khus. Sabad. Sabina. 

Sil. Staph. 
— fruit: Alum. China, lgnat. Puis. 

Sulph. ac. Veratr. 
—juicy: Ph. ae. 
— salt: Calc. Carbo veg. Caust. 

Conium. Nitric acid. Phosph. Te- 

ratr. 
— sour: Antiiu. erud. Am. Ars. Bry. 

C. an. Chain. China. Con. Dig. Hep. 

Ign. Kali c. Lach. Phosph. Puis. 

Sabin. Sec. corn. Sep. Strain. 

Sulph. Veratr. 
— wheat bread : Aur. 
—warm food: Cycl. Ferritin. Lye 
— wine : Aco. Arg. Bov. Bryon. Calc. 

Chin. Cie. Hep. Lach. Pulsat. Sep. 

Spigella. Staph. Sulph. 
BAD EFFECTS OF FOOD OK 

DRINK : see Index. 



HUNGER : Agar. Alum. Antim. crud. 

Arg. Ars. Aur. Bellad. Bryon. 

Calc. Canth. Carbo veg. Cham. 

China. Cina. Cocc. Coff. Graph. 

Hell. Hyosc. Ign. Lye. Merc Mur. 

ac. Natr. mur. Nux vom. Op. Petr. 

Phosphor. Plat. Plumb. Puis. Rhus. 

Sabad. Secale corn. Sep. Sil. 

Spong. Staph. Veratr. 
— without appetite : Ars. Bellad. Bry. 

Calc. Chin. Dulc. Hell. Ign. Lye. 

Natr. mur. Nux vom. Op. Puis. 

Rhus. Sil. Sulph. Veratr. 
—canine: Ars. Bryon. Calc. Cham. 

Chin. Cina. Cocc. Graph. Hell. Hy- 
osc. Iodine. Lye. Natr. mur, N. 

vom. Op. Phosph. Puis. Elites. 

Sep. Sil. Spig. Sulph. Veratr. 
THIRST: Aeon. Ant. crud. Am. 

Ars. Bell. Bryon. Calc. Canth. 

Carb. veg. Caust. CI tarn. Chin. 

Cina. Coffea. Crocus. Crotal. Cupr. 

Dros. Dulc. Ferr. Hep. Hyosc. Ign. 

Kali bichr. Mere. Natr. mur. Nux 

vom. Plumb. Rhus. Sec. cornut. 

Silic. Strain. Sulph. Veratr. 
— loss of: Ambr. Apis. Arsen. Bellad. 

Camph. Canth. Chin. Con. Hell. 

Hep. Lycop. N. mosch. Oleand. Op. 

Ph. ac. Puis. Rhus. Sep. Spig. 

Spong. Staph. 
— with aversion to drinks : Am. Bell. 

Canth. Caust. Hyos. Lach. Lye. 

Natr. mur. Nux vom. Rhus. Samb. 

Strain. 
— none, but desire to drink: Ars. 

Camph. Cocc. Coloc. Graph. Man- 

cin. Phosph. 



X. TASTE. 



TASTE, bitter: Aconit. Alum. Ant. 
crud. Arg. Arn. Ars. Aur. Bar. 
Bell. Bov. Bry. Calcar. Canth. 



Carb. veg-. Cham. Chin. Cocc. Coff. 
Croc. Cupr. Dig". Glonoin. Hyosc. 
Ign. Ipec. Kali e. Lye. Merc. Mur. 



ERUCTATIONS. 



31 



ac. Natr. mur. Nitr. ac. Nux vom. 

Op. Petr. Phosph. Pulsat. Rhod- 

odend. Rhus. Sabad. Sabin. Sec 

corn. Sepice. Silic. Spong*. Staph. 

Stram. Sulph. Veratr. 
-of food : Ars. Bryon. Camph. Chin. 

Ferr. HeU. Hep. Ign. Ph. ac. Puis. 

Sabin. Staph. Stram. 
-of blood: Alum. Ars. Canth. Ferr. 

Ipec Kali carb. Rhus. Sabin. Zinc, 
-burnt : Bryon. Cyclam. Laur. Puis. 

Scill. Sulph. 
-of pus : Dros. Merc. Natr. carb. 

Puis. 
-nauseous : Bry. Chel. N. vom. Puis. 

Valer. 
-earth : Caps. Ferr. Hep. Merc. 

Puis. 
-flat : Agar. Alum. Ant. crud. Ars. 

Asaf. Aur. Bell. Bry. Caps. Chin. 

Coloc. Dig. Dulc. Euphorb. Ign. 

Ipec. Natr. mur. Op. Ph. ac. Puis. 

Rhus. Sec. corn. Stann. Staph. 
-foul : Aeon. Am. Ars. Aur. Bellad. 

Bry. Cham. Con. Cupr. Ign. Kali 

carb. Lycop. Merc Mur. ac. N. 

vom. Ph. ac. Puis. Rhus. Spig. 

Staph. Veratr. 

•of foul eggs: Aeon. Am. 

-bilious: Aeon. Bry. Cham. Puis. 

Yeratr. 

-of cheese : Chin, 
-chalky : Ign. Nux mosch. 



-insipid: Aeon. Alum. Ars. Bell. 
Bry. Caps. Chin. Euphras. Ign. 
Kali c. Op. Petr. Phosph. Sabin. 
Spig. Stann. Staph. Valer. 
-salt: Alum. Ars. Bar. Bell. Calc. 
Carb. veg 1 . Chin. Com Croc. Iod. 
Merc. Puis. Rhodod. Sulph. 
-sour: Aeon. Alum. Ars. Aur. Bar. 
Bell. Calc. Canth. Caps. C. an. 
Con. Chamom. Chin. Cocc. Crotal. 
Graph. Ignat. Kali c Kali bichr. 
Lye. Merc. Nitr. ac. Nux vom. 
Pyroearb. Phosph. Puis. Rhus. 
Sep. Sil. Sulph. 

-slimy: Alum. Arn. Arsen. Bell. 
Cham. Chin. Cocc. Dig. Hell. Hep. 
Lye. Merc. Nux vom. Petr. 
Phosph. Ph. ac. Rhus. Sep. Sulph. 
-sweetish: Alum. Aur. Bell. Bry. 
Canth. Chin. Coff. Croc. Cupr. 
Ferr. Kali c. Lye. Merc N. vom. 
Phosph. Plat. Plumb. Puis. Sabad. 
Spong. Sulph. Zinc. 
-offensive: Ars. Brom. Bry. Calc. 
Canth. Chin. Cocc. Dros. Ign. 
Merc. Natr. mur. Nux vom. Phosph. 
Pulsat. Sep. Spig. Stann. Sulph. 
Zinc. 

-lost: Alum. Anac Ant. cr. Bell. 
Bry. Calc. Hyosc. Ipec. Kali c Lye- 
Merc. Natr. mur. Rhodod, Sec. 
corn. Sep. Silic. Stram. Sulph. Ve- 
ratr. 



XL ERUCTATIONS. 



ERUCTATIONS, bitter: Alum. Ar- 
nica. Ars. Bar. Bell. Bry. Cham. 
Chin. Calc Carb. veg. Cocc. 
Droser. Hyosc. Ign. Kali carb. 
Lye. Merc Mur. ac. N. vom. 
Phosph. Pulsat. Sil. Spong. 
Stann. Sulph. Veratr. 

— foul: Aeon. Arn. Bellad. Brom. 



C. an. Cocc Merc. Mur. ac. N. vom. 

Phosph. Puis. Sep. Sulph. 
— after eating: Antiin. crud. Bellad. 

Bry. Camph. Canth. Chin. Cina. 

Cocc. Coff. Crotal. Euphr. Ferr. 

Graph. Ign. Natr. mur. Phosph. 

Pulsat. Rhus. Sil. Sulph. Thuj. 
— bjlipy-.j : Am. Bryon. Cocc. Dros. 



32 



HEARTBURN AND REGURGITATION. 



N. vom. Puis. Spong. Veratr. 
-hot : Mancin. 

-spasmodic : Ferr. Nux vom. Phosph. 
Buta. 

-loud : Ant. crud. Caust. Con. Kali c. 
Petr. Phosph. Plat. Puis, 
-empty: Aeon. Agar. Alum. 
Anibr. Ant. crud. Am. Ars. Bar. 
Bell. Bryon. Calc. Cann. Canthar. 
Carb. veg. Caust. Coloc. Con. 
Chamom. China. Cocc. Coif. 
Colchie. Croc. Bulc. Euphorb. 
Graphit. Hell. Iod. Ign. Ipec. Kali c 
Lye. Merc. Millefol. Natr. mur. 
N. vom. Phosphor. Plumb. Plat. 
Rhus. Buta. Sabad. Sabin. Sep. 
Sil. Spig. Spong. Staphis. Veratr. 
-sour: Anibr. Arsen. Bar. Bell. Bry. 



Calcar. Carb. veg. Cham. Chin. 
Con. Dros. Dig. Graph. Ignat. 
Kali c. Kali bichr. Lye. Mercur. 
Nati*. mur. N. vom. Op. Posph. Puis. 
Sabin. Sil. Stann. Sulph. Sulph. 
ac. Zinc. 

-fetid: Bism. Cocc. Merc. N. vom. 
Sulph. Thuj. 

-incomplete: Arn. Bell. Canth. 
Cina. Cocc. Con. Hyosc. Millefol. 
Natr. mur. Ph. ac. Rhus. Sabad. 
-suppressed: Aeonit. Alum. Anibr. 
Bar. Bell. Calc. Canthar. Caustic. 
C. an. Cocc. Con. Hyosc. Ign. Kali 
carb. N. vom. Phosph. Plat. Plumb. 
Puis. Sulph. 

repulsive : Asa f. Cina. Nat. mur. 
Ph. ac. Plumb. 



XII. HEARTBURN, REGURGITATION. 



HEABTBUBN : Agaricus. Alumina. 

Anibr. Ant. crud. Arg. Arn. Bar. 

Bell. Calc. Capsic. Carbo veg. 

Caust. Cham. Chin. Croc. Crotal. 

Con. Dig. Dulc. Ferr. Graph. Iod. 

Ign. Lye. Merc. Natrum mur. N. 

vom. Petr. 
REGURGITATION, bitter : Arnica. 

Bar. Bry. Dros. Ign. Nux vom. 

Phosph. Puis. Bhod. 
—of blood : Canth. Chin. Merc. N. 

vom. 
— salt : Arn. Lye. Veratr. 
— sour: Alum. Calc. Con. Dros. Nux 

vom. Petr. Plumb. Puis. Rhus. 

Sabin. Spong. Zinc. 
— of food : Antim. crud. Arnica. Bell. 

Bry. Camph. Canth. Carbo veget. 

Cham. Dulc. Ferr. Ign. Lye. More. 

Nux voin. Phosph. Plumb. Puis. 

Sep. Sulph. 
— of water: Aco. Arg. Arn. Bur. 

Bryon. Cann. Caust. Cina. Hep. 



Kali c. Merc. Nux vom. Petr. 

Phosph. Plumb. Puis. Sulph. ac. 
RISING: Alumina. Bellad. Calc. 

Chin. Phosph. Pulsat. Rhus. 

Sabad. Stann. 
— hot : Asa f . Canth. Carbo veg. Cic. 

Coffea. Croc. Dulc. Hell. Merc. 

Nux vom. Plat. 
— cold: Veratr. 
— sweet: Aco. Chin. Plat. Merc. 

Stann. 
— burning: Arsenic. Bov. Calc. 

Carbo veget. Croc. Hep. Hell. Lye. 

Nux vom. Phosph. Sabin a. Secale 

corn. Sep. Sil. Staph. Sulph. Thuj. 

Verat. Zinc. 
WATER-BRASH, bitter: Chelidon. 

Graph. Nux mosch. Sulph. 
— sour: Bell. Calc. C. an. Con. 

Natrum c. Sulpli. 
— general: Ant. crud. Arsenic. Bry. 

Carbo veg. Chin. Cina. Cocc. 



NAUSEA AND VOMITING. 



33 



Oraph. Hell. Ign. Kali c. Lye. 
Merc. Nux vom. Staph. Sulph. 
-more fully : Aco. Alum. Ars. Bar. 
Bryo. Calc. Canth. Carbo veg-. 
Caustic. Cic. Cilia. Cocc. Bros. 
Ferr. Hep. Ign. Kali c. Lye. Natr. 
mur. Mir. ac. Nux vom. Petr. 
Phos. Puis. Sabad. Sep. Sil. Spig. 
Staph. Sulphur. Veratr. 
-with shuddering : Sil. 



-with hiccup : Aconit. Agar. Alum. 
Ant. crud. Arg. Ars. Asar. Bar. 
Bell. Bov. Bry. Calc. Cann. Canth. 
Carbo veg. Causticum. Cham. Cic. 
Cina. Cocc. Coff. Colchicum. Con. 
Cupr. Dig. Dros. Dulcam. Euphr. 
Euphorb. Graph. Iod. Kali c. 
Merc. Natr. mur. N. vom. Op. 
Phosph. Pulsat. Samb. Sep. Spong. 
Staph. Strain. Sulph. Veratr. 



XIII. NAUSEA, VOMITING. 



LOATHING: Aco. Ant. crud. Arg. 

Arn. Asar. Bar. Bell. Bry. Canth. 

Cham. Chin. Cocc. Colch. Cupr. 

Digit. Dulc. Ferr. Hep. Ign. Ipec. 

Kali c. Merc. Nux vom. Op. 

Phosph. Plumb. Puis. Rhod. Se- 

cale corn. Sep. Sil. Spigel. Stram. 

Sulph. ac. 
rAUSI A, generally: Aco. Alum. 

Ant. crud. Arg. Arn. Ars. Bell. 

Bry. Calc. Cann. Carbo veg. Caus- 
tic. Cham. China. Cocc. Coff. Con. 

Croc. Cupr. Dig. Dros. Dulc. 

Glonoin. Hep. Ign. Ipec. Kali c. 

Lye. Mosch. Mercur. Mancin. Natr. 

mur. Nux vom. Petr. Phosph. Ph. 

ac. Puis. Rhus. Ruta. Sabad. Sep. 

Sil. Staph. Sulph. Yeratr. 
— in the chest: Aco. Bry. C A?. 

Merc. Nux vom. Rhus. Sec. c«orn. 

Staph, 
—in the throat: Aco. Ars. Bell. 

China. Cocc. Coffea. Cupr. Cycl. 

Ferr. Merc. Ph. ac. Puis. Rhus. 

Spig. Stann. Staph. Sulph. Yaler. 
— in the stomach : Aconit. Arn. Asar. 

Calc." Cann. Cantharis. Cham. Chin. 

Cic. Cocc. Croc. Cupr. Hell. Ipec. 

Kali carb. Lye. Merc. Natr. mur. 



Nux vom. Phosphor. Puis. Rhus- 
Sil. Sulph. Veratr. 

— in the abdomen: Bell. Bry. Cocc. 

Cupr. Hell. Hep. Puis. Rheum. 

Samb. Sil. Staph. 
QUALMISHNESS: Aco. Arnica. 

Ars. Bar. Bellad. Bry. Calc. Caps. 

Carbo veg. Caustic. Cham. China. 

Cina. Ooffea. Croc. Digit. Euphr. 

Hep. Ign. Ipec. Kalic. Lye. Natr. c. 

Nitr. ac. Nux vom. Petrol. Phos- 
phor. Plat. Pulsat. Rhus. Sabad. 

Sil. Staph. Sulph. Thuj. Veratr. 

Zinc. 
RETCHING: Aco. Aiit. crud. Arg. 

Arn. Ars. Asar. Bell. Bryon. Canth. 

Chin. Cocc. Cupr. Dig. Dulc. 

Crlonoin. Hyosc. Ipec. Lyc.Natrum. 

mur. Plumb. Pulsat. Sabin. Secale 

com. Sulph. Veratr. 
VOMIT, inclination to: Aeon. Ant. 

crud. Arg. Arn. Ars. Aur. Asar. 

BelL Bryon. Cann. Canth. C. veg. 

Cham. China. Cocc. Coffea. Croc. 

Cupr. Dig. Ferr. Graph. Hep. 

Hyosc. Hell. Ign. Iod. Ipec. Kali 

bichr. Lye. Merc. Mur. ac. N. vom. 

Op. Plat. Plumb. Puis. Pyro carb. 

Rhus. Sabina. Secale corn. Sep. 



3i 



NAUSEA AND VOMITING. 



Sil. Spig. Spong. Staph. Strain. 
Sulph. Thuj. Veralrum. 

— anxious : Aco. Calc. Caustic. Kalic. 
Lach. Lye. Xitrum ac. Plumb. 
Sabad. 

VOMITING, generally : Antim. crud. 

Arg. Am. Arsen. Asar. Bar. Bell. 

Bryoii. Calc. Carnph. Cann. Can- 

thar. taps. Chain. Chin. Cilia. 

Cocc. Coffea. Colch. Con. Cupr. 

Dig. Dros. Dul'c. Euphorb. Fen*. 

Graph. Hell. Hep. Hyosc. Ipec. 

Iodine. Kali c. Lach. Lye. Mer- 

eur. N. Yoin. Phosph. Ph. ac. Op. 

Plumb. Pills. Euta. Sab in. Sec. 

corn. Sep. Sil. Sulph. Yeratr. Zinc. 
— bitter: Bryo. Cann. Canth. Cham. 

Chin. Cocc. Cupr. Ipee. Sec. corn. 

Sep. Sil. Sulph. Thuj. Yeratr. 
— bloody: Aco. Am. Arsenic. Bry. 

Camph. Cann. Canth. Chin. Cuj r. 

Bros. Ferr. Hyose. Ipec. Lye. Nux 

vom. Op. Plumb. Pulsat. Ehus. 

Sepise. Stann. Yeratr. Zinc. 
— of brown substance : Arsenic. 

Bisni. 
— bilious: Aeon. Ant. crudnm. Ars. 

Bell. Bism. Bryo. Camph. Cann. 

Canth. Cham. Colch. Con. Cnpr. 

Dig. Bros. Dale. Hyosc. Ipec. 

Iodine. Kali bichr. Lye. Mere. 

Natr. mur. >. vom. Phosph. Puis. 

Sab. Sec. corn. Sep. Sil. Stann. 

Strain. Yeratr. Zinc. 
— yellow: Arsen. Bryon. Cann. 

Colchic. Iod. Ipec. Plumbum. 

Veratr. 
— m Qow-green: Arsen. Bryon. Dole. 

Ipec. Yeratr. 

— of drinks: Ant. crud. Dulc. Ipec. 

• en: Aco. Ars. Asar. Bry. Cann. 
Ch.mioiu. Crotal. Cnpr. Digitalis 
Hell. Hep. Hyosc. [gn« Ipec. >. 



yoin. Op. Plumb. Pulsat. Stram. 
Veratr. 

— violent : Cupr. Ipec. Yeratr. 

— green-blackish : Plumb. Petr. 

Phosph. 
— of mine: Op. 

— of faeces : Bry. N. vom. Op. Plumb. 
— sour: Ars. Asar. Bellad. Calc. 

Caust. Cham. Chin. Cocc. Ferr. 

Graphites. Hep. Ipec. Lye. Nux 

vom. Op. Phosph. Psorin. Pulsat. 

Sabin. Secale cornut. Stann. 

Stram. Sulph. Yeratr. 
— frothy: Yeratr. 
— of mucus: Aeon. Ant. crud. Ars. 

Bar. Bell. Bry. Cann. Cham. Chin. 

Cocc. Cupr. Dig. Dulc. Ferr. 

Graphit. Hep. Hyosc. Ign. Ipec. 

Lye. Mere. N. vom. Pulsat. Phosph. 

Sec. cornut. Sil. Stram. Sulph. 

Yeratr. 
— of food: Antim. cruel. Am. Ars. 

Bell. Bryon. Calc. Canth. thamoin. 

Chin. Cina. Cocc. Coffea. Coioc. 

Dig. Dros. Ferr. Olenites. Hyosc. 

Ign. Ipec. Kali bichr. Kali c. Lach. 

Lyeop. Merc. N. vom. Op. Phos. 

ac. Plumb. Puis. Pyro carb. Sabin. 

Sep. Sil. Stan. Sulph. Yeratr. 
—fetid: Cupr. Ipec. Plumb. Sec. 

corn. Yeratr. 
—watery: Asar. Bry. Cannab. China. 

Cupr. Dros. Ferr. Hyosc. Ipec. 

Pulsat. Stram. Yeratr. 
—black: Ars. Calc. Camphora. Chin. 

Hep. Ipec. Lye. Hancjn. Nnx vom. 

Op. Petr. Phosph. Plumb. Secalo 

corn. Stram. Sulph. Sulph. ac. 

Veratr. 
— of worms: Aco. Anac. Ars. Cina. 

Con'. Ferr. Hyoscyam. Mere. Na- 
trium mux. Sabad. Secale corn. Sil. 

Spigelia. Veratr. 



35 



XIV. STOMACH AND PIT OF STOMACH. 



1. Stomach. 
ACIDITY : Con. Graph. Sil. Sulph. 

acid: Zinc. 
AS IF BLOATED : Alum. Bellad. 

Bov. Chin. Con. Croc. Dulc. Ferr. 

Hell. Iod. Kali bich. Lye. Nitr. ac. 

Nux mosch. Op. Petr. Phosph. 

Sab. Stann. Zinc. 
BURNING : Aeon. Ambr. Arg. Ars. 

Asa f. Bar. Bell. Bry. Calad. Cal- 

car. Camph. Caiith. Caps. Carb. 

veg. Chin. Cic. Coleh. Con. Croc. 

Digit. Euphorb. Graphit. Igiiat. 

Iod. Nux vom. Petr. Phosph. 

Phosph. ac. Sabad. Sec. cornut. 

Sep. Sil. Sulph. 
— at the pylorus : N. vom. 
CANCER: Ars. Lye. N. vom. 
— as if something alive in it: Croc. 
COLD : Ars. N. vom. Puis. Veratr. 
COLDNESS: Alum. Arsen. Bar. 

Caps. Con. Graph. Ign. Natr. mur. 

Phospli. Sabad. Sulph. Sulph. ac. 
CONSTRICTION: Aco. Alum. Bry. 

Bellad. Cale. Carb. veg. Chin. Con. 

Cove. Euphorb. Lyeop. Nux vom. 

Phosph. Plumb. Sil. Sulph. 
CONTRACTION OF PYLORUS: 

Ars. Euphorb. Ign. Nitr. ac. Nux 

vom. Phosph. Zinc. 
CRAMP: Ars. Ambr. Ant. crud. 

Am. Asa t'cet. Bar. Bellad. Brum. 

Bry. Cale. Carb. veg. Caust. Cha- 

iiioiu. Chin. Coee. Con. Cupr. Dig. 

Euphorb. Ferr. Hyosc. Iod. Ign. 

Ipec. Kali carb. Lye. Merc. Natr. c. 

Natr. mur. N. vom. Petr. Phosphor. 

Plumb. Puis. Psorin. Sabad. See. 

corn. Seneg. Sep. Sil. Stann. Staph. 

Sulph. Sulphur, acid. Thuj. Valer. 

CRAMPY PAINS : Arn. Caust. Eu- 
phorb. Ign. Kali carb. Nux vom. 
Puis. 



CUTTING: Alum. Antim. cr. Ars. 

Asa f. Cale. Cann. Canth. Chel. 

Digit. Kali carb. Petr. Phosph. 

Stann. Sulph. 
EMPTY FEELING: Alum. Bar. 

Bry. Carbo veg. Caust. Chin. Dig. 

Graph. Ign. Ipec. Iod. Kali c. 

Kali bichr. Lye. Mur. ac. Natr. 

mur. N. vom. Petr. Phosph. Platin. 

Plumb. Rhus. Sep. Veratr. 
FLATULENCE, feeling of: Arnica. 

Ars. Croc. N. mosch. 
FULLNESS, feeling of: Aco. Alum. 

Arn. Asa f. Asar. Bar. Bov. Cale. 

Canth. Carb. veg. Cham. Chin. 

Coee. Ferr. Hell. Iod. Kali c. Ign. 

Lach. Lye. Merc. N. vom. Opium. 

Petr. Phosphor. Puis. Rhus. Sa- 

bina. Sepiae. Silicea. Stann. Sulph. 

Sulph. ac. Valer. 
GRIPING : Caustic. Euphorb. 

Graph. Natr. carb. Phosph. Sil. 

Stann. 
HEAT: Aco. Ars. Camph. Canth. 

Coco. Con. Digit. Euphorb. Mur. 

ac. Plumb. Phos. Sulph. 
INFLAMMATION: Aco. Ant. cr. 

Arsen. Bell. Bry. Canth. Chin. Cic. 

Colchic. Hyosc. Ipec. Nux vom. 

Phosph. Plumb. Puis. Sabad. Sec. 

cor. Stram. Veratr. 
MOVEMENTS: Cocc. Cupr. Iod. 
PINCHING: Argent. Arn. Asar. 

Bry. Canthar. Con. Croc. Dulcam. 

Hell. Nitr. ac. Rims. Sep. Stann. 

Sulph. 
PRESSURE: Acou. Agar. Ambr. 

Ant. crud. Arn. Anac. Asa fiet. 

Asar. Ars. Bar. Bell. Bov. Bryon. 

Cale. Canth. Carb. v. Caust. Cham. 

Chin. Cic. Cocc. Coloc. Con. Crotal. 

Cupr. Dig. Ferr. Hell. Hep. Ign. 

Ipec. Iod, Kali c. Lye. Mercur. 



36 



STOMACH AND PIT OF STOMACH. 



Mur. ac. Natl', mur. Nux vom. Op. 

Petr. Phosph. Ph. ac. Plat. Plumb. 

Puis. Rhus. Sabiii. See. corn. Sep. 

Spigel. Spong. Staph. Strain. Sil. 

Stann. Sulph. Veratr. 
PRESSURE AS FEOM A STONE : 

Aeo. Alum. Arn. Ars. Bar. Bry. 

Cale. Carbo veget. Cham. Dig. 

Ferr. Kali c. Merc. N. vom. Op. 

Puis. Sepiye. Sil. Staph. Sulph. 
RUMBLING: Arn. Arsen. Croc. 

Graph. Kali c. Natr. c. Phos. Ph. 

ac. Sep. Stann. Zinc. 
TEARING : Arn. Ars. Puis. 
WEAK DIGESTION : Bar. Bryon. 

Cale. Canth. Carbo an. Caust. Con. 

Chin. Cuprum. Dig. Graph. Hyosc. 

Ign. Lye. Merc. Natr. c. N. vom. 

Op. Petr. Phosph. Pulsat. Ruta. 

Valer. Yeratr. Zinc. 
WRENCHING: Arn. Cale. Carbo 

veg. Caust. Chin. Cocc. Lye. N. 

vom. Petr. Phosph. Puis. Sulph. 

Sulph. ac. 

2. Pit of Stomach. 

ANXIETY: Ars. Bry. Calcarea. 

Cann. Canth. Cham. Chin. Cic. 

Con. Ferr. Ign. Mercur. N. vom. 

Pulsat. Sabatl. Sabina. Sec. corn. 

Strain. Stann. Sulph. 
BURNING: Ambr. Ant. crudum. 

Arg. Ars. Bry. Caps. Cham. Kali 

bichro. Mancin. Merc. Natr. mur. 

Nux vom. Pliosphor. Pyro carb. 

Sec. corn. Sep. Sil. Yeratrum. 

Zinc. 
CONSTRICTION: Agar. Alumina. 

Asar. Cale. Carbo veg. Digit. Dros. 

Kali c. Merc. Natrum mur. Plat. 

Rhus. Sulph. Zinc 
CRAMP: Hyosc. Kali c. Nitric ac. 

Phosph. 
CUTTING: Anac. Bellad. Bryon. 

(''in a. Digit. Kalic. Mercur. Nitr. 

Phosphor. Sulphur* Valer. 



DIGGING : Am. Chin. Cina. Kalic. 

Natr. mm. Phos. Sabad. Sulph. 
GNAWING: Glonoin. 
OPPRESSION: Ars. Ant. crudiun. 

Bell. Bry. China. Cocc. Hyosc. 

Platina. Plumb. Rhus. Sec. corn. 

Staph. 
PRESSURE : Aeon. Anac. Arn. Ars. 

Asar. Aur. Bar. Bellad. Bry. Caps. 

Carbo veget. Caust. Cham. China. 

Cocc. Cupr. Dig. Graphites. Hell. 

Hyosc. Ign. Ipec. Kali c. Lye. 

Merc. N. vom. Natrum mur. Petr. 

Phosph. Plat. Puis. Rhod. Rhus. 

Sec. corn. Sep. £i>/(y.iStann. Staph. 

Sulphur. Yaler. Veratr. 
PULSATIONS : Asa f. Cann. Cic 

Iod. Merc. Puis. Rhus. Thuj. 
SENSITIVENESS: Alumina. Arn. 

Bry. Camph. Canth. Carbo vege- 

tabilis. Cupr. Ferr. Hell. Hyosc. 

Kali c. Natrum c. Nux vom. Sec. 

cornut. Spong. Stann. Veratr. 
STITCHES: Aconit. Anac. Arn. 

Bar. Bell. Bryon. Calad. Canth. 

Caps. Chel. China. Cocc. Coff. 

Cupr. Dig. Dulc. Euphr. Graphit. 

Ign. Iodine. Ipec. Kali c. Natrum 

mur. Phosph. Flat. Plumb. Puis. 

Rhus. Sabin.Se\i. Sil. Spig. Staph. 

Stann. Sulph. Zinc. 
SWEAT: Bell. Nux vom. Secale 

corn. 
SWELLING: Ars. Aur. Bellad. 

Bryon. Cale. Cham. Cic. Coff. Ferr. 

Hell. Kali c. Lye. N. vom. Natr. 

mur. Op. Sabina. 
THROBBING : Arn. Ars. Asa f. 

Bell. Cann. Carbo veg. Cham. Cic. 

Dros. Ferr. Ipec. Phos. Puis. 

Khiis. Sep. Sulph. 
TENSION : Aeon. Anac. Arsenic. 

Bry. Cham. Cocc. Dros. Dulc. Hep 

Kali c. Lycop. Mercur. Pulsat. 

Phosphor. Rheum. Sabin. Staphy- 

s ;(,". Stann. Sulph, Veratr. 



XT. HYPOCHONDRIA. 



(L. Signifies region of the liver; S. region 
of spleen; B. both sides.; 

BURNING : Aco. Alum. Bryon. 

Crotal. Ign. Mur. ac. Phospli. 

Phosph. ac. Plat. Secale corn. 

Sulph. 
— S.: Cann. Chel. Graph. Ign. Seneg. 

Spig. 
— B.: Laur. Kali carb. Mercur. 

Sulph. 
CONSTRICTION, L: Aco. Asa f. 

Asar. Dros. Ign. 
DISTENTION, L: Arn. Bryon. Lye. 

Merc. Sep. 
— S.: Merc. Natr. c. Nitr. ac. 
— B.: Calc. Cham. Ign. 
FLATULENCE : Cham. Chin. 

Colch. Ign. Nux vom. Puis. Veratr. 
HARDNESS, L. : Arn. Bryon. Calc. 

Cann. Graph. Merc. Mur. magn. 
—S.: loci. 
INFLAMMATION, L.: Aco. Bell. 

Bry. Canth. Cham. Cocc. .Ignat. 

Merc. Nux vom. Puis. Sec. corn. 
— 8.: Aeon. Ars. Dros. Ferr. N. vom. 

Plumb. 
— B.: Aco. Canth. Nux vom. 
PRESSURE, L.: Aco. Ambr. Arn. 

Ars. Asa f. Bar. Calc. Carbo veg. 

Camphor. Chamom. Chin. Cocc. 

Con. Graph. Ign. Iodine. Kali c. 

Lycop. Merc. Mur. magn. Natr. 

mur. N. vom. Petr. Phosph. Ruta. 

Sabacl. Sabina. Sepise. Stann. 

Staph. Sulph. Veratr. Zinc. 
— S.: Alum. Arn. Asa f. Bell. Camph. 

Cann. Chin. Con. Ign. Lycop. 



Mur. ac. Natrum mur. Petr. Plat. 

Rheum. Rhodod. Rhus. Sassap. 

Sepia3. Stann. Zinc. 
— B.: Aco. Alum. Arn. Asuf. Camph. 

Caps. Cham. Chin. Cocc. Con. Ign m 

N. vom. Ph. ac. Rhodod. Sec. corn. 

Spong. Staph. Veratr. Zinc. 
STITCHES, L.: Aco. Agar. Alum. 

Arn. Asa f. Bell. Bo v. Bry. Calc, 

Camph. Canth. Carbo veget. Canst. 

Chin. Cocc. Con. Dulc. Graphites. 

Hyosc. Ipec. loci. Kali c. Laur. 

Lye. Merc. Mosch. Mur. ac. Natr. c. 

N. vom. Phosphor. Platina. 

Plumb. Psorln. Rlius. Sep. Sil. 

Sabad. Spig. Spong. Sulph. Zinc. 
— S.: Aco. Agar. Arn. Arsen. Aur. 

Bar. Bry. Caust. Chin, (ilonoin. 

Hep. Ignat. Ipec. Mur. ac. Na- 
trum mur. Ph. ac. Plumb. Rhodod. 

Seleu. Spig. Sil. Sulph. 

SWELLING, L.: Cann. China. N. 

mosch. 
— S.: Ign. N. mosch. Ruta. 
— B.: Aco. Alum. Arn. Arsenic. Bry. 

Canth. Chin. Ferr. Ipec. Phosph. 

Plumb. Pulsat. Sil. Spig. 
TENSION, L.: Ars. Brom. Bry. Calc. 

Carbo veg. Causticum. Ferr. Lye. 

X. vom. Sulph. Veratr. 
— S.: Camph. Con. Merc. Rhus. Zinc. 
— B.: Aco. Ant. crud. Asa f. Calc. 

Cham. Chin. Conium. Ferr. Hell. 

Lye. X. Yom. Op. Puis. Staph. 

Veratr. 
WARMTH, feeling of : Sabad. 



XVI. ABDOMEN. 



Sensations. 

ALIVE, as of something: Cann. 

Croc. Hyosc. Ign. Merc. Plumb. 

Spong. Thuj. 
BxALL, ascending: Aeon. Ignatia. 

Plumb. 



BLOATING: Aeon. Alum. Am- 
br a. Antim. crud. Arg. Arn. Ars. 
Asa f. Aur. Bar. Bell. Bry. Calc. 
Canth. Capsicum. Carbo an. Carbo 
vegetal). Caust. Cham. Chin. Cic. 
Cina. Cocc. Coloc. Con. Croc. Cupr. 



38 



ABDOMEN. 



Dulc. Euphorbium. Euplir. Ferr. 

Graphit. Hell. Hep. Hyosc. Iod. 

Ign. Ipec. Kali c. Lachesis. Lye. 

Merc. Mur. ac. Natr. mur. N. vom. 

Op. Petr. Phosph. Phos. ac. Plati- 

na. Plumb. Pulsat. Rheum. PJtod. 

Rhus. Ruta. Sabiua. Sec. coruut. 

Sep. Sil. Spigel. Spong. Stannum. 

Staph. Strain. Sulphur. Thuj. 

Yaler. Veratrum. Zinc. 
BOUNDING, as of something.. 

Croc. 
BRUISING PAIN: Asa feet. Anr. 

Camph. Cann. Cina. Coccul. 

Coloc. Con. (Ferr.) Hell. Hep. s. c. 

Ign. Nux vom. Op. Plios. Pulsa- 
tilla. Samb. Sep. Staph. Strain. 

Sulph. Valer. Terat. 
BURNING: Aco. Alum. (Ambr.) 

Arg. Arn. Ars. Asa f. Bell. Bry. 

Camph. Canth. Caps. Carbo 

vegetab. Caust. Cham. Coccul. 

Coloc. Cuprum. Euphorb. Euplir. 

Graphites. Ipec. Kali c. Laches. 

Merc. N. vom. Phosph. acid. Plat. 

Plumb. (Puis.) Rhus. Sabad. 

Sab hi. Sec. coruut. Sep. Sil. 

Spigelia. Spong. Statin. (Thuj.; 

Veratr. 
COLDNESS: Alum. Ambr. Ars. 

Kali c. Merc. Plios. Plumb. Ruta. 

Set-ale cornut. Sulphur. Zinc. 
CLOTHES TOO TIGHT, as if the : 

Nux vom. 
CBAMPY FEELING : Ambr. Arsen. 

Carbo veget. Coccul. Coloc. Con. 

Graph. Phosph. Ph. ac. 
COLIC: Aco. Alum. Am. Arsen. 

Asa f. Aur. Bar. Bry. Camphora. 

Cann. Canth. Cham. Chin. Cocv. 

Cofl'. Coloc. Con. Cupr. Digit. 

Euphorb. Ferr. Hell. Hep. sulph. 

HyoHC. Ign. Iod. Kali c Mur. ac. 

N. vom. Op. Plumbum. Puis. Ruta. 

Secalecora. Staph, strain. Veratr. 
CONTRACTION: Arg. Aur. Bell. 



Calc. Carbo an. Carbo veget. 

China. Coccul. Coloc. Con. Dig. 

Euphorbium. Ferr. Graph. Hep. 

sulph. Ignatia. Ipee. Kali c. Lach. 

Lyeop. Nitric acid. N. vom. Petr. 

Phosphor. Ph. ac. Platina. Plumb. 

Rheum. Rhus. Sabad. Sabin. Sec. 

corn. Sep. Spig. Sulph. Thuj. 
CRAMPS: Alum. Ambr. Arsen. 

Aur. Bell. Bry on. Caustic. Chamom. 

Chin. Coccul. Coff. Con. Cupr. 

Digitalis. Euphorb. Ferr. Hep. 

sulph. Hyosc. Ign. Ipec. Iodine. 

Kali c. Mosch. Mur. ac. N. vom. 

Plumb. Pulsat. Rhus. Sec. corn. 

Spong. Stann. Staph. Stramon. 

Thuj. Yaler. Veratr. 
CREEPING: Asa f. Carbo veget. 

Canst. Chin. Plat. Stann. Zinc. 
CUTTING: Alum. Ambra. Ant. 

crud. Arg. Arn. Ars. Asa f. Bar. 

(Bell.) Bryon. Calc. Camph. Canth. 

Carbo an. Carbo veg. Canst. Cham. 

Chin. Cina. Coccul. Com Coloc. 

Con. Croc. Cupr. Dig. Dros. Dulc. 

Graph. Hep. sulph. Hyosc. T^nat. 

Ipec. Iod. Lach. Lye. Merc. Mur. 

ac. Natr. mur. Nitr. ac. N. vom. 

Op. Petr. Phosph. Ph. ac. Plat. 

Plumb. Puis. Rheum. Rhus. Sabad. 

Sabin. Selen. Sepias. Sil. Spig". 

Spong. Staph. Sulphur. Yaler. 

Vcrat. Zinc. 
DIGGING: Alum. Arn. Ars. Am f. 

Bell. Calc Cina. Coloc. Con. Dig. 

Dulc. Graph. Kali c. Phosph. 

Phosph. ac. Rheum. Rhod. Rhus. 

Sabad ilia. Sep. Spig. Spong. 

Stann. Yaler. 
DRAWING: Aco. Ars. Asa feet. 

Bar. Bry. Calc. Camph. Cann. 

('a I is. Carbo veget. Chamom. 

Chin. Cic. Coccul. Conium. Cupr. 

Dros. Graph. Hep. S. c. Hyosc. Ign. 

Tod. Lye. Nitrum ac. N. vom. Op. 

Flat. Plumb. Puis, llhcum. Rho- 

dod. I thus. Ruta. Sabin. Sep. 



ABDOMEN. 



39 



Spig. Stann. Staph. Stramon. 

Thuj. Valer. Veratr. 
DROPSY: Aeon. Ambr. Arn. Ars. 

Bry. Camph. Canth. China, Dulc. 

Ferr. Hell. Kali c. Lye. Merc. 

Nuoc vom. Spong. 
DYSENTERIC PAIN : Am. Bry on. 

Rhus. 
EMPTY FEELING: Ant. cradmn. 

Arn. Carbo veg. Caust, Cham. 

Cina. Cocc. Coloc. Croc. Dulc. 

Euphorb. Kali c. Lach/Merc. Mur. 

ac. N. vom. Phosphor. Pulsat. 

Rhus. Sabad. Sep. Stann. Zinc. 
FLATULENCE, moving about, : 

Ant. cruel. Bell. Bry. Cann. Canth. 

Caps. Carbo an. Caust. Chin. Cina. 

Coff. Croc. Dig. Euphorb. Hell. 

Hep sulph. N. vom* Plat. Plumb. 

Pulsat. Sabad. Stann. Staph. 

Sulph. 
FULLNESS: Alum. Ant. crudum. 

Arn. Ars. Asa f. Aur. Bar. Calc. 

Camph. Cann. Canth. Cham. 

China. Cie. Coffea, Coloc. Con. 

Croc. Dig. Ferr. Graph. Hell. 

Hyosc. Ignatia. Kali c. Lye. Mur. 

ac Natrum mur. N. vom. Phosph. 

Phos. ac. Plat. Plumbum. Pulsat. 

Rheum. Rood. Rhus. Sil. Spig. 

Spong. Stann. Sulphur. Thuj. 

Yaler. Zinc. 
GURGLING: Alum. Ambr. Asa f 

Carbo veg. Cham. Croc. Dig. 

Graph. Hell. Lye. Merc. Nux 

vom. Ph. ac. Plat. Plumbum. Sep. 

Stann. Valer. Zinc. 
GRIPING: Aconit. Bell, Cham. 

Coloc. Con. Hep. s. Ipec. N. vom. 

Phosph. Pulsat. Sil. Stann. 
— colicky: Bry. Canth. Euphorb. 

Plumb. Ruta. Sil. * 

HARDNESS: Alum. Ars. LeYad. 

Calc. Caps. Caustic. Cham. China. 

Coloc. Con. Cupr. Ferr. Graphit. 

Hep. sulph. Hyosc. Kail c. Merc. 



Phosph. Plumb. Puis. Sec. corn. 

Sep. Sil. Sulphur. Yaler. Veratr. 
HEAT: Bellad. Bry on. Calcarea. 

Camph. Canth. Carb. an. Carbo 

veg. Cic. Cina. Digit. Euphorb. 

Graph. Ipec. Lye. Phosphor. 

Plum b. Ruta. Sil. Spong. Stann. 

Sulph. Zinc. 
HEAVINESS: Ambr. Asa f. Aur. 

Bell. Camph. Ferr. Graph. Hell. 

(Ipec.) Merc. N. vom. Op. Puis. 

RJiod, Rhus. Sec. corn. Sep. 

Staph. 
INACTIVITY: Champhor. Cham- 

om. Kali c. Nux vom. Op. Staph. 
INDURATIONS: China. Lycop. 

Plumb. 
INFLAMMATION: Aeon. Arsen. 

Bellad. Bryon. Canth. Cham. Chin. 

Cic. Ipec. N. vom. Phosph. Plumb. 

Puis. Rhus. Sabina, Spongia. 

Strain. Veratr. 
LABORLIKE-PAIN: Aco. Asa. feet. 

Aur. Camph. Carbo vegetab. Cham. 

Cina, Coff. Cupr. Ferr. Hyoscyam. 

Ign. Ipec. Kali c. Nux vom. Op. 

Puis. Rhus. Sabina. Sec. corn. 
LARGE : Antini. erud. Calc. Caust. 

Coloc. Hep. sulph. Kali c. Sep. 

Staph. Thuj. 
LEAD-COLIC: Hyoscyamus. Op. 

Strain. 
MOVEMENTS, internal: Coloc. 

Croc. Cupr. Dig. Iod. Nux vom. 

Thuj. Valer. Veratr. 
NAUSEA : Bryon. Cic. Coccul. Croc. 

Cupr. Hell. Ipec. Rheum. Ruta. 

Samb. Silic. Stannum. Staph. 
PAIN, diarrhoeic: Ambr. Antim. 

crod. Arg. Asaf. Bar. Bellad. Bry. 

Calc. Canth. Carbo an. Carbo veg. 

Cham. Chin. Coff. Dig. Graph. 

Hell. Ign. Kali c. Merc. N. vom. 

Nitr. ac. Op. Petr. Phosph. Plat, 

Pulsat. Rhod. Rhus. Sabiu. Sec. 

corn. Sep. Splgel. Staph. Vera- 

trum. Zinc. 



40 



ABDOMEN. 



— simple : Aco. Ant. crua. Arg. Ars. 

Bar. Bell. Bryon. Calc. Canth. 

Carbo veg. Causticum. Cham. 

China. Clc. Coloc. Con. Cupr. 

Dros. Eu%)horb. Euphr. Graphit. 

Hell. Hyosc. Ign. Ipec. Iod. Kalic. 

Lye. Merc. Nitr. ac. Nux vom. Op. 

Petr. Phosph. Plat. Plumb. Puis. 

Rheum. Kims. Bnta. Samb. Sec. 

corn. Sep. Sil. Spig. Stann. Sul- 
phur. Veratr. Zinc. 
PINCHING: Alum. Ant. cr. Ars. 

Asa f. Aur. Bar. Bell. Bry. Calc. 

Cann. Canth. Carb. v. Caust. 

Chamom. Chin. Cic. Cina. Cocc. 

Coloc. (Coff.) Croc. Cupr. Dig. 

Dros. Dulc. Euphr. Graph. Hell. 

Hep. Hyos. Ign. Ipec. Kali c. 

Lye. Merc. Mur. ac. Natr. mur. 

Nitr. ac. N. vom. Petr. Phosph. 

Ph. ac. Plat. Plumb. Puis. Rheum. 

Rhus. Rut. Sabad. Samb. Sep. 

Silic. Spigel. Spong. Stann. Staph. 

Sulph. Valer. Veratr. Zinc. 
PRESSURE: Aeon. Alum. Ambr. 

Antim. crud. Arg. Am. Ars. Asa f. 

Aur. Bell. Bry. Calc. Camph. 

Caps. Carb. v. Chin. Cina. Cocc. 

Coff. Coloc. Con. Croc. Cupr. Dig. 

Ferr. Hep. Ign. Iod. Kali c. Lye. 

Merc. Mosch. Mur. ac. Nitr. ac. N. 

vom. Opium. Petr. Phosph. Plumb. 

Pulsatilla. Rheum. Rhus. Ruta, 

Sabad. Sabin. Samb. Sep. Sil. 

Spig. Staph. Valer. Veratr. Zinc. 
— outwards: Aeon. Asaf. Bell. Cann. 

Dulc. Kali carb. Lye. Mercnr. Nitr. 

acid. Nux vom. Rheum. Thuj. 
— inwards: Bry. Bell. Rheum. Zinc. 
— as from a stone : Cupr. Hyosc. N. 

vom. Op. Puis. Sabad. 
PRESSING: Alum. Argent. Chin. 

Coff. Coloc. Euphr. Ign. Iod. Plat. 

Pulsat. Ruta. Sulph. Thuj. Valer. 

/inc. 
PULSATION: Alum. Calc. Lycop. 

Merc. Zinc. 



QUALMISHNESS : Bar. Calc. Carb. 

veg. Ipec. Phosph. Plat. Rho- 

dodend. Spong. Veratr. 
RING AROUND NAVEL, as if: 

Puis. 
SENSITIVENESS: Aconit. Arn. 

Bry. Canth. Cham. Cic. Coff. Dulc. 

Mosch. Pulsat. Secale cornut. 

Strain. Valer. Veratr. 
SHOCKS: Arn. Cannab. Platina, 

Stann. 
SORE PAIN: Aeon. Alum. Ars. 

Bar. Bellad. Calc. Carb. veg. China. 

Cic. Coloc. Con. Croc. Euphorb. 

Kali c. Natr. mur. Nux vom. 

Phosph. Sep. Stann. Sulph. Zinc. 
STITCHES : Alum. Ars. Asa f. Bell. 

Bryon. Calc. Cann. Canthar. Caps. 

Caust. Cham. China. Cina. Coccul. 

Con. Croc. Cupr. Dig. Ferr. Graph. 

Hell. Ign. (Ipec.) Kali carb. Merc. 

Nitr. ac. Nux vom. Phosph. Phosph. 

ar. Plumb. Puis. Rhodod. Ruta. 

Sabad. Sep. Spig. Stann. Staph. 

Sulphur. Thuj. Veratr. Zinc. 
SWELLING: Aeon. Ant. crud. 

Ars. Bryon. Cann. Canth. Cham. 

Chin. Coloc. Con. Kali carb. Op. 

Plumb. Sec. corn. Sulph. 
TEARING: Alum. Arn. Ars. Aur. 

Bry. Calc. Canth. Carb. an. Carb. 

veg. Caustic. Cham. Chin. Coccul. 

Coloc. Con. Dig. Hell. (Ign.) Ipec. 

Iod. Kali carb. Lye. Merc. N. vom. 

Phosph. Plumb. Pulsat. Rhus. 

Ruta. Samb. Sil. Spig. Strain. 

Thuj. Veratr. Zinc. 
TENSION : Aeon. Alum. Ambr. Ant. 

crud. Arn. Ars. Asa f. Bar. Bell. 

Calc. Caps. Carb. an. Carb. veg. 

Chin. Coloc. Graph. Hyosc. Ign. 

Iod. Lye. Nitr. ac. N. vom. Opium. 

Petr. Plat. Plumb. Pulsat. Rheum. 

Rhododend. Sec. corn. Sep. Sil. 

Spong. Stann. Staph. Stram. 

Sulph. Thuj. 



ABDOMEN. 



41 



TWITCHING: Aur. Canth. Canst. 

Chin. Coff. Con. Dig. Graph. Ign. 

Kali c. Phosph. Rhus. 
THROBBING: Arn. Cann. Canth. 

Chin. Dulc. Ign. Kali c. Op. Plat. 

Selen. 
ULCEUS: Cupr. Plumb. 
ULCERATIVE PAINS : Cann. 

Chin. Coccul. Cupr. Dig. Hell. 

Merc. Nitr. ac. Rhus. Sabad. Sep. 

Stann. 
UNEASINESS: Calcar. Dulc. Eu- 

phorb. Ipec. Kali c. Nitr. ac. 

Phosph. Plat. Sabin. Sep. 
URGING : Asa f. Bell. Calc. Carb. 

veg. Coloc. Dig. Dulc. Graph. Ign. 

Iod. Kali carb. Phosph. Puis. Sep. 

Thuj. 
WARMTH: Canth. Caps. Cina. 

Coff. Iod. Ipec. N. vom. Phos. 

Sabin. Sec. corn. 
WEAK FEELING: Aeon. Carb. 

an. (Ferr.) Ign. Phosph. Platina. 

Rhodod. Sen. Stann. Zinc. 
WRITHING: Alum. Ars. Asa f. 

Bryon. Calc. Caps. Cina. Con. 

Dros. Dulc. Merc. Plat. Plumb. 

Rhus. Ruta. Sabad. Sabin. Silic. 

Staphys. Valer. Yeratr. 

Region of the Abdomen. 

ABDOMEN, lower: Alum. Ambra. 
Ant. crud. Arg. Arn. Arsen. Asa f. 
Aur. Bar. Bell. Bry. Calc. Cam ph. 
Cann. Canth. Caps. Carbo an. 
Carb. veg*. Caust. Cham. Chin. Cic. 
Cina. Coccul. Coff. Coloc. Con. 
Croc. Cupr. Dig. Dulc. Ferr. Hell. 
Hepar. Hyosc. Ign. Iod. Kali c. 
Lye. Merc. Natr. mur. Nitr. ac. 
N. vom. Phosph. Ph. ac. Plat. 
Plumb. Puis. Rheum. Rhod. Rhus. 
Ruta. Sabad. Sabin. Sambuc. Sep. 
Silic. Spigel. Spong. Stann. Staph. 
Sulph. Thuj. Valer. Yeratr. Zinc. 
— sides of : Aconitum. Alum. Ambr. 



Antim. crud. Arg. Arn. Ars. Asa f. 

Aur. Bar. Bell. Bry. Calc. Cam- 
phor . Cann. Canth. Caps. Carb. 

an. Carb. v. Canst. Cham. Chin. 

Cina. Coccul. Coff. Croc. Dig. Dros. 

Dulc. Euphorb. Ferr. Graphit. 

Hell. Hep. s. c. Hyosc. Ign. Ipec. 

Iod. Kali c. Lye. Mercur. Moschus. 

Natr. mur. Nitr. ac. N. vom. 

Opium. Petr. Phosph. Plat. Plumb. 

Puis. Rheum. Rhodod. Rhus. Ruta. 

Sabad. Samb. Sep. Sil. Spig. 

Spong. Stann. Staph. Sulph. Thuj. 

Valer. Zinc. 
EPIGASTRIUM : Aco. Ambr. Ant. 

crud. Arn. Ars. Asa f. Aur. Bar. 

Bell. Bry. Calc. Camph. Cann. 

Canth. Caps. Carbo veg". Caust. 

Chamom. China. Cina. Coccul. 

Coloc. Con. Croc. Cuprum. Dig. 

Dros. Dulc. Euphr. Hell. Hep. 

sulph. Hyosc. Ign at. Ipec. Iod. 

Kali c. Lycop. Mercur. Mosch. 

Mur. acid. Natr. mur. N. vom. Op. 

Petr. Phosph. Ph. ac. Plat. Plumb. 

Puis. Rhodod. Ilhus. Sabad. Samb. 

Sep. Sil. Spig. Spong 1 . Stannum. 

Staph. Sulph. Thuj. Valer. Veratr. 

Zinc. 
LUMBAR REGION: Aeon. Ambr. 

Ant. crud. Arg. Arn. Aurum. 

Asa f. Calc. Cann. Canth. Carbo 

an. Carbo veg. Cham. China. Cina. 

Coccul. Coloc. Dig. Euphorb. Ign. 

Iod. Kali c. Lye. Merc. Nitr. ac. 

Nux vom. Plumb. Pulsatilla. 

Rheum. Rhus. Ruta. Sab. Sec. 

corn. Sep. Spig. Spongia. Staph. 

Sulph. Thuj. Valer. Zinc. 

UMBILICAL REGION : Aco. Alum. 
Ambr. Ant. crud. Arn. Asa f. Bar. 
Bell. Bry. Calc. Cann. Canth. 
Caps. Carbo an. Carbo veg. 
Causticum. Cham. Chin. Cina. 
Coccul. Coloc. Con. Dig. Dulcam. 
Graph. Hep. sulph. Hyosc. I gnat. 



42 



CATARRH. 



Ipec. Tod. Kali carb. Merc. Mosch. 
Mur. acid. Nux vom. Op. Phosph. 
Ph. ac. Platina. Plumb. Pulsat. 
Rheum. Rhod. Rhus. Ruta. 



Sabina. Sep. Sil. Spigel. Spongia, 
Stann. Staph, Sulpli. Thuj. Valer. 
Veratr. Zinc. 



XVII. CATARRH. 



Sensations. 

CATARRH: Alum. Ambr. Antim. 

i rud. Arg. Asa f. Ars. Bar. Bell. 

Bry. Calc. Camphor. Canth. Caps. 

Carbo vegetab. Caust. Chin. Cina. 

Coccul. Coloc. Cupr. Dros. 

Euphorb. Euphr. Graphit. Hell. 

Ign. loci. Kali c Lach. Lye. Merc. 

N. vom. Natrum mur. Nitric acid. 

Petr. Phosphor. Ph. ac. Plat. 

Flu mli. Puis. Rhod. Rhus. Selen. 

Sep. Sil. Spig'. Spong. Stannum. 

Staph. Sulph. Thuj. Veratrum. 

Zinc. 
— 0:1 one side : N. vom. Puis. 
— alternately fluent and stopped : Nux 

vom. Puis. 
— m the day time : N. vom. 
CATARRH, generally: Aeon. Am, 

Camph. Coccul. N. vom. Puis- 

Sab ad. 
CATARRHAL FEVER : Aeon. 

Bellad. Bryon. Camph. Cham. Coff. 

Graph. Hep. s. Merrur. Nitric ac. 

N. vom. Rhus. Sabad. Sep. Spig. 
CATARRHAL DISCHARGE DE- 
LAYED : Calc. 
CATARRHAL FEELING: Ambr. 

Ant. crud. Arg. Bry. Cann. Carbo 

an. Carbo veg. Cic. Coff. Ign. Ipec. 

Merc. Mur. ac. Nitr. ac. Phosph. 

Sabin. Thuj. 
CORYZA: Aeon. Alum. Ambr. Ars. 

Bar. Bellad. Bry. Calc. Camphor. 

Cann. Capsicum. Carb. an. Carb. 

veg. Caust. Cham. China. Coff. 

Con. Cupr. Dig. Dub: Graphites. 



Hep. sulph. Ign. Ipee. Kali c. Lijc. 

Mosch. Mur. ac. Natr. mur. Nitr. 

ac. N. vom. Op. Petr. Phosph. 

Plat. Pulsat. Rhod. Sabin. Samb. 

Sep. Sil. Spig 1 . Spong. Stannum. 

Sulph. Thuj. Zinc. 
— on side : Nux vom. 
— of infants : Samb. 
— evening and morning : Nux vom. 
DRY NOSE: Ambr. Bar. Bellad. 

Bry. Calc. Canth. Cic. Con. Dulc. 

Graph. Hyosc. Ignat. Ipec. Lye. 

Mere. Mur. acid. Natr. mur. Nitr. 

ac. (Nux vom. J Petr. Phosp h. Rhod. 

Sep. Sil. Spig. Sulphur. Veratr. 

Zinc. 
DRY NOSE, without being stopped: 

Sep. 
— upper nostrils : Sabad. 
— front nostrils : Spig". 
MUCUS FROM THE NOSE, dis- 
charge of : Cham. Euphorb. Phos. 

Rhod. 
— arrest of discharge : Euphorb. Ph. 

ac Rhod.. 
NASAL MUCUS FROM THE 

POSTER. NARES, corrosive. 

Ars. Nux vom. Nitr. ac. Sil. 
— smarting: Ars. Sulph. 

without catarrh : Rhus. Sabad 

Selen. Spig. 

involuntary: Rhus. 

— bloody : Ambra. Bar. Canth. Caps. 

Can si. (Coccul.) Cupr. Graph. 

Kali c. Lach. Lycop. Merc. Natr. 

mur. Nitrum ac. N. vom. Petr. 

Phosph. Ph. ac. Puis. Sabad. Sep. 

Sil. Spig. Sulph. Thuj. 



CATAR11H. 



43 



-burning: Arsen. Pulsat. Sulph. 
-thick : Alum. Ant. crud. Bar. Calc, 

Graph. Mur. ac. Natr. mur. Nitr. 

ac. Puis. Sabad. Selen. Staph. 

Sulph. 

-thin : Camph. Capsic. Rhus. Staph. 
-transparent : Sabad. 
-purulent: Calc. Cina. Con. Graph. 
Lach. Merc. Pills. 

and yellow : Calc. Cicuta. Con. 

Sulph. 
-gelatinous: Selen. 
-yellow: Cic. Puis. Selen. 
-yellow-green : Natr. Phosph. Puis. 

Sabad. 
- —and bloody : Sep. 
-yellowish: Alum. Ant. crud. Bar. 

Bell. Graph. Nitr. ac. Puis. Spig. 

and watery : Sep. 

-greenish : Puis. Spig. 
-clear: Sabad. 
-in little lumps : Selen. 
-acrid : N. vom. Spig'. 
— ^pus : Merc. 

water : Ars. Lach. Lycop. Mur. 

ac. N. vom. Sil. 
-odor of catarrh : Puis. 
-suppressed : Spong. 
-fetid : Bellad. Calc. Caustic. Graphit. 

Hep. s. Lye. Mercur. Nitr. ac. 

Puis. Sep. 
-indurated: Bryon. Lach. Sep. 

Staph, 
-increased: Arg. Bar. Calcar. 

Canth. Carbo veg. Cic. Cina. Coif. 

Con. Euphr. Graph. Lod. Lach. 

Mur. ac. Nux vom. Petr. Phosph. 

Plat. Rliod. Rhus. Sabad. Scill. 

Selen. Sil. Zinc, 
-watery: Alum. Bellad. Carbo an. 

China. Coff. Con. Graphit. Ign. 
Iod. Lach. Mercur. Mur. ac. N. 
vom. Phosphor. Plumb. Rhus. 

Staph. Sulph. 
-white: Spig. 

-tenacious : Alumina. Canthar. 
Graph. Sabad. Sep. Spig. 



SNEEZING : Alum. Anibr. Ant. 

crud. Arg. Arn. Ars. Asa f. Bar. 

Bellad. Bov. Bry. Calc. Cann. 

Canth. Carbo animalis. Carbo, veg. 

Caust. Chin. Cina. Coccul. Con. 

Croc. Dros. Dulc. Euphorb. 

Euphr. Graph. Hell. Hep. sulph. 

Iod. Ipec. Kali c. Lach. Lye. Merc. 

Mosch. Mur. ac. Natr. mur. Nitric 

acid. N. vom. Petr. Phosph. Rhod. 

Rhus. Ruta. Sabad. Sepise. Sil. 

Splgel. Spong. Stanniim. Staph. 

Sulph. Thuj. Veratr. Zinc. 
— troublesome: Phosph. Sulph. 
— racking : Sabad. 
— violent : Aconit. Bar. Capsic. Chin. 

Merc. Rhus. Sabad. 
— vehement: Cina. Puis. Rhus. 

Sabad. Valer. Veratr. 
— spasmodic : Rhus. 
— after tingling in nose : Ambr. Car- 
bo veget. Dros. Mur. acid. Nitr. ac. 

Pals. Spig. Zinc, 
—painful : Aeon. Dros. 
— without catarrh : Alum. Ars, Calc. 

Carbo veg. Caust. Cic. Con. Dros. 

Euphorb. Hyosc. Iod. Lye. Mer- 
cur. Nitric acid. Phosph. Stann. 

St.. . Zinc. 
— dry: Chin. 

— excessive : Bry. Merc. Sil. 
— suppressed : Aconitum. Alum. 

Carbo veg. Caust. Cocc. Natr. mur. 

Plumb. Sil. Zinc. 
— desire for : Ambr a. Carbo veg. Mur. 

ac. Phos. Sil. Sulph. Zinc. 

ineffectual : Canth. Carbo veg. 

Caust. Euphorb. Hell. Lye. 
Phosph. Plat. Plumb. Sil. 
SNIFFLING: Sep. 
STOPPAGE OF NOSE: Alum. 

Ambra. Ant. crud. Arg. Aur. Bar. 

Bell. Bry. Calcarea. Carbo veg- 

Caustic. Cham. Chin. Cic. Cina. 

Con. Digit. Graph. (Ign.) Iod. 

Kali o. Lach. Lye. Merc. Mosch. 

Natr. mur. Nitr. ac. N. vom. Op. 



.4 



CATARRH. 



Petr. Phosph. Plumbum. Puis. 

Bhod. (RhusjSamb. Sep. Sil. Spig. 

Statin. (Staph.) Stram. Sulph. 

Thuj. Zinc. 
— behind : S tap ft . 
— in front : Arg. Spig. 
— in one nostril: Ignat. Sabad. 

Staph. 
— as from a leaf high up: Ignat. 

Mur. ac. 
— feeling of: Plumb. Strain. 
— by ulceration every night: Lycop. 

Accompanying Ailments. 

ABDOMEN, burning on: Carb. v. 
— rumbling in : Phosph. 
—stitches in : Carb. veg. 
BACK-ACHE : Kali carb. 
CHEEKS, redness of one half: 

Cham. N. vom. 
STUPEFACTION: Hell. 
CHEST, simple pain in: Aconit. 

Bry. Caust. 
— roughness : Carb. veg. Sulph. 
— stitches: Merc. 
— pain, as if flying to pieces: Cina. 

Sil. 
— constriction of : Phosph. 
CHILLINESS : Caust. Graph. 

Sulph. 
— and heat altern. : Graph. 
COLIC: Calc. 
— aching: Aeon. Canth. 
COUGH: Bell. Cupr. Nitr. ac. N. 

vom. Sulph. 
— desire to, in throat: Petr. Sep. 

Sulph. 
DIARRHCEA: Sep. 
DRAWING IN THE ARMS : Sep. 
DRY LARYNX: N. vom. 
DRY MOUTH: N. vom. 
DROWSINESS: (ham. N. vom. 

Petr. 
DULL FEELING IN HEAD: 

(ham : Hell 
DYSPNCEA : Sep. 
EARS, buzzing in the: Rhodod. Sep. 



— pains in the : Am. Lach. Puis. 

EY r ES, jDain in the : Sep. 

— red: Yeratr. 

— weeping: Alum. Carbo veget. Chin. 

Euphr. N. vom. Staphys. Veratr. 
—lids, red: Sabad. 
— closed by gum : Caust. 
— smarting in the corners of: Carb. 

veg. 
FACE, bloated: X. vom. Staph. 
— hot : N. vom. Rhodod. 
FEYER CHILL: Bry. Caps. Cha- 

liiom. N. vom. Puis. Spong. 
— heat: Spig. 
HEAD, burning in : Calf. Hell. Lye. 

N. vom. Phosph. 
— simple pain in : Aeon. Byron. 

Calc. Caust. Chin. Cic. Cina. 

Euphr. Graph. Hell. Kalic. Lach. 

Lye. Nitr. ac. N. vom. Phosph. 

Puis. Rhodod. Sep. Spig. Thuj. 
— stitches : Sabad. 
— cloudiness: Staph. 
— contraction : Sabad. 
—dull: Chin. Dulc. Euphr. Hell. 

Lye. Phosph. Rhodod. 
HOARSENESS: Ars. Caust. Kali 

carb. Nitr. ac. N. vom. Puis. Spig. 
HOT HANDS AND FEET : N. vom. 
— at night : Lye. 
LANGUOR : Graph. Sep. 
LIMBS, pains in the : Calc. Caust. 

Ipec. 
— distortion of : Phosph. 
LIPS, corrosive: Caun. 
— chapped : ( hamom. Hell. Staph. 
— itching: Hell. 
LOSS, of appetite: Phosph. 
—of smell: Arn. Cina. Coccul. Hell. 

N. vom. Puis. Rhod. Sabad. Spig. 

Staph, 
—of taste: Puis. Sabad. 
NAUSEA: Graph. 
NOSE, sensitive: Calcar. China. 

N. vom. 
— burning: (Arn.) Puis. 
— inflammation : Lycop. Merc. Stann. 



BREATHING, RESPIRATION. 



45 



—biting in the : Carb. veg. Euphorb. 

— ulceration : Cham. 

— swelling: Bry. Cham. Puis. Rhus. 

Spig. 
—heat : N. vom. 

— itching : Niix vom. Sabad. Spig. 
— ■ — under the nose : Hell. 
— titillation : Capsic. Carb. veg. Nux 

vom. Puis. Sabad. Sep. Staph. 
— scraping: N. vom. 
— soreness: Lack. Nux vom. Puis. 

Spig. 
— sore pain: China. Nitr. acid. N. 

vom. Staph. 
NOSTRILS, ulcerated: Bry. Calc, 

Coccul. Ign. Lye. Merc. Petr. Puis. 
PHOTOPHOBIA: Puis. 
SICK FEELING ALL OVER: 

Phosph. 



SLEEPLESSNESS: Ars. 
SUBMAXILLARY GLAND, pains 

in the : Graph. 
THIGHS, drawing in the: Sep. 
THIRST : Cham. Graph. Lye. 
THROAT, inflamed: Phosph. 
— creeping in : Kali c. 
— simple joain in : Nux vom. 
— feeling of roughness : A 7 ", vom. Nitr. 

ac, Phosph. Rhodod. 
THROAT, stitches in : Nitr. ac. 
— scraping in : N. vom. 
— mucus in: N. vom. 
TOOTH-ACHE : Chin. Lach. 
UPPER Lir, inflamed: Lye. 
URINE, flow of : Veratr. 
VERTIGO : Chin. N. vom. 
WHINING MOOD : Puis. Spig. 
YAWNING : Bry. Cupr. Hell. 



XVIII. BREATHING, RESPIRATION 



Sensations. 
ASTHMA: Aco. Ant. cruel. Am. 

Ars. Asa f. Aur. Bell. Bry. Calc. 

Capsic. Carb. anim. Carb. veg. 

Cham. Chin. Cic. Cina. Coccul. 

Coloc. Con. Cupr. Big. Dros. 

Euphorb. Euphras. Ferr. Graphit. 

Hyosc. Ignat. Ipec. Iod. Kali c. 

Lye. Merc. Mur. ac. Natr. mur. 

Nitr. ac. Nux vom. Op. Petr. 

Phosph. Plat. Plumb. Puis. 

Rheum. Rhod. Buta. Sabin. Sec. 

cor. Sep. Sil. Spic.J(Spong.) Stauu. 

Staph. Sulph. Thuj. Veratr. Zinc. 
— spasmodic : Aconitum. Ambr. 

Caust. Cham. Chin. Coffea. Cupr. 

Ferr. Ipec. Kali c. Mosch. N. vom. 

Op. Puis. Samb. Veratr. 
BREATHING, moaning: Ipecac. 

(See also : groaning.) 
— Anxious: Aeon. Am. Ars. Bellad. 

Bryo. Camph. Cham. Coff. Ferr. 



Hep. s. Ign. Ipec. N. vom. Op. 

Phosph. Plat. Plum b. Puis. Rhus. 

Samb. Secale corn. Spig. Spong. 

Staph. Strain. Thuj. 
—intermittent : Camph. Op. 
— wheezing: Cham. China. Nitr. ac. 
— noisy: Aeon. Chin. 
— hurried: Ipec. Samb. 
— labored : Aco. Ign. Spong. 
—hot: Aco. Ant. crud. Bry. Brum. 

Cham. Cornea. Ferr. Natrum mur. 

Platina. Rhus. Sabad. Sulph. 
— cold : (Carbo vegetab.) Chin. Rhus. 
— cooling in trachea: Am. 
—panting : Am. Camph. Cupr. Ipec. 

Nitr. ac. Op. Phosph. Sil. Spong. 

Stann. 
— small: Bell. 
— spasmodic: Puis. 
— slow: Aconit. Camph. China. Cic. 

Hyosc. Ign. Nux vom. Op. 

Spong. Staph. 



46 



BREATHING, RESPIRATION. 



— loud: Aco. Cina. Op. Veratr. 

— low: Ign. 

— deficient: Bell. Camph. Can- 

tharis. Caustic. Cic. Coccul. Dig. 

Ferr. Hell. Ign. Ipec. Iod. Merc. 

Xux vom. Platiua. Puis. Rhus. 

Spig. Spong. Stann. Staph. Veratr. 
— faint : Chin. Nitr. ac. Opium. 

Phosph. Veratr. 
— wheezing: Calc. 
— juicing : Aliun. Ambra. Cann. 

Cham, China. Cina. Cocc. Coloc. 

Hep. sulph. Iod. Kalic. Lye. Xatr. 

mur. Xux vom. Phosph. Plumbum. 

Sabad. Sainb. Sep. Spong. Sulph. 
— having an odor : Ars. Am*. Natrum 

mur. Nitr. acid. Petr. 

pungent : Dros. 

foul: Am. Arscn. Aur. Bry. 

Cham. Chin. Graph. Iod. Nitr. 
ac. Puis. Buta. Sabin. Sep. Sing. 

like milk : Spong. 

— — ^sour: (Cham.) Xux vom. 

like sulphur : Xux vom. 

fetid: Aco. Ambr. Arn, Aur. 

Bar. Bellad. Bryo. Camph. 
Canth. Caps. Carbo animal. 
C'arbo vegetab. Cham. Chin. Croc. 
Ferr. Graph. Hyosc. Ign. Ipec. 
Kali c. Mere. N. vom. Petr. 
Plumb. Puis. Rheum. Sep. Spig. 
Stann. Strain. Sulph. Zinc. 
BREATHING, short: Aeon. Alum. 

Am. Ars. Asa f. Aur. Bar. Bell. 

Bry. Calc. Camph. Cann. Canth. 

Carbo vejr. Canst. Cham. Chin. 

Cic. Cina. Coccul. Coffea. Coloc. 

Con. Cupr. Digit. Euphorb. Eu- 
phrasia. Ferr. Jlepar. sulph. 

Hyosc. Ign. [pec* Kali carb. 

Lycop. Merc. Natr. mur. Xitr. ac. 

\. vom. Op. Petr. Phosph. Plat. 

Plumbum. Puis. Rhod. Rhus. 

Rata. Sabad. Babina. Samb. Sec. 

corn. Sep. 811. Spiir. Spong. Stann. 

Strum. Sulph. Veratr. Zinc. 



— heavy: Aco. Alumina. Arg. Arn. 

Ars. Asa f. Aur. Bar. Bell. Bry. 

Calc. Camph. Cann. Canth. CajJS. 

Carb. veg. Caust. Chin. Cic. Cina. 

Coccul. Con. Croc. Cupr. Dig. 

Dros. Euphr. Ferr. Graph. 

Hell. Hep. s. Hyosc. Iodine. Kali c. 

Lye. Merc. Nux vom. Op. Phosph. 

Ph. ac. Plat. Plumb. Pulsat. 

Rhod. Rhus. Sabad. Sec. corn. 

Selen. Sep. Sil. Spig. Spong. 

Stann. Staphysag. Strain. Sulph. 

Thuj. Valer. Veratr. 
— deep: Ant. crud. Arn. Aur urn. 

Bell. Bry. Camph. Cann. Caps. 

Cham. Chin. Cic. Dig. Dros. Hell. 

Hep. sulph. Ign. Ipec. Kali c. Merc. 

Mosch. Mur. ac. N. vom. Op. Phos. 

Plat. Plumbum. Rhus. Selen. (Sil.) 

Spong. Stann. 
— disposed to draw along: Croc. 

Cupr. Hell. Lach. Mosch. Rhus. 

Sabin. Selen. Strain. 
BREATH, stoppage of: Asa feet. 

Bell. China. Cic. Coff. Drov. 

Mosch. Opium. Pulsat. Buta. Zinc. 
— incarceration of : Aco. Arn. Bar. 

Bellad. Bry on. Calc. Camph. Cann. 

Canth. Capsic. Carbo an. Cina. 

Cocc. Croc. Cupr. Bros. Euphr. 

Ipec. Kali carb. Mosch. Xatr. mur. 

Nitric ac. Op. Phosph. Plat. 

Plumb. Puis. Rhus. Ruta. Sabin. 

Sep. Sil. Spig. Spong. Staphys. 

Strain. Sulphur. Veratr. 
BREATHING, oppressed: Aconit. 

Alum. Ambr. Ant. crudum. Arg. 

Arn. Ars. Asaf. Aur. Bar. Bellad. 

Bryon. Calc. Camph. Cann. Canth. 

Caps. Carbo an. Carb. veg. Caust. 

Cham. Chin. Cina. Coccul. Coff. 

Coloc. Con. Croc. Cupr. Digitalis. 

Dros. Dulc. Ferr. Graph. Hell. 

Hep. sulph. Hyosc Ignatia. Ipec. 

Iod. Kali c. Lycop. Merc. Mosch. 

Mur. ac. Natr. mur. Nitric ac N. 

vom. Oj>. Petr. Phosph. Phos. ac. 



BREATHING, RESPIRATION. 



47 



Plat. Plumo. Puis. (Rheum.) 

Khocl. Rhus. Ruta. Sabad. Sabina. 

Samb. Sec. com. Sepiae Sit Spiff. 

Statin. Staph. Strain. Sulpli. Thuj. 

Valer. Veratr. Zinc. 
EXPIRATION, blowing: Chin. 
— slow : (Arnica.) Campliora. Cham. 

Chin. Hell. Ign. 
— quick: Chin. Ign. Stram. 
— sniffling: Rhus, 
—difficult: Ipec. 
— strong: Caps. Chin. 
INSPIRATION, slow: Ferr. Ignat. 

Op. Staph. Stram. 
— stertorous : Nux vomica. Op. Puis. 

Rheum. 
— quick: (Arnica.) ( Campliora.) 

Cham. Ign. 
— difficult: Chin. Cina. Coccul. Ferr. 

Ign. Staph. Veratr. 
— like urine : Graph. 
— rattling: Aeon. Am. Bell. Bry. 

•Calc Cann. Carbo an. Canst. 

Cham. Chin. Cina. Croc. Cupr. 

Ferr. Hyosc Ipec. Lye. Op. Pefcr. 

Samb. Sepiye. Spong. Stannnm. 

Stram. 
— hiccuping : Asa f . Op. Sec. corn. 
— stertorous: Bellad. Cham. Chin. 

Coccul. Cnpr. Hep. stilph. Ign. 

Kali c. Natr. mur. Nitric acid. Nux 

vom. Op. Petr. Sep. Stannnm* 

Stram. Sulpli. 
— painful: Aeon. Arn. Arsenic. Bry. 

Chin. 
— quick: Aeon. Asa f. Bell. Bryon. 

Cupr. Dig. Hell. Hep. s. Ign. Ipee. 

N. vom. Op. Samb. Secale cornut. 

Spong. Stram. Veratr. 
— sniffling: Arn. China. Nux vom. 

Rhus. Sabin. 
— sighing: Ant. crud. Capsicum. 

Chin. Coceul. Op. Secale corn. 

Selen. Stram. 
EXPIRATION, groaning: Bell. Bry. 

Cham. Cina, Coccul. Cupr. Ign. 



Kali c. Mur. ac. Nux vom. Op. Sec. 

corn. Strain. 
— inequal : Coccul. Ignat. Ipec. Op. 

Sec. corn. 
— imperceptible : Veratr. 
— irregular : Bell. 
— interrupted: Aeon. Cham. Cic, 

Cina. Cupr. Ignat. Op. Puis. 

Phosph. 
— suppressed : Cupr. 
SUFFOCATING FITS : Aeon. Ant. 

crud. Ars. Bell. Bryon. Camph. 

Cann. Causticum. Cham. Chin. 

Coccul. Coff. Con. Cupr. Digit. 

Hep. sulpli. Hyosc. Ignat. Ipec. 

Loch. Mosch. Nux vom. Op. Plat. 

Plumb. Puis. Rhus. Sabad. Samb. 

Sec. corn. Spong. Staph. Sulph. 

Veratr. 

Causes of the Impeded 
Respiration. 

ABDOMEN, flatulence: Capsic. 

Cham. Ign. 
—unpleasant feel : Ars. 
— simple pain : Arn. Bry. Ign. Ruta. 
— swelling : Bry. 
— pinching: Rhus. Spig. 
— cutting : Puis. 
— weight like a stone: N. vom. 
— stitches: Croc. Dros. Mosch. Nux* 

vom. Puis. Ruta. 
— fullness: Cann. Caps. Cham. Chin. 

Phosph. 
— compression : Staph. 
— crying: Cupr. Rhus. Samb. 
— simple pain in : Stannum. 
— jerks in : Calc. 
ANXIETY: Ac©. Arnica. Croc H. 

vom. Puis. Rhus. Ruta, Valer. 

Veratr. 
— fits of: Ars. Lye. Stann, 
ARMS ABOVE THE HEAD, rais- 
ing the: Cupr. 
BACK- ACHE: Arg. Cann. Lach, 

Ruta. Sep. (Staph.) 
— dislocation-pam in : Petr. 



48 



BREATHING, RESPIRATION. 



— simple pain in : Puis. Selen. 
— stitches in : Nux vom. Puis. 
BLADDER, stitches in : Aur. 
BREATHING, nasal: Puis. 
CHAGRIN: Ars. Cham. 
CHEST, oppression in : Aconit. Am. 

Cann. Cic. Chi. Coccul. Cojf. Dros. 

Ign. Merc. N. vom. Puis. Rhus. 

Sabad. Spinel. Yeratr. 
-pressure in the : Argent. Arn. Asaf. 

Bellad. Camph. Cann. Caust. Cham. 

Chin. Cic. Ign. N. vom. Rheum. 

Ruta. Sabad. Samb. Spig. Staph. 

Strain. Yaler. 
— spasm in the : Petr. 
— enrpty feeling : Stann. 
— faintness in the : Stann. 
— heaviness in the : Plat. 
— tension in the : Merc. Mur. ac. 
— stitches in the: Aur. Carbo veg. 

Merc. Stann. 
— fullness in the : Sep. 
— contraction in the : Hep. 
— as if oppressed by a load : Rheum. 

Sabad. Spig. 
— ulcerative pain : Staph. 
— throbbing in : Asa f. 
— spasms in : Asa feet. Cupr. Plumb. 
— pressing in : Ign. Yeratr. 
■ — mucus in : Cina. 
— pain generally : Selen. 
— weight in: Cann. Ign. Rhus. 
— tension in : Cann. Cic. Coccul. Puis. 

Rhus. Staph. 
— stitches in: Aeon. Arg. Asaf. Bry- 

on. Canth. Caps. Chin. Dros. Plumb. 

Ruta. Spig. Staph. Yeratr. 
— shocks in : Cann. 
—fullness in : Aeon. Ant. cr. Cans. 

Puis. Ruta. Yeratr. 
— as if bruised: N. vom. 
— drawing in : N. vom. 
— contraction in : Arn. Asa f. Can- 
tli:ir. Capsic. Chin. Coccul. Cupr. 
Hell. Tpec. Moxchus. N. vom. Op. 
Spig. Staph. Veratr. 
COUGH; Ars. Bry. Cocqul. Cuprum. 



Dros. N. vom. Petr. Rhus. Sil. 

Spig. Veratr. 
— dry: Cupr. Ipec. N. vom. Rhus. 

Sep.. 
CRAMP, in left side: Merc. 
DREAMS, anxious; Graph. 
— as from dust : Ipec. 
EPIGASTRIUM, pain in: Arsenic. 

Coccul. Hell. Pulsat. Sep. Staph. 
FLATULENCE: Cham. Nux vom. 

Puis. 
HEAD, dull: Sep. 
— ache : Arn. 
HEART, stitches in the : Cham. Petr. 

(Puis.) 
—region of, \yain in the: N. vom. 

(Puis.) 
HYPOCHONDRIA, swelling in: 

Cham. Ign. 
— pain in: Chin. Puis. Staph. 
LARYNX, mucus in : Chin. Cupr. 
— contraction : Sabad. Spoug. 
LIYER, pain in : Sep. 
LUNGS, weak: Stann. 
MORTIFICATION: Ign. Staph. 
NAPE OF NECK, drawing and 

stinging in : Sep. 
NAUSEA: Rhus. Samb. 
NOSE, dry: Canth. 
ODORS, strong: Phosph. 
PALPITATION OF HEART : Spig. 
RECTUM, stitches in: Sulph. 
RIBS, pains under the : Sep. 
RISING, from abdomen : Yaler. 
SCAPULiE, pressure in: Rhus. 
— pressure when leaning against : Sep. 
— stitches: Puis. Sep. 
— dislocation-pain : Petr. 
— drawing : Rhus. Ruta. 
STITCHES IN RIGHT SIDE: 

Graph. 
SPLEEN, pain in : Ruta. 
— stitches in : Arn. 
STOMACH, anxiety in pit of: Can- 
nab. Perr. ha had. Sham. 
— pressure in pit of: Arn. Bry. 
Camph. Chamom. Clan. Cic. Coc- 



COUGH. 



49 



cul. Helleb. Hyosc. Ignat. Mosch. 

Nux Yom. Rims. Samb. 
— cramp in pit of : Sulph. 
— simple pain in pit of : Arnic. Cina. 

Helleb, N. vom. Pnlsat. Ruta. 

Sabad. 
— feeling as if swollen in pit of : Rhus. 
— stitches in pit of: Chin, Phosph. 

Spig. 
— warmth in ditto : Bry. 
— digging in ditto : Chin. 
— griping: Phosph. 
— pain in : Caps. Cham. Rhus. 
— fullness in : Chin. Coccnl. 
LIKE VAPORS OF SULPHUR: 

Croc. Mosch. 



TRACHEA, obstacle in: Cannab. 

Spong. 
— tickling: Rhus. 

— mucus in : Cupr. Ruta. Veratrum. 
— contraction of : Canth. Ipec. Puis. 
THROAT, as if larger : Yeratr. 
— scraping in : Sabad. 
—like a plug : Spong. 
— constriction : Canth. N. voni. Puis. 

Veratr. 
— rising in: Cann. Stann. 
— like a foreign body in : Cic. 
— mucus in : Aur. 
— dryness: Petr. 
— constriction : Cham. Coccul. 
THROAT-PIT, constriction in: 

Rhus. 



XIX. COUGH. 



Character of the Cough. 

COUGH, in general: Aco. Ambr. 

Bell. Calc. Cann. Cantharis. Caps. 

Carbo an. Carbo veget. Causticum. 

Cham. Chin. Cina. Coccul. Coloc. 

(Jon. Digital. Dros. Ferr. Euphorb. 

Graphites. Hep. s. Ignat. Iod. Ipec. 

Kali c. Lye. Mercur. Mur. ac. Natr. 

mur. Nitric ac. Op. Petr. Phosph. 

Phos. ac. Plumb. Puis. Rhus. Ruta. 

Sabin. Sep. Sil. Spig. Spong. 

Staph. Sulph. 
— with expectoration: Ambr. Ant. 

crud. Arg. (Arn.) Ars. Asa f. Bell. 

Bry. Calc. Carbo veg. Caust. Cham. 

China. Cic. Cina. Con. (Croc.) Dros. 

Euphorbium. Euphr. Eerr. Graph. 

Hepar s. Ipec. Kali c. Lye. Merc. 

N. vom. Natrum mur. Petr. Phosph. 

Ph. ac. Plumbum. Puis. Rheum. 

Rhus. Ruta. Sabad. Sabin. Secale 

cornut. Selen. Sep. Sil. Spigelia. 

Spong. Staph. Stront. Sulph. Ve- 
ratr. 
— with easy expectoration: Argent. 

Euphr. Plumb. Puis. Staph. 



— with difficult expectoration : Ambr. 

Ars. Aur. Bry. Camph. Cann. 

Canth. Caust. Cham. Cina, Dros. 

Euphr. Hyosc. Ign. Iod. Kali c. 

Nux vom. Phosph. Plumb. Puis. 

Sep. Stann. Staph. Sulph. Zinc. 
— without expectoration : Aconit. 

Alum. Ambr. Antim. crud. Arn. 

Ars. Asa fset. Bar. Bellad. Bry. 

Calc. Cann. Canth. Caps. Carbo an. 

Carbo veg. Caust. Cham. China. 

Coff. Coloc. Con. Croc. Cupr. Digit. 

Dros. Euphorb. Ferr. Graphit. 

Hell. Hep. s. Hyosc. Ignat. Iod. 

Ipec. Kali c. Lycop. Mur. ac. Mere. 

N. yom. Op. Pelr. Phosph. Phos. 

ac. Plat. Plumb. Pnlsat. Rheum. 

Pihod. Rhus. Sabad. Sep. Sil. Spi- 

gel. Spong. Stann. Sulphur. Veratr. 

Zinc. 
— anxious : Aeon. Cina. Coff. Rhus. 
— fatiguing: Cocculus. Crocus. Ipec. 

X. vom. Rhus, 
—barking : Dros. Spong. 
-dull: Arsen. Bar. Bell. Carbo veg. 



5o 



COUGH. 



Euphorb. Hep. s. Kali c. Lyc.Petr. 
Phosph. Sep. 

-close: Asaf.Bry. Cliamoni. Coc- 
cul. Sabad. 

-rocking: Antim. crud. Ipec. Puis. 
Khus. 

-suffocative : Aco. Bry. Cham. Capr. 
Ipec. Op. Spigilia. Spong'. 
-violent: Anibra. Cina. Con. Hep. s. 
Ign. Ipec. Merc. N. vom. Phosph. 
Ruta. Sabad. Spig. Spong-. Staim. 
-hoarse: Aco. Ambr. Asa f. Bronx. 
Chin. Cina. Drosera. Samb. Spong. 
Veratr. 

•hollow: Aco. (Bell.) Caust. Cina. 
Euphorb. Hepar sulph. Ign. Ipec. 
Opium. Phosph. Sambucus. Spig. 
Spong. Veratr. 

-hacking: Aeon. Alum. Ars. Cann. 
Canth. China. Coffea. Coloc. Oupr. 
Dros. Euphorb. Hell. Hyosc. 
Kali c. Natrum mur. Op. Phosph. 
Plumb. Khus. Stann. Sulph. Thuj. 
and dry : Alum. Arg. Am. Ars. 

Bell. Cantlt. Capsic. Carbo an. 

Caust. Cina. Con. Graph. Ign. 

Phosph. Sabad. Sabin. Sulph. 

Veratr. Zinc, 
-irritating : Coff. Ign. 
-spasmodic: Aconit. Ambr. Bell. 
Bry. Carbo veg. Chin. Cina. Con. 
Ferr. Hyosc. Ignatia. Ipec. N. vom. 
Phosph. Plumbum. Puis. Sep. Sil. 
Staph. 

-short: Aco. Alumina. Arg. Am. 
Ars. Aur. Bell. Canth. Carbo vege- 
tabilis. Caust. Coff. Euphorb. Ign. 
Ipec. Merc. Mur. acid. Nux vom. 
Natr. mur. Phosph. Platina. Puis. 
Rhus. Sabad. Spigel. Spong. 
-scraping: Nux vomica. Puis. 
Sabad. 

-dc<'[)-. Ambra. Ars. Drosera. Hep. s. 
Petr. Phos. Samb. Spong". Stann. 
Veratr. 

-unceasing: Cupr. Droser. Hyosc, 
Ipec. 
-titillating: Alum. Arn. Asa f. Calv, 



Canth. Caust. Chamom. Chin. 

Con. Hyosc. Iod. Kali. Merc. Nux 

vom. Natrum mur. Nitric ac. 

Phosph. Khus. Stann. Staph. 
— with vomiting: Alumin. Arg. Ar- 

sen. Asa f. Aur. Bry. Calc. Carbo 

an. Carbo veget. Cina. Coccul. Coff. 

Dig. Dulc. Iod. Nitric ac. Phosph. 

Plat. Puis. Khus. Spong. Stann. 

Staphys. Zinc. 
— whooping : Aeon. Anibra. Arn. Ars. 

Bell. Byron. Cham. China. Cina. 

Con. Cupr. Dros. Euphr. Hep. s. 

Hyosc. Ign. Ipecac. Kali c. Mosch. 

Mur. ac. N. youi. Opium. Phosph. 

Puis. Khus. Rata. Sep. Spong. 

Sulph. Veratr. 

Expectoration. 

ACRID: Puis. 

BITTER: Ars. Cham. Drosera, Ni- 
tric ac. Puis. 

BLOODY: Aeon. Alum. Arn. Ars. 
Bell. Bry. Calc. Canth. China. Cina. 
Con. Croc. Cupr. Daph. Dig. Dros- 
era. Dulc. Ferr. Hepar sulph. Hy- 
osc. Iod. Ipec, (Kali c.) Lye. Merc. 
Mar. ac. Nitric ac. Op. PJios. 
Plumb. Puis. Rhus. Sabad. Sabina. 
Sec. corn. Selen. Sep. Sil. Staphys. 
Stram. Sulphur. Zinc. 

BLOOD, brown : Bry. Rhus. 

— thick: Cupr. 

— thin : Ferr. Sabin. 

— coagulated: Arn. Bryonia. Canth. 
Nux vom. Nitric acid. Puis. Sep. 

— bright-red: Arn. Cantharis. Chin. 
Dros. Hyoscyam. Rhus. Sabad. Sa- 
bina. Sep. Sil. 

— frothy: Am. Bros. Ferr. 

— black : Arn. Canthar. China. Croc. 
Nux vom. Nitric acid. Puis. 

BILIOUS- Puis. 

TASTING OF OLD CATARRH: 
Ignat. Puis. Sulph. Zinc 

COOL: Cann. Phosph. (Sulph.) 

COPIOUS: Alum. Bry. Caust. Cic. 



eoiJGit 



5i 



Cina. Dros. Euphr. Fen*. Graph. 

Kali c. Lye. Puis. Sep. Sil. Stan- 

num. Sulph. 
HAYING A FOUL TASTE: Cal- 

carea. Carbo veg-. Cham. Cupr. Ferr. 

Pho.spli. Pulsat. Sepiae. Staim. 

Zinc. 
FROTHY: Op. Phosphor. Plumb. 

Sil. 
GRANULAR : Chin. Phosphor. Sep. 
GLOBULAR: Thuj. 
GRAY : Anibra. Lycop. Sepiae. Thuj. 
GREEN : Ars. Cann. Carb. veg. Ferr. 

Hyosc. Lycop. Puis. Sep. Stann. 

T^uj. 
INDURATED: Iod. 
INODOROUS: Arg. 
LIYER-COLORED : Puis. 
HAYING A METALLIC TASTE : 

Ipec. 
MUCUS, bloody: Alum. Arn. Ars. 

Bry. Chin. Con. Dros. Ferr. Iod. 

Ipecac. Opium. Phosph. Sab hi. 

Sec. corn. Selen. Sil. Spong. Zhic. 
— transparent: Ars. China. Sil. 
— yellow : Bry. Dros. Puis. 
—gray: Ambr. 
— blackish: Lye. 
— dry: Bry. Plumb. 
— white : Ambr. Argent. CiTUi. Phosph. 

Rhus. Sep. Spong. 
— tenacious: Antim. cruel. Ars. Bell. 

Bryon. Cann. Canth. Carbo veget. 

Canst. Cham. Coccul. Euphr. Iod. 

N. vom. Phosph. Puis. Ruta. Samb. 

Sep. Staph. Yeratr. Zinc. 
HAWKING UP OF MUCUS : (See 

Larynx.) 
NAUSEOUS: Dros. (Puis.) 
PURULENT : Bell. Calc. Chin. Con. 

Dros. Ferr. Lycop. Kali c. Natr. 

mur. Phos. Ph. ac. (Puis.) Ruta. 

Sep. Sil Staph. Zinc. 
SALT : Alum. Ambr. Ars. Bar. Cann. 

Carbo veg. (Drosera.) Graph. Lye. 

Phos. Puis. Sep. Stann. Sulph. 
SOUR: Calc. Phosph. Ph. ac. 



SLIMY : Alumina. Ambr. Arg. Ars. 

Aur. Bar. Bell. Br go. Calc. Caps. 

Caust. Chamom. Chin. Cina. (Croc.) 

Digit. Euphr. Ferr. Hep. s. Hyosc. 

Iod. Ipec. Merc. Mur. acid. Natr. 

mur. Op. Phosphor. Plumb. Puis. 

Rheum. Rhod. Rhus. Sab in. Sec. 

corn. Selen. Sep. Sil. Spigelia. 

Spongia. Stann. Staph. Sulph. Zinc. 
HAYING A BAD SMELL: Arsen. 

Calc. Stann. 
— — taste: Ars. Stann. 
LIKE STARCH: Arg. Bar. 
SWEETISH: Calc. Ferr. Nux vom. 

Phosph. Stann. 
TASTELESS: Arg. 
TENACIOUS: Alum. Ars. Carbo 

veg. Caust. Dulc. Iod. Kalic. Phosph. 

Sep. Stann. Zinc. 
THICK: Arg. Ipec. Lye. Phos. Stann. 

Sulph. Zinc. 
TITILLATING: Caust. 
LIKE TOBACCO : Puis. 
TUBERCLES, brownish: Phos. 
YISCID: (Rhus.) 
WATERY: Arg. 
WHITISH-YELLOW : Lyc.Phosph. 

ac. 
YELLOW: Ars. Bryo. Calc. Dros. 

Ign. Lye. Phosphor. Puis. Sep. 

Spong. Stann. Staph. Thuj. 

Elxciting Causes. 

AS FROM THE ABDOMEN : Ye- 
ratr. 

BY OPEN AIR: Ars. Lye. Phosph. 

IN — — : Bry. Co: cut Ipecac. 
N. vom. (Rhus.) Spig. 

BY GETTING ANGRY: (Cham.) 

FROM ASCENDING : Arg. N. vom. 

BY BARING ONE SELF : N. vom. 

BY DRAWING A LONG BREATH : 
Dulc. Hep. s. 

BREATHING: Bellad. Coloc. Dulc. 
Graphit. Hepar sulph. Natr. mur. 
Sulph. 



52 



COUGH. 



BY BENDING IN THE CHEST: 

Phos. acid. 
AFTER CHAGRIN: Aco. Bry., 
IN COLD AIR: Aco. Br v. Carbo 

veg. Hepar sulph. Phosphor. Spong. 
BY TAKING COLD: Bryo. Cupr. 

Dros. Ipec. Op. N. vom. Rhus. 
FROM TAKING COLD : Carbo veg. 

Dulc. HejD. s. Petr. Phosphor. 
BY CONTRACTION OF ABDO- 
MEN: Dros. 
BY GETTING COOL: Am. Rhus. 
AFTER CRYING: Am. 
AFTER DRINKING: Aeon. Ar- 
senic. Bry. Coccul. Ferr. Hep. suipii. 

Lye. X. vom. Op. (Phosph.) 
FROM DRINKING COFFEE : 

Cajjsic. Cham. Coccnl. Ign. N. 

vom. 
FROM DRYNESS : Pnls. 
BY FEELING OF DRYNESS: 

Merc. 
AFTER EATING: Bell. Bryon. 

Chin. (Dig.) Ferr. X. vom. Opium. 

(Puis.) Ruta. Staph. Zinc. 
WHEN EATING : Carbo vegetabil. 

Coccul. (Puis.) Sep. 
BY EMOTIONS : Aeon. Am. Bry. 

Cham. Nux vom. Op. Rhus. Staph. 
AFTER ERUCTATION: Staph. 
BY EXPIRATION : Cann. N. vom. 
AS FROM FEATHER-DUST : 

Bellacl. Calc. Cina. Ign. 
BY HEAT OF BODY : (Aco.) 
BY GETTING HEATED : Aco. Bry. 

Ipec. X. vom. Thuj. 
AS FROM A HAIR ON THE 

TONGUE: SI. 
HYPOCHONDRIA, irritation in: 

Thuj. 
— inspiration : Cina. Croc. "Uo: . Puis. 

deep: Bry, Chia. Ipec. 

IRRITATION, generally : Aconit. 

Alum. Arg. Arn. Ars. Amf. Bar. 

liclUul. Union. Calc Cann. Carbo 

an. Carbo veyet. Caust. Cham, 



China. Cina. Coccul. Coloc. Con. 

Croc. Dig. Euphorb. Ferr. Graphit. 

Hepar s. Hyosc. Ignat. Iod. Ipec. 

Lye. N. vom. Nitric ac. Petr. 

Phosph. Puhat. Rhoclod. Sabin. 

Sep. Sil. Spig. Stann. Staph. Sul- 
phur. Thuj. Zinc. Veratr. 
BY AN IRRITATION IN THE 

LARYNX: Aco. Alum. Arn. Ar- 

sen. Bar. Bry. Canth. Caps. Carbo 

an. Carbo veget. Cham. Cina. 

Coccul. Coff. Dros. Hep. s. Ign. 

Iod. Ipec. Merc. Mur. ac. X. vom. 

Pulsat. Sabad. Sabin. Sep. Sil. 

Spongia. Staph. Sulph. 
FROM IRRITATION IN THE 

REGION OF THEJVOID.BODY : 

(Iodine.) Spong. 
FROM IRRITATION IN THE 

STOMACH: Bell. Bry. Merc. 
BY LAUGHING: Arg. Chin. Stann. 
BY LOSS OF BREATH: Aur. 

Coccul. Dros. Euphr. Hej). sulph. 

Ign. Ipec. Nux vom. Spig. 
AFTER LYING DOWN: X. vom. 

Pus. Rhus. Ruta. Sabad. Staph. 
"WHEN LYING DOWN : Ambr. Ars. 

Bellad. Cham. Coccul. Con. Dros. 

Ferr. Hyosc. Ignat. Ipec. Merc. 

Phosph. Puis. Rhus. Sabad. 

in bed : Cham. Ferr. Nux vom. 

Puis. Rhus.]: 

on the back : X. vom. 

on left side : Aeon. Bryon. Tpec. 

Phosph. Puis. 
on right side: Aco. Carbo an. 

Ipec. 
FROM MENTAL LABOR: Ignat. 

X. vom. 
BY MOTION : Arn. Ars. Bryon. Ferr. 

N. vein. 
BY MUCUS : Cham. Cina. Puis. 
BY MUCUS ON CHEST: Caustic. 

Stann. 
BY MUCUS IN TRACHEA: N. 

vom. 
FROM NAUSEA : (Bry.) N. vom. 



COUGH. 



53 



WHILE NURSING : Chin. Ferr. 
DURING PREGNANCY: Ipecac. 
Puis. 

BY PRESSURE : Iod. 
BY READING : N. vom. 
BYREADING ALOUD : Nitricacid. 

Phosph. 
IN REST: Caps. Dros. Euphorb. 

Ferr. Hyosc. N. vom. Phosph. 

Puis. Rhus. Samb. 
BEFORE RISING: N. vom. 
IN THE ROOM : Arg. Bry. Croc. 

Puis. Spig. 
IN SCREAMING: Am. 
BY SHOCKS : N. vom. 
WHEN SITTING : Hell. Pliosph. 
IN SLEEP: Am. Bell. Calcarea. 

Cham. Lach. Nitr. ac. Sep. 
WHEN SMOKING: Aeon. Bryon. 

Coloc. Ferr. Hell. Ign. Nnx vom. 

P etr. Spong. Staph. 
WHEN STEPPING INTO WA- 
TER: Spig. 
BY STITCHES: Aconit. Bryon. N. 

vom. 
WHEN STOOPING: Arg-. Canst. 

Hep. s. Spig. 
BY SUFFOCATIVE FITS : Charu- 

om. Ipec. Puis. 
AS FROM VAPOR OF SULPH. 

Carbo veg. Chin. Ign. Lye. Puis. 
FROM SWALLOWING: Op. 
FROM TALKING: Bar. Cham. 

China. Hep. s. Ign. Ipec. Merc. 

Phosphor. Stann. Rhus. 
WHEN TEETHING : Chainom. 

Cina. Hyosc. Ipec. Rhus. 
THROAT, as if swollen : Ars. 
— scraping in : Ambr. Croc. 
— roughness in: Bry. Nux vom. 

Plumb. Rhus. Sabad. 
— irritation: Coff. 
— scraping in : Puis. Sab. 
— mucus in : Caustic. Chamom. Coc- 

cul. Euphr. 
—stitches in : Chain* Staim. 



— dryness in : Bry. Dros. Puis. Rhus. 

Stann. 
— constriction in : Coccul. Ign. 
— rising in: Cham. 
THROAT-PIT, tickling in: Bella. 

Cann. Cham. Coccul. Ign. Phos. ac. 

Puis. 
— pain generally : N. vom. 
STOMACH, tickling in pit of: Bar. 

Bell. Bry. Hep. s. Natr. mur. 

Phosph. ac. 
BY TICKLING IN THROAT : Dig. 

N. vom. 
BY TITILLATION IN THROAT: 

Ambra. Bryon. Calc. Caustic. Chin. 

Euphorb. Hepar sulph. Iod. Zinc. 
HIP, twitching in : Ars. 
ON WAKING : Ign. Nux vom. Puis. 

Rhus. 
WHEN WALKING: Alumina. Ars. 

Carbo veget. Ferr. Natrum mur. 
AFTER WALKING IN THE OPEN 

AIR : Ferr. Ipec. 
WHEN GETTING WARM IN 

BED : Cham. N. vom. Puis. 
BY WEAKNESS: Stann. 
WORSE BY COUGH: Ign. 
BY YAWNING: Am. N. vom. 

Accompanying Ailments. 

ABDOMEN, pain in: Drus. Lye. 

N. vom. Pliosph. Ph. ac. Sil. Ve- 

ratr. 
— cutting in: Veratr. 
— stitches in: Ars. Sep. Veratr. 
—shocks in : Natr. mur. 
— bruised in: Arsen. N. vom. Puis. 
— contraction : Dros. 
— pain in muscles of : Hyosc. 
— stitches in sides of : Am. 
ABDOMINAL RING, stitches in: 

Veratr. 
ANXIETY: Aeon. Cina. Coffea. 

Rhus. 
ASTHMA: Am. Carb. v. Canst 

Coccul. Dig. Euphorb. Ferr. Ipec. 



54 



COUGH. 



Natr. mur. Phosphor. Rhodod. 

Wins. Sep. Yeratr. 
BACK, stitches in : Aeo. Chin. Mere. 

Pills. Sep. 
BLADDER, pain in: Caps. 
BREATHING, breath, hot: Ant. cr. 
— snorting: Chin. 
— fetid: Caps. 
— want of : Ferr. Ipee. 
— incarceration of : Aeon. Am. Bar. 

Bryon. Cale. Cma. Cupr. Ipec. 

Merc. Nat. mur. Sil. Spig. 
CATARRH: Bell. 
CERVICAL GLANDS, pain in: 

Natr. muriat. 
CHOKING: Carbo veget. Droser. 

Hep. sulph. Ipee. N. votn. Puis, 

Sep. Sulph. 
CHEEKS, drawing in : Carb. veg. 
CHILLINESS : Calcar. Carbo veg. 

Con. Phosph. Sulph. 
COLIC : Ambr. Arsen. Canth. Coloe. 

Con. Drover. (Ferr.) Ipec. Lycop. 

N. vom. Phosph. Sep. Stann. Ye- 

ratr. 
CONCUSSING THE BODY: Ant, 

cr. Ipee. Puis. Rhus. 
CONSCIOUSNESS, loss of: Cina 
CONSUMPTION: China. Ferr. Ju 

vom. Puis. 
CRYING : Arnic. Bellad. Cm 

Hep. s. 
CHEST, oppression in : Rhus. Yeratr. 
— burning in: Ant. crud. Carb. veg. 

Canst, Cina. Ferr. Phos. Ph. ac. 

Spong. 
— pressure in : Carb. veg. Chin. Iod. 

Ph. ac. Sil. 
— as if shaken: Kims. 
— ulcerative pain: Staph. 
— as if hollow: Sep. Zinc. 
— itching: Ambr. 
■ — col Iness in : Zinc. 
— cramp in : Cina. 
— scraping in: Ruta. Staph. 
— roughness: (Arn.) Carb. veg. Kali 

caib. Lye. Sep, 



— rattling: Bell Caust. Cham. 
COUGH, 

— pains generally: Ambr. Ars. Bel- 
lad. Carb. veg. Caustic. Cham. 

Cina. Coflf. Dig. Dros. Kali carb. 

Lye. Merc. Mur. ac. N. vom. Nat. 

mur. Nitr. ac. Phosph. Ph. ac. 

Puis. Sep. Spong. Sulph. Yeratr. 
— relieved by pressure: Phosph. 
— cutting : Natr. mur. Sulph. 
— excoriated, as if: Carbo. veg. Lye. 

Phosph. Sep. Spong. 
— heaviness: Zinc. 
— tension in : Phosph. Rhus. 
— stitches in: Aeo. Am. Ars. Bell. 

Bry. Canu. Chin. Coff. Con. Dros. 

Mere. Nux vom. Natr. mur. Pulsat. 

Rhus. Sabad. Sep. Zinc. 
— fullness: Sabin. 
— qualmishness: Rhus. 
— as if sore : Alum. (Arn.) Bar. Carb. 

veg. Caust. Cina. Hepar sulph. 

Ipec. Lye. Mur. ac. Nu.r vom. Nitr. 

acid. Phosph. Sep. Sillc. Spig. 

Spong. Stann. Sulph. 
— pain as if bruised : Arn. 
—as if flying to pieces : Arsen. Bry. 

Caps. Merc. Zinc, 
—drawing: Caps, 
—contraction: Dros. 
EAR-ACHE: Caps. (N. vom.) 
EPYGASTRIUM, pain in: Ambra. 

Dros. N. vom. 
— stitches in: Sep. 
ERECTIONS: C ami. Canth. 
ERETHISM, vascular : Arn. Chin. 
ERUCTATIONS: Ambr. Veratr. 
EYES, obscured: Coif. 
— sparks before : Kali. 
—tears in: Cina. Puis. Sabad 
FACE, blue: Ipec. Op. Yeratr. 

pale: Cina. 
—hot: Bell. Ipec. Sulph. 

sweat in : Ipec. 
—distorted : Spouts. 
FAUCES, burning in: Caust. Ph. 

acid. 



COUGH. 



55 



— sore feeling in : Caust. 

FALLING DOWN: Ipec. 

FOREHEAD, cold sweat on : Veratr. 

HANDS, swelling of : Aeon. 

— coldness of: Sulph. 

HEAD, pressure in : Alum. Bry. Con. 

Nifcr. ac. Phosph. Buta. 
— as if shaken: Rhus.. 
— heat in: Ars. Ipec. Sulph. 
— tearing in: Alum. Calc. Sep. 
— pain generally: Aco. Bell. Bry. 

Chin. Con. Lye. Sabad. 
— stitches in: Alum. Arn. Bry. Calc. 

Carb. veg. Con. Buta. Sabad. 
— shocks in : Arsen. Ipecac. Lye. Natr. 

mur. Bhus. 
— as if bruised: Sulph. 
— as if flying to pieces : Bryon. Caps. 

Merc. NuxYom. TS T atr. mur. Phosph 

Ph. acid. Sep. Sulph. 
— contractive pain in : Petr. 
HEAT : Arn. Bell. Nux vom. Sabad. 
HOABSENESS: Aco. Ambr. Asa 

feet. Chin. Cina. Droser. Samb. 

Spong". Stann. Verat. 
ILL-HUMOB: (Bell.) (Spong.) 
LARYNX, ulcerative pain in: Car- 
bo veg. 
—crawling: Sabin. 
— irritation in: Coccul. 
— pain generally : Spoug'. 
— stitches : Kali c. Phosph. 
— as if sore : Arg. Bry. Carbo veg. 

Hep. sulph. Ign. Kali c. Natr. mur. 

Sep. 
LABYNX, as if torn : Staph. 
LIMBS, pain in: Caps. 
MOUTH, dry: Coccul. 
NAPE OF NECK, pain in: Bell. 
NAUSEA: Bryo. Caps. Drosera. 

Ipec. Merc. N. vom. Puis. Buta. 
NOSEBLEED: Aco. Droz. Merc. 

Puis. 
PAIN IN ABM: Dig. Puis. 
PALPITATION OF HEABT: Ar- 

nic. Calc. 



PAIN AS FBOM HEBNIA : Pelr. 

— as from fatigue : Puis. 

— generally: Ambra. Droser. N. rem. 

— tension : Hell. 

— stitches: Aco= Ars. Bryon. Phosph. 

Sabad. Sulph. 
— as if bruised: Bry. 
— contraction in : Bros. 
— hip : Ars. Bellad. Caustic. Rhus. 
PBESSUBE IN HYPOCHON 

DBIA: Coccul. Spong. Valer. 
PENIS, pain in the : (Ign.) 
PTYALISM: Veratr. 
RECTUM, stitches in : Nitric ac, 
RESTLESSNESS: Acouit. Coff. 

Samb. 
RIBS AS IF BBUISED : Arn. 
SALIVA, bloody : Dros. 
SCREAMING: Op. Samb. 
SHOBTNESS OF BBEATH: Bry. 
SHOULDEB, stitches in : Puis. 
- blade, stitches in : Mercur. Sep. 
SIDE, stitches in: Aco. Bry. Puis. 

Zinc. 
SLEEPLESSNESS : Hyosc. Lycop. 

N. vom. Puis. Bhus. Sabad. 
SNEEZING: Bell. Bryo. Hepar 

sulph. 
SMALL OF BACK, pain in : Merc. 
— stitches in : Aco. Arn. Nitric acid. 
SPEBMATIC COBD, stitches in: 

Veratr. 
START, tendency to: Aco. 
STERNUM, pain of : Bell. Chin. Sep. 

Sil. 
STOMACH, pressure in: Lye, 
— pain in: Bry. Hell. Ipecac. Lye. 

Phosph. Puis. Rhus. Buta. Sabad. 

Sep. 
— pressure in pit of: Phosph. 
— simple pain : Sepia?. Stannum. Thuj. 
—pain generally : Ambr. Bryo. Ipec. 
— stitches: Ars. Bry. Phosph. Sulph. 
—qualmishness : Ign. 
— sore pain : Bry. 
— as if bruised : Stann. 
— contraction: Ars. 



56 



LARYNX AND TRACHEA. 



SUFFOCATIYE FITS : Aco. Bryon. 
Cham. Cupr. Hep. s. Ipec. Op. 
Spig. Spong". 
SWEAT : Ars. Dig. Hep. sulph. Ipec. 

Khus. Sabad. Spong. 
TASTE IN MOUTH, as of blood: 

BeH. Rhus. 
— bad: Caps. 

TEETH, gritting of: BeU. 
TOOTH-ACHE : Lye. 
TEE3IBLIXG OF WHOLE BODY : 

Phosph. 
TESTICLES, pain in: Zinc. 
THEOAT, bitter taste in: Rims. 
— burning in: Mur. ac. Phosph. 
— pressure in : Caps. 
— inflammation: Aco. Chain. Ipec. 

Nux voni. Pnls. 
— ulcerative pain : Caps. 
— iis if swollen : Caps. Puis. 
— itching: Ainbr. 
— titillation: Bry. Kali c. 
— scraping: Ambr. Bell. Bit. Croc. 

Hep. s. 
— roughness: Carboan. Canst. Hep. s. 
Kali c. Phosphor. IlJwd. Sep. 
Spong. 
— pain generally: Caps. Hepar s. 

Natr. mur. Phosph. Sil. Sulph. 
— stitehes in: Bryo. Nitric acid. 

Phosph. 
— dryness: Puis. Khus. 
— sore pain: Ambra. Phosplior. Sep. 
THROAT-PIT, pain in : X. vom. 
THROBBING IX ARTERIES : 
Calc. 



THYROID GLAND, itching in: 

Ambra. 
—CARTILAGE, titillation in : Puis. 
TOSSIXG ABOUT: Aeon. Arm 
TRACHEA, itching in: Ambr. N. 

vom. 
— tickling in : Cham. Sabin. 
— pain generally : Camph. Chin. Ign. 

X. vom. Spong. 
— shocks: Bry. Cina. 
— as if sore : Ant. crud. Bryon. Cann. 
Caust. Chin. Xux vom. Xatr. mur. 
Plumb. Stann. 
— as df torn: Staph. 
ULCERS, pain in: Con. 
UMBILICL^S, pain in: Ambr. 
URIXATE, urging to : Ipec. 
URIXATIOX, involuntary: Antim. 
crud. Bry. Puis. Spong. Staph. 
Yeratr. 
URIXE, retention of: Ipec. 
YERTIGO : Aco. Coff. 
YOYLTTIXG, in general: Arnica. 
(Bell.) Bry. Calc. Capsic. Car bo veg- 
Con. Cuprum. Pros. Hep. s. Iod. 
Ipec. Kali e. Xux vom. Phosph. ac. 
(Puis.) Sahad. Sep. 
—bitter: Cham. Sep. 
—of food: Bryo. (Dig.) Dros. Ferr. 

Natr. mur. (Rhus.) 
— of mucus : Dros. Hyosc. 
— sweet : Calc. 
— of water : Dros. 
\YATERBRASH: Amb. Ars. Bry 

Spig. Staph. 
AYEAKXESS: Chin. Ferr. Yeratr. 
YAWNING: Op. 



XX. LARYNX AND TRACHEA. 



Sensations. 
/. Larynx, 
A I Rj rising of: Lye. 
APHONIA: Bell. Cart), veg;. Canst, 



Hep. sulph. Merc. Natr. mur. Plios. 

Plat. 
BURNING: < roith. Chamom. Spong, 
CHOKING: < npr. Dros. 

< '( )XSTRICTIOX : Camphor. Cham, 



LARYNX AND TRACHEA. 



57 



Coccul. Coff. Ipec. Mosch. N. vom. 

Plumb. Puis. Spong. Yeratr. 
CONTEACTION: Spong. 
CONTUSIYE PAIX: Euta. 
COUGH, desire to: Aeon. Arnica. 

Bry. Canth. Caps. Cham. Cina. 

Coccul. Coff. Droser. Ign. Ipec. N. 

vom. Puis. Sabad. Sabin. Spong*. 

Staph. 
CEAMPY FEELING: Cham. Nux 

vom. 
CRAWLING: Sabin. 
CEOUP, gangrenous: Chin. 
— membranous: Aco. Cham. Dros. 

Lach. Samb. Spong. 
DRYNESS: Alum. Carb. an. Con. 

Hyosc. Nux vom. Natr. nrar. Petr. 

Phosph. Spong. Sulphur. Zinc. 
FOOD GETS INTO THE LAR- 
YNX: Aco. Cann. Rhus. Yeratr. 
HAWKING UP MUCUS : Alumina, 

Ambr. Ant. crud. Arg*. Aur. Bry on. 

Calc Camph. Cann. Canth. Carl). 

an. Canst. Cham. Chin. Cina. Coc- 
cul. Croc. Dig. Dulc. Hyosc. Iod. 

Kali c. Lach. Lye. N.vom. Natr. 

mur. Phosph. Plumb. Ehod. Rhus. 

Sabad. Sabin. Samb. Selen. Spig. 

Stann. Staph. Snlpk. Valer. 
HEAT : Ant. crud. Canth. Iod. 
HOAESENESS: Aeon. Alumina. 

Ambr. Am. Ars. Asa f. Bell. Bry- 

011. Gale Camph. Canth. Caps. 

Carb. an. Carb. veg. Canst. Cham. 
- Chin. Cic. Coff. Con. Croc. Cupr. 

Dig. Dros. Ferr. Graph. Hep. Ign. 

Iod. Kali c. L.;ch. Lycop. Mere. 

Mur. ac. Nux vom. Natr. mur. Nitr. 

ac. Op. Petr. Phosph. Ph. ar. Plat. 

Plumb. Puis. Rhus. Sabad. Samb. 

Sec. corn. Selen. Sep. Sil. Spig. 

Spong*. Stann. Staph. Stramon. 

Sulph. Thuj. Yeratr. Zinc. 
INFLAMMATION: Aeon. Dros. 

Ipec. N. voin. Puis, Spong. 
ITCHING: Ambra. Con. Sux vom. 



MUCUS, accumulation of: Alum. 

Arg. Ars. Calc. Carb. an. Caust. 

Cham. Chin. Cina, Coccul. Coff. 

Dig. Hyosc. Iod. KaJi-c. Lye. Nux 

vom. Natr. mur. Phosph. Samb. 

Sep. Stann. 
PHTHISIS OF LAEYNX: Ambra. 

Carb. veg. Caust. Cupr. Dros. Ign. 

Iod. Lach. Merc. Nux vom. Pulsat. 

Spong. Stann. Sulph. 
AS OF A PLUG: Bar. Kali c. 
PRESSURE: Bar. Bellad. Capsic. 

Carb. veg. Cic. Graph. 
AS IF RAW : Arg. Puis. 
ROUGHNESS : Alum. Ambr. Ars. 

Bell. Canth. Caps. Carb. veg. Caust. 

Chin. Coff. Kali c. Mur. ac. N. vom. 

Natr. mur. Phosph. Phos. ac Plumb. 

Pals. Ehod. Rhus. Sabad. Sil. 

Spong. Stann. Sulph. Zinc 
AS IF SCEAPED: N.vom. Pulsat. 

Sabad. Yeratr. 
SCRAPING: Alumin. Carbo veg. 

Ign. Kali c. Natr. inur. Nitr. acid. 

Elms. Sabad. Spong". Staph. 
SENSITIVENESS: Bell. Laches. 

Phosph. Sulph. Hepar. sulph. Iod. 

Phosph. Sep. Spong. Zine. 
SIMPLE PAIN: Aeon. Canthar. 

Hep. s. Iod. Lach. N. vom. Spong. 
AS OF A SOFT BODY: Dros. 
SOEE FEELING: Arg. Bry. Carb. 

veg. Caust. China. Graph. Ign. Iod. 

Kali c. Natr. mur. Puis. Sep. 
SPASM: Mosch. Yeratr. 
STITCHES: Capsic. China, Dros. 

Hyosc. Iod. Kali c. Nitr. ac. Phosph, 

Spig. Zinc. 
AS IF STOPPED UP : Spong. 
LIKE YAPOE OF SULPH. : Mosch, 
SWELLING: Iod. Sil. 
AS IF SWOLLEN: Caps. Iod. 
TEAEING: Ign. 
TENSION: Spong. 
TICKLING : Calcar. Carb. veg-. Con, 

Hep. s. Ipec. Merc. Sabin. Zinc 



58 



EXTERNAL NECK AND NAPE OF THE NECK. 



TINGLING: Con. Dros. Graphit. 

Iod. Kali c. Natr. mur. Sep. Zinc. 
VOICE, raised: Stann. 
—impure : Baryta. Carbo veg. Caust. 

Graphit. Merc. Natr. mur. Sulpli. 
2. Trachea. 

BURNING : Euphorb. Phosphor. 

Rhus. Sulph. Zinc. 
COLDNESS : Camph. Sulph. 
AS IF CONSTRICTED: Ars.Ignat, 

Ipec. Mosch. N. Tom. Puis. Rhus. 
AS IF CONTRACTED: Coccul. 

Lach. Staph. 
COUGH, desire to: Aeon. Arg. Aru. 

Asa feet. Bryon, Cann. Cham. 

China. Cina. Cocc. Croc. Ferr. Hy- 

osc. Ignatia. Ipec. Nux vom. Puis. 

Sabina. Spig. S.aph. Yeratr. 
CROUP: Hep. Phosph.. 
DRYNESS: Alum. Carbo veget. 

Caust. Cina, Phosph. Puis. Rhod. 

Sep. Sulph. Zinc. 
FEELING OF : Camph. Causticum . 

Phosph. Puis. Stann. 
HEAT: Iod. 
INFLAMMATION: Aeon. Capsic. 

Con. Drosera. Iod. Ipecac. Spong. 
ITCHING: Ambr. N. vom. Puis. 
MUCUS, accumulated: Aliunina. 

Arg. Aur. Bar. Bell. Calc Camph. 

Cann. Capsicum. Caust. Coccul. 

Cuprum. Hepar s. Byosc. Ignatia. 

Iod. Lye. N. vom. Natrum mur. 

Nitric ac. Op. Phosphor. Plumb. 

Puis. Samb. Stann. Sulph. Zinc. 

(See larynx.) 
NUMB FEELING : Aco. 
SIMPLE PAIN: Camph. Capsic. 

Carbo an. Chin. Ign. N. vom. 

Phosph. Puis. Spot) '. 



PHTHISIS OF TRACHEA: Aco. 

Arg. Am. Calc. Caust. Chamom. 

Cuprum. Dros. Ferr. Hep. Lye. N. 

vom. Nitric ac. Phosph. Puis. Rhus. 

Spong. Stann. Sulph. Yeratr. 
PRESSURE: Bar. Graph. Phosph. 

Thuj. 
ROUGHNESS: Alum. Carbo veg. 

Caust. Dig. Graph. Iod. Kali c. 

Mur. ac. A', vom. Natrum mur. Ni- 
tric ac. Phosphor. Plumb. Puis. 

Rhodod. Rhus. Stann. Sulph. Zinc. 

(See larynx.) 
AS OF A FOREIGN BODY : Cann. 
I Cic. Hyosc. 
I SCRAPING: Alum. Antini. crad. 

Canth. Carbo veget. Caustic. Graph. 

Hep. s. Kali c. Lye. Mur. ac. Nitr. 

ac. Pulsatilla. Stann. Sulph. 
AS IF SCRAPED : N. vom. Puis. 

Rhus. Yeratr. 
, SENSITIYENESS : Phosph. 
j SHOCKS : Bry. Cina. 
: AS IF GONE TO SLEEP: Aco. 
AS IF SORE: Ant. crud. Bryon. 

Cann. Caust. Cham. China. Iod. N. 

vom. Natrum muriat. Phosph. 

Plumbum. Rhus. Sil. Stann. 
STITCHES: Ant. crud. Arg. Bar. 

Bell. Caps. Ipec. Thuj. 
AS IF STOPPED UP : Rhus. 
AS OF YAPORS OF SULPH.: 

Puis. 
TICKLING : Aconit. Am. Capsic. 

Cina. Ferr. Ipec. N. vom. Puis. 

Rhus. Sab in. Yeratr. 
TINGLING: Am. Calc. Carbo veg. 

Dros. Euphorb. Iodine. Kali c. 

Lye. Petr. Phosphor. Platina. Sep- 
ia*. Sil. Stann. Thuj. 
AS TF TORN: Staph. 



XXI. EXTERNAL NECK AND NAPE OF THE NECK. 



Sensations. 
l. Neck. 
BLOTCHES: Sec. corn. 
BOILS: Am. Caust. Sep. 



BURNING: Ferr. Ign. 

AS IF BRUISED: Am. Cic. 

s. Sabin. 
COLD FEELING : Phosph. 



ep 



EXTERNAL NECK AND NAPE OF THE NECK. 



59 



CRAMP: Cic. 

CUTTING: Graph. Ruta. Samb. 

DRAWING: Aco. Ant. crud. Am. 

Asa f. Bell. Bry. Camphor. Cantha- 

ris. Chin. Cic. Coccul. Croc. Dulc. 

Graph. Kali. Nux vom. Natr. mur. 

Nitr. ac. Ph. ac. Puis. Rhod. Sabin. 

Spig. Spong. Staph. Veratr. 
ERUPTION: Ant. crud. Ars. Aur. 

Bry. Canth. Dig. Hep. sulph. 

Merc. Ph. ac. Puis. Spig. Spong. 

Staph. Thuj. Veratr. 
AS IF THE FLESH WERE DE- 
TACHED: N. vom. 
GLANDS, boring in: Bell. Pulsat. 

S abaci. 
— pressure in : Aur. Bell. Chin. Cina. 

Coccul. Ign. Mercur. Rhus. Stram. 
— simple pain in: Alum. Ambra. 

Arn. Bry. Calcar. Carbo veget. 

Canst. China. Cic. Con. Graph. 

Hell. Ignctt. Kali c. Lye. Merc. N. 

vom. Natr. mur: Nitr. ae. Phos. 

Ph. ac. Pulsatilla. Rhus. Selen. 

Sep. Sil. Spig. Spong. Stann. 

Staph. Thuj. 
— suppuration : Bell. Hyosc. Sil. 
— sensitiveness : Arnic. Aurum. 

Spong. 
— inflammation : Bar. Bell. Canth. 

Kali c. Nitric ae. Plumb. Veratr. 
— swelling: Alum. Ambra. Arg. Arn. 

Asa f. Aur. Bar. 1 ell, Bry. Cale. 

Camph. Canth. Carbo veg. Cham. 

China. Cic. Coccul. Con. Dnlcam. 

Ferr. Graph. Hepar s. Ign. Iod. 

Lye. Merc. Mur. ac. Natr. mur. 

Nitr. ae. Petr. Phosph. Ph. ae. 

Plumb. Puis. Rhus. Sabad. Sep. 

Sil. Spigel. Spong. Stann. Staph. 

Sulphur. TJtuj. Veratr. Zinc. 

feeling of: Spong. Staph. 

— hard swelling: Coccul. Plumb. 

Rhus. Spig. Staph. 
—itching : Con. Ant. crud. 
— tickling : Kali c. 
— pinching: Bry. Veratr, 



— creeping: Con. 

— as if air passed through : S>pongia. 

— as if excoriated : Con. 

— as if pressed together : Ign. 

GOITRE : Amur. Spong. 

— as if swollen : Spong. 

— large : Calc. Carbo an. Caust. Iod. 

Kali c. Lycop. Natr. mur. 
— pressing: Spong. 
— hard. Iod. Spong. 
— movements in : Spong. 
— pressing out: Spong. 
— as if alive : Spong. 
— painful : Iod. Plat. 
— stitching : Iodine. Spongia. Sulph. 
— larger : Iod. 
—constriction in : Iod. 
HEAD DRAWN TO ONE SIDE: 

Chin. Cupr. Hyose. 
HEAT: Calc. Caust. Cham. Ign. 

Sep. Sulph. 
ITCHING: Alum. Bry. Carbo veg. 

Ign. Natrum mur. Nitric ac. Op. 

Puis. Rhus. Stann. Thuj. 
LAMENESS : Dig. Lye. Sulph. 
PAIN: laming: Cocc. 
— rheumatic : Aco. Iod. Rhod. Staph. 
—as of sore : Bry. Cic. Veratr. 
—in lower vertebrae : Con. 
—simple: Bell. Bry. Calc. Caps. 

Caust. Ferr. Graphit. Kali c. Lach. 

Nux vom. Phosph. Ph. ac. Sabin. 

Sil. Zinc. 
AS IF PRESSED OUT: Spong. 
PRESSING: Sil. 
PRESSURE: .4co. Ant. crud. Arg. 

Arn. Aur. Bell. Calc. Cann. Carbo 

veg. Caust. Ign. Kali c. Lach. Lye. 

Nitr. ac. Ph. ac. Sabin. Spong. 

Staple. Veratrum. Zinc. 
RESTLESSNESS: Thuj. 
SCRAPING: Ars. 
SLEEP, gone to: Carbo an. 
SPASM : Ant. crud. Spong. 
SPOTS, yellow : Iod. 
—red: Bell. Carbo veg. Coccul. N. 

vom. Sep. Stann. 



60 



EXTERNAL NECK AND NAPE OF THE NECK. 



STIFFNESS: Alum. Aug. Argent. 

Ars. Bell. Bryon. Calcar. Canrph. 

Carbo an. Causticum. China, tic. 

Coccul. Croc. Cupr. Dig. Ferr. 

Graph. Hell. Lye. Merc. Natr. mur. 

Nitric ac. Petr. Pliosph. Phosph. 

ac. Rhus. Sil. Spong. Staphys. 

Thuj. Veratr. Zinc. 
STITCHES : Aco. Ant. crad. Aur. 

Bell. Bry. Canth. Chin. Cina. Coc- 
cul. Cupr. Dig. Graphites, Hep. s. 

Kali c. Phos. Samb. Spig. Spong. 

Stapliys. Thuj. Veratr. Zinc. 
SWEAT: Cann. Cham. Coff. Ipec. 

N. vom. Rhus. 
SWELLING, of bones: Calc. 
SWELLING : Alum. Ars. Bell. Ca'e. 

Caustic* Cic. Iod. Lye. Merc. Nitr. 

ac. Phos. Rhus. Sil. Zinc. 
— external : Alum. Arn. Ars. Bar. 

Caustic. Croc. Hyosc. Iod. Lye. 

Puis. Eho 1. 
— hard: Canst. Lye. N. Vom. 
TEARING: Am. Aur. Carbo veg. 

Cham. Cupr. Iod. Kali c. Lye. 

Mere. Phos. Plumb. Sabin. Selen. 

Spong. Staph. Sulphur. Zinc. 
TENSION : Arg. Arn. Bar. Bell. Bry. 

Calc. Camph. Caustic. Cic. Dig. 

Graph. Iod. Plumb. Puis. Rhod. 

Rhus. Spigelia. Spong. Staph. 

Sulph. Zinc. 
THROBBING OF CAROTIDS: 

Opium. Spong. 
— of arteries: Bell. Hepar s. Op. 

Spong. 
AS IF TIED TOO FAST: Arn. 
TINGLING: Spong. 
TWITCHINGS : Canthar. Spong hi. 

Zinc. 
— convulsive : Phosph. 
ULCERS: Ars. Hyosc. Lycop. Sec. 

coin. 
ULCERATIVE PAIN : Graph. Puis. 
VEINS, swelling of: Op. Thuj. 
WEAKNESS : Arnica. Coccul. Slaj>h. 

Veratr. 



AS FROM A WRONG POSITION: 
Dulc. Thuj. Zinc. 

2. Nape of the Neck. 
BEATING: Con. 
BLOTCHES: Hep. 
BOILS : Arn. Sil. 
BORING: Bar. 
BURNING: Arn. Bar. Calcarea. 

Carbo veget. Ignatia. Mercur. Ph. 

ac. 
COLDNESS, feeling of: Sulph. 
CONTRACTION: Puis. 
CRACKING: Spong. 
CRAMP : Ant, crud. 
CRAMPY FEELING : Thuj. Sil. 
CRAMPY STIFFNESS : Zinc. 
CRAW T LING: Dulc. 
CUTTING: Dig. 
DRAWING: Alum. Ambra. Ant. 

crud. Asa feet. Bell. Camphor. 

Cann. Caps. Chin. Coloc. Con. Dig. 

Hyosc. Kali c. Lycop. Mere. Mosch. 

Nux vom. Ph. ac. Plumb. Pulsa- 
tilla. Rhodod. Rhus. Ruta. Sep. 

StajJh. Sulph. Thuj. Zinc. 
ERUPTION: Bar. Bellad. Bryon. 

Caust. Cham. Hep. Lycop. Sep. Sil. 

Staph. 
GLANDS: see Neck. 
GRASPING: Lye. 
HEAT : Ign. Lach. Phosph. 
HERPES: Hyosc. 
ITCHING: Carb. veg. Nitr. acid. 

Rhodod. Rhus. Sep. Sil. Staph. 
LAMING PAIN: Cina. Nux vom. 

Spig. Staph. Veratr. 
AS OF A LOAD : N. vom. Rhus. 
AS IF THE FLESH WERE 

LOOSE: Aco. 
NAPE OF NECK, stiff: Aeonit. Arg. 

Ars. Bar. Bell. Bry. Calc Camph. 

Canth. <'(ij>s. Carb. an. Cauut. 

Chin. Coloc. Dig. Dros. Dulc. 

Graph. Hell. Hyosc. Ign. Kali e. 

Lach. Lye Merc N. vom. Natr. 

mur. >'i<r. ae. Petr. Phos. Ph. ac 

Plal. Puis. Rhod, Rhus. Sec. com 



CHEST. 



61 



Sep. Sil. Spigel. Spong. Stann. 

Staph, feulph. Tkiij. Veratr. Zinc. 
PAIN, crampy : Arn. 
— rheumatic: Aeon. Asa f. Graphit. 

loci. Merc. Nux vom. Puis. Rhod. 

Rhus. Staph. Veratr. 
— simple: Aeon. Bry. Cann. Chin. 

Dulc. Graph. Hyosc. Ipec. Kali. 

Merc. Nux^vom. Natr. mur. Petros. 

Phosphor. Rhodocl. Sabad. Sep. 

Spigel. Stann. 
— as if tired : Rhus. 
— ulcerative : Puis. 
PRESSURE: Ambr. Asa f. Bar. 

Bell. Bry. Carb. veg. Coccul. 

Coloc. Dig. Euphorb. Graph. 

Laches. Lycop. Merc. Mosch. 

Natr. mur. Phosph. Ph. ac. Rheum. 

Rhus. Samb. Spong. Staph. Thuj. 
PULLING IN MUSCLES: Coloc. 
PUSTULES: Staph. 
RASH: Caust. 
SARCOMA : Bar. Calc. 
SENSITIVENESS: N. vom. 
AS IF GONE TO SLEEP : Rhus. 

Spig. 
SPOTS, yellow: Iod. 
— red : Carb. veg. Sep. Stann. 
STEATOMA : Bar. Puis. 



STITCHES : Aeon. Alum. Arn. Bar. 

Bellad. Calc. Campli. Cann. Chin. 

Coccul. Graph. Ign. Merc. Phosph. 

ac. Puis. Rhus. Sepiae. Stann. 

Staphys. Sulph. 
AS IF STRAINED: Dulc. Nux 

vom. Puis. Zinc. 
SWEAT : Chin. N. vom. Sulph. 
AS IF SWOLLEN: Sep. 
TEARING: Asa f. Camph. Canth. 

Carb. veg. Graph. Ign. Kali c. 

Nux vom. Natr. Phosph. Plumb. 

Sil. Spig. Sulph. 
TENSION: Alumin. Arnic. Aur. 

Bar. Bryon. Calcar. Camph. Canth. 

Carb. an. Caust. Con. Dig. Euphorb. 

Graph. Hyosc. Iod. Ipec. Kali c. 

Mosch. Nitr. acid. Plat. Plumb. 

Pulsat. Rhus. Sep. Sil. Staph. 

Sulph. Thuj. Zinc. 
TETANUS: Op. 
TWITCHING: Asa f. Caps. Chest. 

Natur. mur. Ph. ac. Sulph. 
MUSCLES, twitching of: Arg. 
ULCERS: Sil. 
UNSTEADINESS: Aeon. 
WEIGHT : N. vom. Petr. Phos. 

Rhus. Sabin. Samb. 



XXII. CHEST. 



Sensations. 

1. Internal Chest. 

ANXIETY : Aeon. Arn. Asa f. Bry. 
Camph. Cann. Caps. Chin. Coccul. 
Ignat. Lach. Mosch. N. vom, Pul- 
sat. Rhus. Samb. Sec. c. Spig. 
Spong. Staph. Valer. Veratr. 

AS IF A BAND AROUND : Sabad. 
Sabin. 

BLOOD, of erethism: Alum. Carb. 
veg. N. vom. Plumb. Rhod. Sep. 
Spong. Thuj. 



AS IF THE BLOOD DID NOT 

CIRCULATE: Sabad. 
AS IF BOUNDING: Croc. 
BORING: Aconit. Alum. Asa f. 

Cina. Kalic. Mur. ac. Ph. ac. Rhus. 

Spig. Staph. Thuj. 

BURNING: Aeon. Alum. Ambr. 
Ant. crud. Arg. Arn. Ars. Asa f. 
Bar. Bell. Bry. Calc. Canth. Carbo 
veget. Caust. Chamom. Chin. Cic. 
Cina. Coccul. Coff. Con. Dros. 
Ferr. Graph. Hyosc. Ign. Iod. Lach, 



m 



f'HKST, 



Lye. Mere. Mosch. Mur. acid Nux 

yodi. Phosph. Ph. ac. Plat. Euta. 

Sabad. JSabin. Sec. corn. Sep. 

Spong. Stami. Sulph. Zinc. 
CATABBH: Arn. Cann. Ign. Nux 

vom. 
CHILLINESS: Bry. Natr. 
AS IF CONCUSSED : Rhus. 
COOLING, pleasant: Bute. 
CONSTEICTION: Aconit. Alumi- 
na. Arn. Ars. Asa f. Bell. Cann. 

Cap*. Carb. an. Cham. Coecul. 

Coloc. Cupr. Digit. Droser. Ferr. 

Hell. Ignat. Mosch. Nux vom. Natr. 

mur. Op. Phosph. Ph. ac. Puis. 

Plat. Rhodod. Rhus. Euta. Spig. 

Stanu. Stram. Sulph. Yeratr. 
CBAMPY PAIN : Puis. Yeratr. 
CBAMPY FEELING: Aco. Bell. 

Bry. Canth. Carbo. an. Cham. 

Cilia. Dole. Hyosc. Kali c. Mur. 

a-. Nux vom. Plat. Ehod. Stann. 

Thuj. Yeratr. 
CUTTING: Alum. Arg. Arn. Aur. 

Bell. Calc. Canst. Chin. Con. Dig. 

Dulc. Kali c. Lye. Merc. Mur. ac. 

Ph. ac. Plat. Pulsat. Euta. Sabin. 

Samb. Spigelia. Spong. Stann. 

Sulph. Yeratr. Zinc. 
DIGGING: Arnica. Cann. Cina. 

Dulc. Ferr. Petr. Stann. 
AS IF DILATED : Bry. Stann. 
DRAWING INWARD: Cham. 
DEOPSY: Aeon. Ambra. Arn. Ars. 

Bry. Caps. Chin. Ferr. Hell. Ipee. 

Kali carb. Op. Elms. Sabad. Spiff. 

Yeratr. 
— of chest: Ars. Carbo veg:. Coloc 

Con. Dig-. Dulc. Kali c. Lye. Mur. 

ac. Stann. 

DRYNESS, feeling of: Alumina. 

Canth. Ferr. Phosph. Strum. 
AS IF EMPTY: Coccu! Stann. 
AS IF FALLING: N. vein. 
FERMENTING : Phosph. 
FULLNESS: Aeon. Antim. crud. 

Arn. Bar. Canth. Caps. Con. Ferr. 



Ign. Lye. Mosch. Nitr. ac. Phosph. 

Puis. Ehus. Euta. Sabad. Sabina. 

Sepias. Sulph. Yeratr. 
GNAWING : Arg. Ruta. 
GRIPING : Yeratr. 
GUEGLING: Cina. Kali c. Natr. 

mur. Euta. 
HAMMEEING: Phosph. 
HEAT : Arn. Ars. Aur. Bellad. Bry. 

Calc. Caust. Chin. Cic. N. vom. 

Nitric ac. Opium. Puis. Ehus. 

Ruta. Spong la. Stann. Sulph. 
HEAVINESS: Aeon. Alum. Bar. 

Bry. Calc. Iod. Phosph. Plat. 

Ehod. Sabad. Samb. Sep ice. Staph. 

Sulph. Zinc. 
INFLAMMATION : Aeonit. Arn. 

Bry. Cann. Hyosc N. vom. Puis. 

Rhus. Euta. Sec. corn. Spong. 
ITCHING: Carbo veg. Kali carb. 

Phosph. Ph. ac. 
JEEKS : Cann. Croc. Con. Lye. Ya- 

ler. 
— as if living : Croc. 

as if loose : Bry. 

as if the lungs adhered: Euph. 

Thuj. 
LUNGS as if less dilatable: Asa f. 

Bry. Ciiiu. 
— suppurating: Plumb. Puis. 
— inflammation of: Aco. Bell. Bry. 

Lye. Phosph. Puis. Rhus. Sepise. 

Sulphur. Tart. emet. 
— phthisis of: Bry on. Calcar. Carbo 

veg-. China. Con. Dulc. Ferr. Graph. 

Iod. Kali c. Lye. Natrum mur. 

Phosph. Pulsat. Ruta. Samb. Sep. 

Spig. Stann. 
NAUSEA: Aeon. Arg. Asa feet. Bry. 

Croc. Nux vom. Rhus. Staj3h. 
PAIN, as if excoriated: Alum. Ars. 

Bar. Bry. Calc. Carl), veg". Caust. 

Cic Cina. Graph. Ipec. Kali c. 

Lye. Merc. Mur. a<: Natrum mur. 

Nitric acid. Phosph. Phosph. ac. 

Ehus. Sabina. Sep. Sil. Spongia. 

Stann. Staph. Sulph. Valer. Ziuc. 



CHF.ST. 



63 



—as if bruised: Aco. Alum. Ambr. j 
Arm Bar. Caruph. Caust. Cliamom. j 
Chin. Con. Ferr. Kali c. Mere. ! 
Phosph. Ehod. Spig. Spong. Stan- J 
num. Thuj. Zinc. 

— as if flying to pieces: Bry. Cina. 

—drawing: Asa f. Cann. Capsic. Car- 
bo veg. Chain. Chin. Coccul. Con. 
Digit. Dulc. 'Kali c. Nux vom. Ni- 
tric ac. Op. Plat, Puis. Euta. Sep. 
Sil. Spig. Spong. Stann. 

— simple: Alum. Am. Ars. Bar. Gale. 
Caps. Carbo anlm. Carbo veg. 
Caustic. Cham. Chin. Cina. Coloc. 
Conium. Croc. Dulc. Ferr. Graph- 
ites, lod. Lye. Mosch. Mur. acl= : . 
Nitric ac Phosph. Pulsat. Ehod. 
Euta. Selen. Sep. Sil. Spig. Spong. 
St cum. Sulphur. Yeratr. Zinc. 

PINCHING: Alum. Bellad. Carbo 
veg. Cina. Dulc. Ign. Kali c. Phos. 
ac. Samb. Spig. Spong. Thuj. 

PEESSING: Alum. Ambra. Brg. 
Graph. Ign. Nitr. ac, Phosph 
Sulph. Yeratr. 

— asunder : Euphorb. 

PBESSTJBE FBOM WITHOUT: 
Cann.C7im. CoccwZ.Ign.N. vom 

— — within : Arg. Asa f. Bell. Bryon. 
Cina. Dulc. Yaler. Zinc. 

—as from a load: Arg. N. vom. 
Eheum. Sabad. bamb. Spig. 

AS IN THE LOWEE PAET 07 
THE CHEST: Alum. Am. Asa 
feet, Chin. Cic. Croc. Hyosc. Plum- 
bum. Euta. Sabad. Zinc. 

PULSATING: Alum. Bryon. Dig. 
Dulc. 

AS IF RAW: Ambr. Arm Arsen. 
Bryon. Chin. Coccul. Dig. Hell. N. 
vom. Natr. mur. Rhus. Zinc. 

EESTLESSNESS : Bell. Chin. 
Staph. Thuj. 

EUSH OF BLOOD: Aeon. Am. 
Bry. Carbo veget. Coccul, Cupr. 
Ferr. Hyosc Nux vom. Natrum 
mur. Puis, Ehod. Sep. Spong". Thuj. 



SHOCKS : Aconit. Cede. Cann. Croc. 

Dulc. Mur. acid. Plat. Euta. 
SHUDDERING: Aeon. 
SPASM: Aconit. Arg. Asa feet. Bry. 

Calc. Cham. Cina. Coccul. Coff. 

Cupr. Dig. Ferr. Ipec. Kali c. Lye, 

Mosch. Nitr. ac. Petr. Phos. Puis. 

Sec. corn. Sep. Sulph. Thuj. Zinc, 
STITCHES, in left side: Aconit. 

Alum. Ant. crud. Arg. Am. Asaf. 

Bell. Bry, Gale. Camphor. Cann. 

Canth. Caps. Carb. veg. Caust. 

Chin. Cic. Cina. Coccul. Con. Croc. 

Dig. Dulc. Euphori'.ifrTfLvh. Hell. 

Ign. Ipec. Kali c. Lye. Merc. 

Mosch. Mur. ac. Natr. mur. Phosph. 

Ph. ac. Plat. Plumb. Puis. Rhus. 

Ruta. Sabad. Sabim Samb. Sep. 

Spigel. Spong". Stann. Staphys. 

Sulph. Thuj. Yaler. Yeratr. Zine. 
-in right side: Aeon. Alum. Ambr. 

Ant. crud. Arg. Am. Asa f. Bell. 

Bry. Canth. Carb. an. Carb. veg. 

Caustic. China. Cina. Coccul. Co- 

loc. Con. Croc. Dig. Dulc. Graph. 

Hyosc. Ign. Iod. Kali carb. Mere. 

Natr. mur. Nitr. ac. Op. Phosph. 

Ph. ac. Plumb. Rhus. Euta. Sabad. 

Sep. Sil. Spig". Spong. Stann. Staph. 

Sulph. Thuj. Yeratr. Zine. 
— in middle of chest: Aco. Alum. 

Ant. crud. Bry. Cham. Chin. Iod. 

Phosph. Plumb. 
— in diaphragm : Spig.' 
—in sternum : Aeon. Arg. Am. Aur. 

Bell. Bnj. Calc. Canth. Capsic. 

Caustic. China. Con. Dulc. Fen*. 

Graph. Hep. Lye. Natr. mur. Nitr. 

ac. Phosph. Ph. ac. Plumb. Sabin. 

SiDig. Sulph. 
— from the chest through the back : 

Aeon. Ambr. Bryon. Canth. Carb. 

Carb. veg. Chin. Coccul. Ferr. Ly- 

cop. Plumb. Sabin. Sil. Spig. 

Sulph. 
— from within: Argent. Asa f. Bry. 

Canth. Carb. veg. Chin. Muriat. ac. 



64 



CHEST. 



Nitric ac. Sabad. Spig". Spong. 

Valer. 
AS IF STOPPED UP: Bry. 
TEARING: Arg. Canthar. Carlo 

veg. Canst. Con. Dulc. Graph. 

Kali c. Merc. Natr. mnr. Op. Petr. 

Phosph. Puis. Rhus. Spig. Strain. 

Zinc. 
TENSION: Arg. Ars. Bell. Bry. 

Cann. Caustic. Cham. Cic. CoccuJ. 

Con. Dig. Dulc. Euphorb. Graph. 

Ign. Lyc. Mur. acid. N. yom. Natr. 

mnr. Phosphor. Pulsat. Rheum. 

Rhod. Rhus. Ruta. Sab in. Sep. 

Spig:. Stann. Staph. Sulph. Zinc. 
THROBBING: Aeon. Asa f. Bar. 

Bell. Bry. Cann. Caps. Chamom. 

Coif. Digit. Graph. Ign. N. vom. 

Phosph. Sil. Sulph. Thuj. Vera.tr. 

Zinc. 
TICKLING: Bar. Cham. Chin. KaH 

carb. Phosph. Stann. Yeratr. 
AS IP TOO TIGHT: Hell. Pulsat. 

Spig. 
TIGHTNESS, feeling of: Puis. 
TINGLING: Aeon. Arsen. Coloe.- 

Phosph. ac. Sep. Spig. Spong. 

Stann. Thuj. 
TREMBLING: KaH carb. Phosph. 

Ruta. Sab hi. 
TWITCHING: Cina. Coloc. Croc. 

Dulc. Kali c. Lyc. Natr. mur. Sep. 

Spig. Valer. 
ULCERATIVE PAIN: Bry. Puis. 

Staph. 
WARMTH: Bry. Coff. HeU. Nux 

vom. Veratr. 
— unpleasant : Alum. Euphorb. Natr. 

mur. 
— feeling of : Merc. 
WEAKNESS: Iod. Kali c. Plat. 

Rhus. Stann. Sulph. 
— feeling of: Carboveg. Chin. Plat. 

Stann. Staph. 
AS IF WEARY: Am. Carb. veg. 

Spong. 
WRENCHING: Samb. 



2. External Chest. 

BLUE SKIN NEAR CLAVICLE-. 

Thuj. 
BOILS : Am. Chin. 
BURNING : Ambr. Arsen. Asa f. Bar. 

Bell. Canth. Caps. Croc. Digit. 

Droser. Euphorb. Ferr. Mur. ac. 

N. vom. Phosph. Ph. ac. Plat. 

Rheum. Rhus. Selen. Sulph. Zinc. 
BONE-PAIN: Chin. 
CHILLINESS: Spig. 
CONTRACTION: Arm Daph. Bry. 

Dig. N. vom. Op. Plat. Rhod. Rhus. 

Spig. 
CONTUSIVEPAIN: Ant, cr. Am. 
CRACKLING: Rheum. 
CRAMPY FEELING: Aeon. Arg. 

Calc. Cham. Cina. Dig. Dulc. Nitr. 

ac. Plat. Sep. Veratr. 
CREEPING: Am. Dros. 
CREEPING CHILL : N. vom. 
DRAWING : Aeon. Asa f. Carb. veg. 

Cupr. Dig. Dulc. Lycop. Mur. ac. 

X. vom. Puis. Rhus. Spig. Stann. 

Zinc. 
GNAWING: Arg. Calcar. Ruta. 

Spong. 
HEAT: Cham. Cic. Dig. Puis. 
HERPES: Ars. Lyc. Petrol. Staph. 
INSENSIBILITY: Rhus. 
ITCHING: Alum. Ant. mid. Bar. 

Calcar. Canth. Capsic. Carb. v. 

Canst. Chin. Coccul. Con. Kali c. 

Lyc. Natr. mur. Op. Phosph. Puis. 

Sep. Spong. Staph. Yeratr. 
— of the sides of chest : Alum. Arn. 

Canth. Cic. Nitr. acid. Spong. 
JERKING: China. Platin. Pulsat. 

Stann. Strain. 
LAMING PAIN: N. vom. 
PAIN, as if contused: Con. Dulc. 

Merc. Mur. ac. Natr. mur. 
— as if sprained-: Am. Coccul. 
— as if sore: Bar. Bryon. Sep. Staph. 

Yeratr. 
— as if bruised: Arn. Chin. Ign. 

Merc. N. vom. Natr. mur. Nitr. ac. 



CHEST. 



.65 



Phosph. Ph. ac. Rheum. Spig. 

Staph. Sulph. 
— simple: Ant. cr. Bry. Cann. Cap- 
sic. Chin. Cupr. Dnlc. Natr. mur. 

Phosph. Ph. acid. Puis. Rhodod. 

Rhus. Sabin. Sep. Silic. Staphys. 

Sulph. Veratr. 
PECKING: Ruta. 
PIMPLES: Ant. crud. Aur. Bell. 

Bry. Canth. Coccul. Con. Hep. Ph. 

ac. Plumb. Rhus. Staph. 
PINCHING: Nux vom. Phosphor. 

Rhod. Samb. 
PRESSURE: Alum. Ambra. Arg. 

Arn. Asa f. Aur. Bry. Camph. 

Canthar. Chin. Cina. Coccul. Cupr. 

Dulc. Dros. Hyosc. N. vom. Plumb. 

Rheum. Buta. Sabin. Spig. Stann. 

Staphys. Sulphur. Valer. Veratr. 

Zinc. 
— from without: Rhus. 
PRICKLING: Plat. 
PULLING: Phosph. 
RASH: Ant. crud. Staph. Valer. 

Veratr. 
REDNESS : Aur. Bell. 
RHEUMATIC PAIN: Ambr. Bry. 

Spig. 
RIBS RAISED: Spig-. 
SENSITIVENESS: Cann. Canthar. 

N. vom. Sulph. 
SHUDDERING: Chin. Cina. Nux 

vom. Plat. Ruta. Spig. Staph. 
AS IF TOO SHORT: N. vom. 
GONE TO SLEEP : Merc 
SPASMS : Cic, Puis. Strain. Veratr. 
SPOTS, brown : . Carbo veg. 
— yellow: Ars. Phosph. 
— red : Bell. Carbo veg. Coccul. Lye. 

Sabad. 
STITCHES: Arn. Asa feet. Aur. 

Bell. Bry. Calc. Camph. Cann. 

Canth. Caust. Chin. Coccul. Con. 

Croc. Dros. Dulcam. Euphorb. 

Hep. Mur. ac. Nux vom. Nitr. ac. 

Phosph. Ph. ac. Plumb. Puis. 



Rheum. Rhus. Ruta. Sabad. Sabin. 

Sil. Spig. Sporig. Stann. Staph. 

Sulph. Teuc. Veratr. Zinc. 
SWEAT : Arg. Arn. Bell. Calc. Canth. 

Chin. Coccul. Euphr. Hep. Ipec. 

Lye. Merc. Phos. Ph. ac. I lumb. 

Rhus. Sabad. Sec. corn. Selen. Sep. 
SWELLING: Bryon. Calc. Can. 

Dulc. Iod. Rhus. Sep. Sil. Sulph. 
TEARING: Ambr. Bry. Camph. 

Dulc. Iod. Kali c. Lye. Merc. N. 

vom. Rhod. Sabin. Spig. 
— near the clavicle : Lye. Stann. 
TENSION : Asa f. Cham. China. Dig. 

Dros. Dulcan. Euphorb. Ferr. Iod. 

Merc. Mur. ac. N. vom. Natrum 

mur. Phosph. Puis. Rhodod. Rhus. 

Sablna. Spig. Stann. Thuj. 
TUBERCLES : Cann. Caust. 
TWITCHING: Merc. Spig. 
ULCERS : Ars. Hep. Sulph. 
ULCERATIVE PAIN : Bry. Puis. 
WARMTH : N. vom. Rhus. 
WRENCHING: Puis. 

3. Axillce. (Arm pit.) 

BURNING: Carbo veg. 

CRAWLING: Con. Mezer. 

DAMPNESS: Carbo an. Sulph. 

DRAWING: Bell. Sil. 

AS IF EXCORIATED : Con. 

INDURATION: Iod. 

INFLAMMATION : Nitric ac. Petr. 
Phosph. Sulph. 

ITCHING: Carbo an. Carbo veg. 
Caust. Con. Dig. Kali. Phos. Sep. 

PAIN GENERALLY : Bellad. Car- 
bo veg. Con. Nitric ac. Sil. 

SENSITIVENESS : Nitr. ac. 

STITCHES: Am. Con. Sulph. 

SUPPURATION : Calc. Coloc. Hep. 
Petr. Sil. Sulph. 

SWEAT: Dulc. Kali. Natr. mur. 
Phosph. Rhod. Sep. Sulph. 

SWELLING: Bellad. Calc. Phosph. 
Iod. Hep. Lye. Natrum mur. Ni- 
tric ac. Petr. Phosph. Sep. Sulph. 



66 



CHEST. 



Breasts. 

4. Mammary glands. 
BLOTCHES : Bell. Calc. Carb. Carbo 

an. Chamom. Con. Dulc. Graph. 

Lye. Phos. Ruta. Sil. Sulpli. 
CANCER : Arnica. Ars. Calcar. Car- 
bo an. Carbo veg. Caust. Kali. 

Lye. Nitric ac. Phospli. Rhus. Sep. 

Sil. Sulph. 
CONTUSION: Am. 
CEAWLING: Con. 
DRAWING: Cham. 
ERYSIPELAS: Aco. Bell. Bry. 

Phosph. Sil. 
AS IF EXCORIATED : Con. 
HARDNESS : Ambr. Bryonia. Cham. 

Con. Phosphor. Plumb. Sil. Sulph. 
HEAT: Bell. Bry. Caiin. 
INDURATION, see Tubercles. 
INFLAMMATION: Aconit. Arn, 

Bry. Carbo veget. Cham. Con. 

Phosph. Pulsat. Sil: Sulph. 
ITCHING: Caust, Con. Kali. N. 

vom. Plumb. Rhus. 
MILK, bitter and yellow : Rheum. 
— blueish: Lack. 
—too fat: Puis, 
-setting in: Puis. 
— fever: Aeon. Arn. Bryo. Cham. Coff. 

Ign. N. vom. Op. Puis. Rhus. 
— excessive flow of : Aeonit. Chin. 
— vanishing of: Agn. Bry on. Calc. 

Cham. Puis. Rhus. Sec. corn. Zinc. 
— increase of: Bryon. N. vom. Puis. 
—stoppage of : Bell, 
—flow of: Bell. Calc. Puis. 
PAIN, simple 1 ,: Cann. Chamom. Coloc. 

Con. Mercur. Silic. Veratr. 
PRESSURE: Bell. Ph. ac. Pulsat, 

Sabin. 
SHUDDERING : Coccul. N. vom. 
TOO SMALL: Cham. 
STITCHES: Aim... Bar. Bellad.Con. 

Nnxvom. Natr. inur. Plumb. Sep. 

Veratr. Zin<-. 
SWELLING : Bell. Bry. Cham. Con. 



Dulc. Merc. Phosph. Plumb. Puis. 

Ruta. Sabina. Sil. Sulph. 
TEARING : Bar. Cham. 
TENSION: Puis. 
ULCERS: Hep. Merc. Phos. Sil. 

Sulph. 
ULCERATIVE PAIN : Merc. 
WITHERING: Chamom. Con. Iod. 

5. Nipples. 
BURNING: Cic. Graph. Sulph. 
CREEPING: Sabin. 
DISCHARGE OF BLOOD AND 

HUMOR: Lye. Plumb. 
HARDNESS: Merc. 
INDURATION : Bry. 
INFLAMMATION: Aco. Bryon. 

Cham. Phosph. Puis. Sil. Sulph. 
ITCHING: Con. Pulsatilla. Rhus. 

Sabad. 
PAIN, simple: Graphit. Nux vom. 

Rheum. Sulpli. 
RHAGADES: Arn. Graphit. Sulph. 
SENSITIVENESS: N. vom. 
SHOCKS: Bry. 
SORENESS: Am. Calc. carbon. 

Cham. Graph. Lye. Puis, Sulph. 
SORE PAIN: Calc. Zinc. 
STITCHES : Camph. Cann. Coccul. 

Ign. Lye. Mur. ac. Rheum. Sabin. 

Sulph. 
SWELLING: Merc. 
ULCERATION: Cham. 
6. Heart and region of the heart. 
ANXIETY : Aeon. Alum. Ambr. Ars. 

Aur. Calc. Cann. Canth. Chamom. 

Cina. Coccul. Croc. Cupr. Ferr. 

Graph. Hell Lye. N. vom. Nitric 

ae. Op. Phosph. Plum bum. Pulsat. 

Rhus. See. corn. Sep. Sil. Strain. 

Sulph. Veratr. 
BEATS OF THE HEART, inter- 
mittent: Bry. Chin. Digital. Kali. 

Natr. mur. Sulph. 
—slow. Arn. 

quick : Arn. Asa f. Sabin. 
— unequal : Asa i'. Sabin. 
—imperceptible; Rhus. Verat. 



CHEST. 



67 



— stronger: Ars. Aur. Calcar. Chin. 
Dig. Dulcara. Hyose. Pkoaph. Sa- 

bina. Spigel. Veratr. 
— full: Aeon. 

BURNING: Carb. veg. Op. Puis. 
CONTUSIVEPAIN: Natr.Jmur. 
CRAWLING: Canth. 
DRAWING: Canth. 
EXCITEMENT, vascular: Carbo 

veg. Nux vom. Sulph. 
HEART, trembling of: Aur. Bell. 

Calc. Camph. Cina. Rhus. Sep. 

Splg. 
— throbbing in the region of the : 

Ars. Bar. Calc. Hell. Lycop. Phos- 
phor. Sep. Sil. Sulphur. Zinc. 
HUMMING: Spig. 
INFLAMMATION: Aeon. Arsen. 

Bry. Cann. Coccul. Splg. Puis. 

Rheum. 
JERKING: Am, N. vom. Plumb. 
OPPRESSION: Bell. Cham. Nux 

vom. Spig. 
PALPITATION, generally: Aeon. 

Alum. Amb. Am. Ars. Aur. Bar. 

Bell. Bry on. Calcar. Camph. 

Cann. Canth. Carbo an. Carbo 

veg. Caust. Cham. China. Coccul. 

Coloc. Con. Croc. Cupr. Dig. Graph. 

Hell. Ig'ii. lod. Ipec. Kali. Lye. 

Mere. Mur. ac. Natrum umr. Nitric 

ac. Nux vom. Petr. Phosph, Phos. 

acid. Plumb. Puis. Rhus. Sabad. 

Sablri. Secale corn. Sep. Sil. Spig'. 

Spong. Staph. Sulph. Thuj. Valer. 

Veratr. Zinc. 
— with anguish: Aeon. Alum. Ars. 

Aur. Calc. Cann. Caust. Cham. 

Chin. Coccul. Coloc. Dig. Graph. 

Kali. Lye. Mosch. Natr. mur. Nux 

vom. Phosphor. Plat. Plumb. Puis. 

Sec. corn. Sep. Sil. Sulphur. Spi- 
gel. Thuj. Veratr. 
— without anxiety : Carbo anim. Ipec. 

Sulph. Thuj. 7Ano, 
— perceptible : Plumbum. Rhus. Sa- 

bin. Veratr. 



— audible : Camph. Dig. Spig. 

— spasmodic : Sec. corn. 

— visible: Con.Dulc. Graphites. Iod. 

Rhus. Secale corn. Spig. Sulph. 

Thuj. 
PAIN, simple: Cann. Cantharis. 

Cham. Puis. Ruta. Thuj. 
PRESSURE: Aco. Arn. Ars. Asa f. 

Bell. Cann. Canth. CI tarn. Con. 

Graph. Kali. Lye. Natr. mur. Nux 

vom. Pulsat. Rhus. Spig. 
QUALMISHNESS: Cham. N. vom. 
RUSH OF BLOOD: Aeon. Asa f. 

Carbo veg. Cham. Ferr. Lye. Nux 

vom. Nitric ac. Phosph. Puis. Sep. 

Sulph. 

STITCHES: Arn. Aur. Calcar. 

Canth. Capsic. Carbo veget. Caust. 

Cham. China. Croc. Ign. Mur. ac. 

Nux vom. Nitric ac. Petr. Plumb. 

Rhus. Sep. Spig. Sulph. Valer. 

Zinc. 
TEARING: Canth. Lye. 
WARMTH: Cann. Veratr. 
— feeling of : Rhod. 
WEAK FEELING : Rhus. 
WEIGHT: Croc. Puis. 

According to Situation 
and Circumstances. 
1. Aggravated. 
IN THE OPEN AIR: Ambr. Bryon. 
Caust. China. Coccul. Coilea. Con. 
Euphorb. Graph. Ignat. Lye. Merc. 
Natr. mur. Nux vom. Rhus. Sabad. 
Sep. Spig. Stann. Staph. 
WHEN ASCENDING : BeU. Graph. 
N. vom. Sep. Thuj. Zinc. 

the stairs : N. vom. Rhus. Ruta. 

Spong. Staph. 
WHEN BREATHING: Aeon. Ant. 
crud. Arg. Arn. Ars. Asa f. Aur. 
Bryo. Calc. Caim. Caps. Cnamom. 
China. Cina. Coccul. Dulc. Dros. 
Graphit. Hep. Hyosc. Lycop. Mer- 
cur. Natr. mur. Nitr. ac. Puis. Sep. 
Spig. Stann. 



68 



CHEST 



WHEN DRAWING A LONG 
■ BREATH: Calc. Merc. Natr. nmr. 
AFTER A COLD: Aeon. Bryon. 

Carbo veg:. Cham. N. voin. Rhus. 
IN THE COLD: Rhus. Sabad. 
IN COLD AIR: Aconit. Bryonia. 

Carbo veg. Coccul. Rhus. Sabad. 

Spong*. 
BY CONTACT: Aeon. Arg. Arn. 

Bar. Bry. Calc. Canth. Caps. Carbo 

veg. Cham. Chin. Coccul. Cupr. 

Dros. Dulc. Graph. Merc. Nux 

vom. Phosph. Ph. ac. Plumb. 

Rhod. Rhus. Ruta. Sabin. Spig. 

Staph. Sulphur. Veratr. 
AFTER CONTUSIONS : Arn. Puis. 

Rhus. Ruta. 
WHEN COUGHING: Aco. Alum. 

Ambr. Ant. cruel. Arn. Ars. Bar. 

Bryon. Calc. Cannab. Caps. Carbo 

veg el. Caustic. Cham. Chin. Cina. 

Coff. Con. Dig. Bros. Ferr. Iod. 

Kali. Lye. Merc. Mur. ac. Natr. mur. 

Nitric ac. N.vom. Phosph. Phosph. 

ac. Puis. Rhus. Ruta. Sabad. Sa- 

bina. Sep. Sil. Spigel. Spongia. 

Stann. Staph. Veratr. 
AFTER COUGHING: Cina. Ferr. 
IN DAMP WEATHER: Carb. veg- 
etal*. 
DURING DIGESTION: Lye. 
WHEN DRINKING: Chin. 
AFTER DRINKING: Arn. China. 

Coccul. Con. Cupr. Nux vom. 

Veratr. 
BY DRINKING COLD : Thuj. 
AFTER DRINKING BEER: Sep. 

wine : Ant. crud. Nux vom. 

WHEN EATING: Arnic. China. 

Coccul. Ign. Phosph. 
AFTER EATING: Aconit. Ambr:.. 

Ant. find. Am. Asa f. Bry. Canth. 

Caps. Carbo an. Caust. Chamom; 

Chin. Coccul. Con. Ferr. Hyosc. 

Ign. Lye. Merc. Nux vom. Phos. 

Puis. Rhus. Ruta. Sep. 77mj. Valer. 

Veratr. Zinc. 



BY EATING WARM FOOD: Eu- 

phorbium. 
BY GETTING WARM IN BED: 

Chamom. Puis. Rhus. 
BY EMOTIONS: Phosph. 
BY BODILY EXERTIONS : N. 

vom. Rhus. Spong. 
AFTER EXPECTORATING : Zinc. 
WHEN FALLING ASLEEP: Sul. 
BEFORE THE FEVER: Chin. 
DURING THE FEYER : Aeon. 

Bryon. Chin. Ipec. 
— the chill: Bnj. Ipec. N. vom. Puis. 

RIlus. 
— the heat : Aeon. Caps. China. Ipec. 

Nux vom. Puis. 
AFTER A FRIGHT: Aeon. Cha- 
mom. Ign. Op. 
BETWEEN THE INSPIRATION: 

Ign. Merc. Spig. 
WHEN LIFTING: Bar. Kali. Lye. 
AFTER LYING DOWN : Hell. Ig- 

nat. Nux vom. Puis. Rhus. Sabad. 

Stram. 
WHEN LYING DOWN: Ant. crud. 

Asa f. Calc. Canth. Carbo veg. 

Cham. Ferr. Natr. mur. Nitr. ac. 

Puis. Rhus. Selen. Sulph. 
BY MENTAL LABOR: Ign. N. 

vom. Sep. 
BEFORE THE MENSES: Cupr. 

Puis. Spong. 
DURING THE MENSES : Bell. 

Caustic. Cham. Graph. Phosphor. 

Puis. 
DURING MOTION: Aeon. Alum. 

Arg. Am. Bell. Bry. Calc. Camph. 

Cann. Capsic. Carbo veg. Chain. 

Chin. Coccul. Con. Dig. Euphorb. 

Ferr. Graphit. Hep. Ign. Iod. Lye. 

Mercur. Natrum mur. Nitric ac. 

Niixvom. Op. Phosph. Ph. ac. Puis. 

Rhodod. Ruta. Sabina. Samb. Sep. 

Spigel. Spongia. Stann. Staph. 

Sulph. Veratr. Zinc. 
WHEN MOVING THE ARMS : 

Dig. Plumb. Puis. 



CHEST. 



m 



BY MUSIC : Nux vom. Staph. 

DURING NOSE BLEED: Carbo 
veg. 

WITH NAUSEA : Bell. 

BY PRESSING ON THE ABDO- 
MEN: Asaf. 

BY EXTEBNALPKESSURE: An- 

tim. crud. Bry. Chin. Gina. N. 

vom. Buta. Spongia. Staphys. Va- 
ler. 

WHEN RAISING ONE'S-SELF: 

Aco. Arg. Bry. Caun. Cic. Dig. 

Ign. Stann. Staph. 
WHEN RISING FROM BED: Ant. 

crud. Plat. Stann. Staph. 

from a seat : Sil. 

AFTER RISING: Nux vom. Puis. 

Rhus. Spig. 
WHEN READING: Chin. 

loud : Coccul. 

DURING REST: Arg. Am. Bell. 

Caps. Cham. Chin. Ferr. Natr. 

mur. Phos. ac. Puis. Rhus. Ruta. 

Samb. Stann. 
IN THE ROOM: Bry. Croc. Puis. 

Rhodod. Spig. 
BY RUNNING: Bry. Gina. Nux 

vom. Sil. 
BY SINGING: Stann. 
WHEN SITTING: Arg. Ars. Asa 

foet. Bell. Calc. Caps. Carbo anim. 

Garb. veg. Chin. Cina. Coloc. Dros. 

Dulc. Euphorb. Ferr. Merc. Mur. 

ac. Phos. Puis. Rhus. Buta. Sab ad. 

Silic. Spigel. Spong. Stann. Staph. 

Sulph. Thuj. Yaler. 

crooked : Argent. China. Rhod. 

Rhus. Spig. Spong. 

erect : Aeon. Natr. mur. 

AFTER SLEEPING : Aconit. Ambr. 

Bryon. Calcar. Chin. Coccul. 

Euphr. Ignat. Nux vom. Op. Rheum. 

Sabad. 
BY SMOKING: Cic. Ign. Spong. 

Staph. 
WHEN SNEEZING: Aeon. Bryon. 

Cina. Merc. Sil. 



WHEN STANDING : Carb. an. Con. 

Euphorb. Natr. mur. Stann. Sulph. 

Zinc. 
BY MAKING A WRONG STEP: 

Bry. Puis. Spig. 
BY STIMULANTS: Stann. 
BEFORE STOOL: Spig. 
DURING STOOL: Spig. 
AFTER STOOL: Sil. 
WHEN STOPPING THE 

BREATH: Dros. Merc. Spig. 
WHEN EXPIRING AIR: Ambr. 

Ant. cr. Arg. Ars. Aur. Bry. Carb. 

veg. Cham. Chin. Cic. Cina. Ign. 

Iod. Mur. ac. Phosph. ac. Buta. 

Sabad. Sep. Spigel. Stann. Staph. 

Zinc. 
WHEN INSPIRING AIR: Aco. 

Ars. Arn. Aur. Bar. Rry. Calc. 

Camph. Cann. Canth. Caps. Carb.v. 

Caust. Cham. Chin. Cic. Cina. Coc- 
cul. Coloc. Con. Dulc. Euphras. 

Hell. Hyosc. Iod. Kali. Lye. Merc. 

Mur. ac. Natr. mur. Nitr. ac. Op. 

Phos. Ph. ac. Plat. Plumb. Pulsat. 

Rhus. Buta. Sabad. Sabin. Sep. 

Sil. Spig-el. Spong'. Stann. Sulph. 

Yaler. Veratr. Zinc. 
WHEN DRAWING A LONG 

BREATH : Aeon. Arg. Arn. Bryon. 

Canth. Caps. Cina. Dros. Ign. Puis. 

Rhus. Sabin. Spig. 
WHEN STOOPING: Aeon. Alum. 

Arg. Arn. Asa f. Bry. Cann. Caps. 

Carb. veg. Chin. Coccul. Coloc. 

Dig. Dros. Hell. Ign. Merc. Nitr. 

ac. N. vom. Phos. Ph. ac. Puis. 

Rhodod. Rhus. Silic. Spigel. Spong. 

Stann. Staph. Valer. Zinc. 
WHEN STRAINING: Rhus. 
WHEN TALKING: Bry. Cann. 

Canth. Chin. Coccul. Ignat. Puis. 

Rhus. Stram. 
WHEN TALKING LOUD : Carb. v. 

Kali. Mur. acid. Natr. mur. Stann. 
BY TIGHT CLOTHES: N. vom. 

Spong. 



70 



BACK. 



BY TURNING TO THE RIGHT 

SIDE: Spig. 
WHEN TURNING IN BED : Aeon. 

(ami. Caps. Carb. veg. Nux vom. 

Stcqjh. 
BEFORE VOMITING: Cupr. 
WHEN WAKING: Ant. cr. Am. 

Dig. Euphr. Ign. Puis. Rhus. Sa- 

bad. 
WHEN WALKING: Aconit. Arn. 

Bryon. Camp U. Caps. Chin. Cic. 

Coccul. Ferr. Ign. Nux vom. Ruta. 

Spig eh Spong. Staph. Yaler. Ye- 

ratr. 
AFTER WALKING: Pulsat. Rhus. 

Valer. 
WHEN WALKING IN THE OPEN 

AIR: Bry. Chin. Coff. K. vom. 

Rhus. Spig. Spong. Staph. 
AFTER WALKING IN THE OPEN 

AIR : Ferr. N. vom. Rhus. Sabad. 
WHEN WALKING FAST: Chin. 

Spig. 
WHEN WRITING: Asa I Chin. 

Coccul. Yaler. 

2. Relieved 

IS THE OPEN AIR: Bry. Natr. 
mm'. Puis. 

BY WARM AIR: Carb. veg-. 

BY BENDING BACK : Aeon. Cann. 
N. vom. Puis. 

BY BREATHING: Asa f . Cina. 

BY EXPIRATIONS : Cina. Merc. 

BY INSPIRATIONS : Cina. Merc. 

BYDR A WING A LONG BREATH : 
Dig. Stann. 

DURING CONTACT: Mur. ac. 

AFTER DRINKING: Bry. Ferr. 

AFTER EATING: Bry. Rims. Sa- 
bad. 



AFTER ERUCTATIONS: Ambr. 

Canthar. Kali. N. vom. Petr. Sep. 

Zinc. 
AFTER EMISSION OF FLATU- 
LENCE : Spig. Strain. Yeratr. 
BY FRICTION: Calc. 
WHEN LYING DOWN : Alum. Bry. 
Canth. Iod. Nux vom. Sabad. 
Zinc. 

on one side : Alum. 

on the back : Arn. Bry, Ign. 

Puis. Sabad. 

on the painful side : Ambr. Arn. 

Bry. Cham. Ign. Nux vom. Puis. 

on the painless side : Ign. N. 

vom. 
BY MOTION : Arg. Arn. Cham. Cina. 

Bros. Euphorb. Mur. ac. Ph. ac. 

Plumb. Puis. Rhus. Sabad. Sep. 
BY PRESSURE EXTERNALLY: 

Asa f. Bry. Chin. Cina. Dros. Ign. 

Puis. Yeratr. 
DURING REST: Arn. Bry. Chin. 

N. vom. Sabin. Staph. 
BY RISING: Canth. Carb. anim. 

Dulc. N. vom. Puis. Rhus. 
IN THE ROOM: Bry. Cham. Nux 

vom. 
BY SITTING UP: Alum. Asa f. 

China. Dig. Puis. Spig. 
WHEN SITTING: Alum. Bry. Caps. 

N. vom. 
WHEN STANDING: Chin. Cicut. 

Ruta. 
BY STOOPING: Chin. Ign. Yaler. 
AFTER SWEAT: Canthar. Cham. 

N. vom. Puis. 
WHEN WALKING: Chin. Cicut. 

Dros. Ferr. Mosch. Plumb. Puis. 

RJius. Ruta. Staph. 



Sensations. 

1. Scapulce. (Shoulder Blade.) 
BOILS : Amiu. mur. Led. 



XXIII. BACK. 

BURNING: Aeon. Bar. Carb. veg. 
Ohel. Iod. Lye. Sep. Sil. Sulph. 
Yeratr. 



BACK. 



71 



CHILLINESS : Alum. Rhus. 
CONTRACTION : Chin. Lach. Lye. 

Rhus. Viol. trie. 
CRAMPY FEELING: Baryt. Bel- 
lad. Kali. Merc. Rhus. 
CRAWLING: Laur. 
CUTTING: Calcar. carbon. Rhus. 

Sulph. ac. 
DISLOCATION PAIN : Chin. 

Coloc. Mur. ac. Petr. Plumb. 

Rhocl. 
ERUPTION: Bell. Bryon. Canst. 

Lye. Merc. Phosph. Ph. acid. 

Squilla. 
GNAWING : Alum. Merc. Phos. ac. 
HEAT : Mur. ac. Puis. 
HEAVINESS: Menyanth. 
ITCHING: Amm. mur. Arn. Bell. 

Daph. Laur. Mercur. Oleand. Spig. 

Stront. 
PAIN, as if sore : Coloc. Plat. 

bruised: Anac. Bar. China. Hell. 

Kali. Merc. Natr. mur. N. vom. 
Sulph. Thuj. 
PRESSURE: Anac. Arn. Bellad. 

Bry. Calc. Caust. Chin. Laur. Mur. 

ac. Seneg. Sil. Sulphur. Stann. 

Zinc. 
RIGIDITY: Ang. Bellad, Caustic. 

Led. 
AS IE GONE TO SLEEP : Anac. 
STITCHES: Alumin. Amm. mur. 

Anac. Asa f. Aur. Bry. Bell. Bov. 

Camph. Cann. Canthar. Caps. 

Caust. Chin. Cina. Cocc. Colch. 

Dulc. Ferr. Hep. Kali. Lach. Laur. 

Mur. acid. Natr. Natr. mur. Nitr. 

Nitric ac. N. vom. Plumb. Puis. 

Ran. bulb. Sabad. Samb. Sassap. 

Sepiae. Spig. Spong. Stannum. 

Thuj. Zinc. 
TEARING AND DRAWING : 

Alum. Anac. Asa f. Aur. Calc. 

carb. Carbo veg. Caust. Chamom. 

Dulc. Lach. Lye. Mur. magn. Phos. 

Plumb. Rhod. Rhus. Sep. Stann. 
TENSION: Alum. Bar. Carbo an. 



Coloc. Colch. Kali. Kreosot. Natr. 

Rhus. Sep. Sil. Sulph. 
THROBBING: Baryt. Kali. Merc. 

PJtosph. 
TUBERCLES : Amm. mur. 
TINGLING: Anac. Dulc. Sabad. 

Sil 
TWITCHING: Calc. carb. Phosph. 

Rhus. Squilla. 

2. Back. 

AS IF ALIVE: Plumb. 
BORING : Aconit. Agar. Coccul. 

Spig. Thuj. 
BURNING: Aeon. Agar. Arnica. 

Ars. Bar. Carbo an. Carbo veg. 

Chel. Lye. Merc. Mur. ac. Nitric 

ac. Nux vom. Phosphor. Plat. Sep. 

Sil. Sulph. Veratr. 
CHILL: Bellad. Calc. carb. Dulc. 

Lach. Lye. Nux vom. Phosph. 

Rhus. Sep. Sil. Stann. Sulph, 
COLD FEELING: Carbo veget, 

Con. Mur. ac. 
CRAMPY FEELING: Carbo vege- 
tal). Euphr. Merc. Nitr. Puis. 
CRAW T LING: Aeon. Bell. Graphit. 

Laur. Natr. Sec corn. 
CURVATURE OF THE SPINE: 

Bell. Calc. carl). Lycop. Merc. Puis. 

Rhus. Sil. Staphys. Sulph. 
CUTTING: Calc. carb. Sep. Sil. 
DIGGING: Aeon. Sep. 
DISLOCATION-PAIN: Agar. Ar- 

nic. Calcar. Cocc. Mur. ac. Rhus. 

Sulph. 
ERUPTION: Bar. Bell. Calc. carb. 

Carbo veg. Caust. Cocc. Led. Merc. 

Natr. mur. Pulsat. Sel. Sep. Squil- 
la. Sulph. 
HEAT: Con. Merc. Natrum mur, 

Phosph. ac. Puis. Sulph. 
HEAVINESS: Ambra. Carbo veg. 

Phosph. Sep. Sulph. 
ITCHING: Alumina. Amm. mur. 

Baryt. Calc. carb. Causlicum. 

Daphne. Laur. Kali. Lycop. Merc. 



72 



BACK. 



Natr. Nitric etc. Phos. Sassap. Sil. 

Sulph. Thuj. 
JERKS : Calc. carb. Staph. 
LAMENESS: Agar. Cocc. Natr. 

mur. Phosph. 
MUSCLES, twitching of : Carbo 

veg. 
OPISTHOTONOS: Ang. BelLCtm- 

thar. Cham. Cicut. Ign. Nux vom. 

Op. Rhus. Stann. Stram. 
PAIN, sore: Kali. Plat. Staph. 
— as if bruised : Agar. Alumina. Amm. 

mur. Am. Ars. China. Dros. Lach. 

Merc. Natr. mur. N. vom. Ehus. 

Ruta. Stann. Strain. Veratr. 
— simple : Agar. Alum. Arsen. Asa f . 

Aur. Bov. Calc. carb. Cann. Carbo 

animalis. Hyosc. Kreos. Lye. Hex). 

Lach. Natr. mur. Nitric ac. N. vom. 

Op. Petr. Sep. Sil. Sulph. Veratr. 
PRESSURE: Aconit. Agar. Am. 

Bell. Calc. carb. Carbo veget. Caust. 

Cocc. Dulc. Graphit. Kali, Lijc. 

Mur. ac. Natrum mur. Nux vom. 

Pulsat. Rhus. Sep. Stannum. Staph. 

Veratr. Zinc. 
AS IF GONE TO SLEEP : Mer- 

cur. PltospJt. 
RIGIDITY: Ang. Petr. 
SHUDDERING : Aug. Bell. Canth. 

Chel. Cocc. Da ph. Colchic. Graph. 

Lach. Led. Natr. mur. Nux vom. 

Puis. Rhus. Sabad. Staph. Sulph. 

Thuj. 
SPASM: Agar. Bell. Iod. Lye. 
SPOTS : Sep. Carbo veg. 
STIFFNESS : Agar. Alum. Carb 

veg. Caust. Kali. Led. Nux vom. 

Petr. Pulsatilla. Sep. Sulph. 
STITCHES: Aeon. Ant. crud. Ar- 
gent. Am. Asa f. Brij. Calc. curl). 

Cann. Caps. Caust. Chin Colch. 

Con. Cycl. Dros. Did . Hep. Kali. 

Lachesis. Lyeop. Muriatic acid. 

Natr. Oleand. Platina. Plumb. 

Puis. Rhus. Rhod. Sabin. Sj>i'j. 

Sil. Stann. Thuj. Valer. Verb. 



SWEAT : Chin. Ipec. Lye. Nux vom. 

Phosph. Pulsat. Sepise. Stram. 

Sulph. 
SWELLING: Baryt. Bell. Puis. 

Staph. 
TEARING AND DRAWING : Aco- 
nit. Ars. Bell. Bry. Calc. carb. 

Canth. Caps. Carbo veg. Caustic. 

Cina. Cham. Cocc. Ferr. Hep. Kali. 

Lach. Led. Lye. Mang. Mez. Natr. 

Natr. mur. N. vom. Op. Phosph. 

Puis. Rhus. Sep. Sil. Stann. Stram. 

Sulph. 
TENSION: Amm. mur. Bell. Con. 

Hep. Mosch. Natr. Natrum mur. 

Sulph. Zinc. 
TETANUS: Ang. Cicut. Nux vom. 

Op. Petr. Plumb. 
THROBBING: Baryt. Lvc. Phos. 

Puis. 
TREMBLING: Coff. Merc. 
TUBERCLES : Ant. crud. Caust. 
WARMTH, feeling of: Carbo veg. 

Coff. Laur. 
WEAKNESS : Agar. Am. Carb. vet?. 

Lach. Lye. Nitric ac. N. vom. Pe- 
trol. Phos. Plat. Sulph. See. corn. 
3. Small of the back. 
BORING: Aeon. 
BURNING : Aeon. Mur. ac. Nux vom. 

Phosphor. Rhus. Sepiae. Thuj. 
CHILLINESS: Lach. Lycop. Puis. 

Sabin. 
COLDNESS : Carbo veg. Spong. 
— feeling of : Hell. 
CONTUSIVE PAIN : Am. Ruta. 
CRACKING: Sulph. Zinc. 
CRAWLING: Alum. Menyanthes. 

Sassap. 
CRAMPY FEELING : Bryon. Caust. 

Chin. Nux vom. 
CUTTING: Aur. Bellad. Canthar. 

Natr. Natr. mur. Puis. Zine. 
ERUPTION: Calc. carb. Natrum. 

Sep. Thuj. 
GNAWING: Amm. Canth. Phos. 

Sulph. 



STOOL AND ANUS. 



73 



GRIPING : Cham. Graph. Merc. 
ITCHING: Carboveget. Caust. Kali. 

Merc. Natr. mur. 
JERKS : Asar. Bry. Chin. Rhus. 
LAMENESS: Cocc. Dulc. Lach. 

Natr. mur. Nux vom. Selen. Sil. 
NUMB FEELING: Carbo veg. Plat. 

Spong. 
AS IF FLASHING THROUGH : 

Natr tun mur. 
PAIN, as if dislocated: Agaric. Arn. 

Rhus. Sulph. 
— — sore : Caust. Natr. Sulph. ac. 

bruised : Aco. Alum. Amm. mur. 

Arg. Arn. Aur. Br yon. Caust. 
Cham. Cina. Graph. Ign. Lach. 
Magn. mur. Nux mosch. Nux 
vom. Platina. Rhus. Ruta. Stront. 
Sulph. Thuj. Veratr. 
— simple : Aconit. Agar. Amm. mur. 

Arn. Baryt. Bov. Bry. Calc. carb. 

Carbo an., China. Kali. Ign. Ipec. 

Led. Lycop. N. vom. Puis. Petr. 

Rhod. Rhus. Ruta. Sabadilla. 

Sepise. Stront. Sulph. Zinc. 
PRESSURE: Aeon. Bryon. Carbo 

veg. Caust. Graph. Kali. Lach. 

Lye. Men. Mosch. Nitric acid. 

Puis. Rhus. Sep. Spong. Staphys. 

Sulph. Veratr. 
PULSATIONS: Canst. Natr. mur. 



SPASMODIC PAIN : Bellad. Cocc. 

Sil. Sulph. 
STIFFNESS: Aeon. Ambra.Amm. 

mur. Baryt. Bell. Bry. Carbo veget. 

Caustic. Kali. Lach. Lycop. Pulsat. 

Rhus. Sil Sulph. 
STITCHES: Aeon. Ambra. Anac. 

Arg. Arn. Bell. Bry. Canthar. Carbo 

veg. Carbo an. Caust. Chin. Cocc. 

Con. Graph. Ign. Iod. Lach. Lye. 

Magn. carb. Merc. Natr. Natr. mur. 

Nux vom. Phos. ac. Puis. Rhus. 

Sab. Sep. Sil. Stront. Tart. Thuj. 
TEARING AND DRAWING : 

Alum. Ars. Baryt. Bry. Calc. carb. 

Canth. Carbo veg. Caustic. Cham. 

Chin. Cocc. Hep. Kali. Kreos. 

Lach. Lye. STatrum mur. Nux vom. 

Phosph. ac. Rhus. Sab. Sep. Sil. 

Sponga. Stann. Stram. Stront. 
TENSION : Aeon. Barit. Carbo veg. 

Caustic. Nitric ac. Nux vom. Sil. 

Thuj. 
THROBBING: Graphit. Ign. Nux 

vom. Natr. mur. Sep. 
TWITCHING : Calc. carb. Caustic. 

Chin. Con. Puis. Staph 
WEAKNESS : Ars. Cocc. Lach. Merc. 

Natrum mur. Nux vom. Phosph. 

Sep. 



XXIV. STOOL AND ANUS. 



Constipation. 

1. Cinrtwterof Stool 
ACRID: Ars. Bry. Cham. Lach. 

Merc. Puis. Veratr. 
ASH-COLORED : Asar. Dig. 
BILIOUS: Arsen. Chamom. Chin. 

Dulc. Ipec. Merc. Puis. Sulph. 

Veratr. 
BLACK : Ars. Calc. c. Camph. Chin. 

Cupr. Hep. Merc. Op. Squill. 

Stram. Veratr. 



BLOODY: Ant. crud. Arn. Ars. 

Asar. Bry. Canth. Carb. veg. Chin. 

Cupr. Dulc. Ipec. Lye. Merc. Nitr. 

ac. N. mosch. N. vom. Phosph. Puis. 

Rhus. Sep. Sil. Sulph. acid. Tart. 

Yeratr. 
BLOOD, lined with: Alum. Ambr. 

Con. Bry. Ipec. Merc. Nux vom. 

Puis. Rhus. Thuj. 
BROWN : Arnic. Bryon. Chin. Mer- 



74 



STOOL AND ANUS. 



cur. Rheum. Sec. Squill. Sulph. 

Yeratr 
BRIGHT-COLORED : Anac. Carbo 

veg. Caust. 
BURNING: Ars. Lach. Merc. 
CADAVEROUS SMELL: Bism. 

Carb. veg. Strain. 
CLAYEY : Calc. Carb. 
CONSTIPATED : Aeon. Amm.mur. 

Am. Aur. Bar. Bell. Bry. Cale. earb. 

Cann. Canth. Carbo veg Caustic. 

Cham. Chin. Cina. Coccul. Coloc. 

Con. Crot. Daph. Ferr. Graph. Hep. 

Kali bicli. Lach. Laur. Lye. Merc. 

Mosch. Natr. mur. Nux vom. Op. 

Plat. Plum. Puis. Rhodod. films. 

Sabad. Seneg. Sep. Sil. Spong. 

Staph. Strain. Sulph. Thuj. Veratr. 

Zinc. 
DIARRHCEIC: Aeon. Amm. mur. 

Ant. crud. Ant. carb. Ars. Asa feet. 

Aur. Bell. Bism. Bry. Calc. carb. 

Calad. Caps. Carb. veg. Carb. an. 

Chamom. Chin. Coloc. Cicut. Cocc. 

Coffea. Cupr. Dulc. Ferr. Graph. 

Hep. Hell. Hyosc. Ign. Ipec. Lach. 

Lye. Magn. carb. Merc. Natr. Natr. 

mur. Nitr. acicLTS. mosch. N vom. 

Op. Petr. Phosph. Phosph. ac. 

Puis. Ran. seel. Rheum, fihodocl. 

Rhus. Sabad. Sec. Sepias. Spigel. 

Spong. Squill. Stann. Staph. 

Stram. Sulph. Tartar. Valer. Veratr. 

Zinc. 
DIARRHCEA, from cold: Bell. Bry. 

Cham. Dulc. Merc. Nux vom. Puis. 

films. Sulph. 
— after drinking beer : Ferrum. Rhus. 
— after eating : Arsen. China. Coloc. 

Lach. 
— after getting heated : Bry on. Coff. 

Nux vom. 
— after a fright : Aco. Op. Verat. 
— after a fit of joy : Coff. Op. 
— with vomiting: Antim. tart. Ars. 

Aaar. Cupr. Ipec. Nux vom. Phos. 

Rheum. Veratr. 



— after eating fruit : Ars. Ch in. Puis. 
— after eating milk : Bry. Lye. Sulph. 
— after a cold drink : Ars. Bry. Carb. 

veg. Puis. 
— after drinking: Arsen. Caps. N. 

vom. 
— of children: Cham. Ipecac. Merc. 

Rheum. Sulph. 
— chronic : Arsen. Calc. Canth. Chin. 

Graph. Ipec. Nitr. ac. Phosph. 

Rhus. Sulph. 
— nocturnal : Ars. Bry. Cham . Chin. 

Dulc. Kali. Merc. Phosphor. Puis. 

Rhus. Sulph. Yeratr. 
— dysenteric : Ars. Caps. Carb. veg. 

Coloc. Chamom. Colehie. Mere. N. 

vom. Op. Pulsat. Rhus. Sulph. Ve- 
ratr. 
— frothy: Calcar. carb. China. Rhus. 

Sulph. 
— painless: Arsen. Carbo veg. Cha- 
mom. Chin. Ferr. Hyosc. Lye. 

Merc. Op. Phosph. Sec. Sulph. 

Stram. 
— watery: Ant. cruel. Ant. tart. Ars. 

Calc. Carb. Caps. Cham. China. 

Cupr. Ferr. Helleb. Hyosc. Ipec. 

Natr. mur. Nux vom. Petr. Phosph. 

Ph. ac. Puis. Rhus. Sec. cor. Sulph. 

Tart. Veratr. 
— spirting: Ars. Merc. N. vom. 
DIFFICULT: Amm. mur. Anac. 

Ant. Arn. Aur. Bar. Bry. Canth. 

Carb. v. Chin. Cocc. Graph. Hep. 

Ign K.ali. Lye. Magii. mur. Natr. 

mur. Nux mosch. Nux vom. 

Oleand. Petrol. Phosph. Plat. Pul- 
sat. Rhodod. Ruta. Sassap. Silic. 

Staph. Sulph. Thuj. 
FERMENTED: Ipec. 
FETID : Ars. Bry. Calc. Carbo veg. 

Chin. Lach. Merc Nitr. acid. Puis. 

Sil. Sulph. 
WITH FLOCKS : Ipec. Yeratr. 
HAVING A FOUL SMELL : Ars. 

Bry. Carb. v. Cham. Chin. Nitr. 

ac. N. vom. Sec. cor. Sulph. 



STOOL AND ANUS. 



75 



FREQUENT, too: Anac. Arn. Ars. 

Bellad. Calc. carb. Caps. Cham. 

Chin. Cocc. Coff. Coloc. Dulc. 

Ferr. Graph. Ignat. Natr. mur. 

Nitr. ac. N. vom. Phosph. Ph. ac 

Petr. Puis. Ran. seel. Rhus. Silic. 

Thuj. Valer. 
GRAYISH: Asar. Digit. Mercur. 

Phosph. ac. Rheum. 
GREENISH: Arsen. Aur. Bellad. 

Chain. Cupr. Dulc. Ipec. Merc. 

Phosph. Phos. ac. Puis. Stann. 

Sulph. Veratr. 
HARD : Agar. Amm. Amm. mur. 

Ant. crud. Asa foet. Aur. Bar. 

Bell. Bry. Calc. carb. Cann. Carb. 

veg 1 . Caustic. Cham. Cina. Coccul. 

Con. Daph. Graph. Hyosc. Guaj. 

Hep. Ign. Kali. Laur. Led. Lycop. 

Magn. mur. Merc. Natr. mur. 

N. vom. Op. Petr. Phosph. Phosph. 

acid. Plumb. Puis. Rheum. Rho- 

dod. Rhus. Ruta. Sabad. Sec. 

corn. Selen. Sep. Sil. Spong. Stann. 

Staph. Sulph. Sulph. acid. Thuj. 

Veratr. Verb. 
HARD AND LOOSE ALTER- 
NATELY: Ant. crud. Ars. Iod. N. 

vom. 
INSUFFICIENT: Anac. Alum. 

Arn. Ars. Cale. Chin. Daph. Hep. 

Kali. Lach. Lye. Mur. magn. Natr. 

N. vom. Sep. Sil. Sulph. 
INVOLUNTARY: Aeon. Am. Bell. 

Calc. Chin. Hyosc. Lach. Nat. mur. 

N. vom. Op. Phosph. ac. Rhus. Sec. 

corn. Sulph. Veratr. 
— at urinating : Mur. ac. 
— during sleep : Arn. Puis. Rhus. 
LEAD-COLORED: Plumb. 
LOOSE: Ant. crud. Canth. Chin. 

Ign. Merc. N. mosch. Rheum. Sep. 

Sulph. 
LUMPY: Agar. Bar. Bell. Graphit. 

Lach. Magn. mur. Nux vom. Op. 

Plumb. Sil. Sulph. Sulph. ac. Thuj. 
PAPESCENT: Agar. Antim. crud. 



Arn. Asa f. Bell. Chin. Daph. 

Dros. Euphorb. Lach. Mezer. Nitr. 

Phosph. ac. Puis. Rheum. Rhod. 

Selen. Sil. Sulph. Tart. 
PITCH, like: Hep. Lach. Merc. 

Sassap. 
PURULENT: Arn. Canthar. Iod. 

Lach . Merc. Sulph. 
SHEEP-DUNG, like: Brom. Magn. 

mur. Plumb. 
SLIMY: Agar. Amm. m. Ant. cr. 

Arn. Ars. Asar. Bell. Bor. Canth. 

Caps. Cham. Carb. veg. Coloc. 

Chin. Colch. Dulc. Graph. Hell. 

Hyosc. Kali. Ipec. Merc. Mur. 

magn. Natr. mur. N. vom. Phosph* 

Ph. ac. Puis. Rhus. Ruta. Sec. 

Spig. Stann. Staph. Sulph. Tart. 

Veratr. 
SMARTING : Merc. Puis. 
SMELLING SOUR: Calc. carb. 

Chamom. Dulc. Hep. 
SOFT: Aeon. Amm. mur. Antim. 

crud. Bryon. Calc. Carb. an. Carb. 

veg. Chin. Cocc. Coff. Con. Dros. 

Dulc. Graph. Guaj. Kali. Mur. ac. 

Natr. mur. Nitr. Nitr. ac. Phosph. 

Ph. ac. Puis. Rhodod. Sep. Sulph. 

Veratr. Viol. trie. Zinc. 
STIRRED EGGS, like: Chamom. 

Chin. Merc. N. mosch. Pulsat. 

Rhus. Sulph. Viol. trie. 
TENACIOUS: Ars. Caust. Hell. 

Kali. Laches. Mercur. Plumb. Zinc. 
UNDIGESTED: Antim. crud. Am. 

Arsen. Bryon. Cham. Chin. Ferr. 

Lach. Merc. Nitr. ac. Oleand. 

Phosph. Ph. ac. Sulph. Veratr. 
WITH TAENIA: Calc. Carb. veg. 

Filix m. Graph. Magn. mur. Merc- 

N vom. Petrol. Sabad. Sab. Stann. 

Sulph. Valer. 
WITH ASCARIDES : Aconit. Asar. 

Calcar. Cham. Chin. Cina. Ferr. 

Ignat. Merc. N. vom. Squill. Spong. 

Sulph. Tenor. 



76 



STOOL AND ANUS. 



WITHLUMBEICI: Aconit. Anac. 

Bell. Calc. earb. CLani. Cicut. Ciua. 

Graph. Lycop. Merc. Xatr. mur. 

Nux vom. Kuta. Sabad. Sec. corn. 

Spigel. Sulph. Yal. 
WHITISH: Aeon. Ars. Caustic. 

Cham. Chin. Colch. Digital. Iod. 

Merc. Nux vom. Plumb. Phosph. 

Pulsat. Rhus. See. Spong. Sulph. 

Veratr. 
YELLOWISH: Ars. Asa feet. Calc. 

carb. Chamom. China. Coloc. Cocc. 

Dulcam. Merc. Petr. Phosph. Puis. 

Rhus, Veratrum. 
2. Accompanying Ailments. 

a. BEFORE STOOL. 

BACK-ACHE: Yeratr. 

COLIC : Agar. Amm. mur. Ant. 

tart. Ars. Asar. Bry. Canth. Chin. 

Croc. Dig. Kali. Ignat. Laur. Merc. 

Nitr. Nux vom. Petr. Puis. Rheum. 

Rhus. Stann. Staph. Sulph. Verat. 
CHILLINESS: Mercur. Nux vom. 

Yeratr. 
DREAD OF MEN : Ambr. 
FLATULENCE, distress from: 

Agar. Amm. mur. Arn. Calc. 

pltosjjh. Dulc. Ferr. Phosph. Ph. 

ac. Puis. Spig. Stront. 
HEAT: Merc. Phosph. 
NAUSEA : Aeon. Rhus. Veratr. 
PAINS IN THE ANUS: Carbo 

anim. Colchic. Kali. Lach. Oleand. 

Phosph. Plat. 
RECTUM, pain in: Nux vomica. 

Puis. Rhus. 
SMALL OF BACK, pain in : Dulc. 

Sulph. 
PROSTATIC JUICE, discharge of: 

Selen. Sulph. Ph. ac. 
RUSH OF BLOOD TO THE 

HEAD: Opium. 
SCREAMING OF CHILDREN: 

Cham. Rheum. Rhus. 
SWEAT: Aeon. Bell 
URGING TO STOOL: Core Con. 



Lach. Merc. Rhus. Sil. Staphys. 
Thuj. 
VOMITING : Ant. tart. Yeratr. 

b. DURING STOOL. 

BACK-ACHE: Puis. 

CHILLINESS: Yeratr. 

COLIC: Agar. Amm. mur. Anac. 

Ant. cruel. Arn. Ars. Asa feet. Bry. 

Calad. Canth. Carbo an. Cham. 

Cupr. Dulc. Drosera. Ferr. Graph. 

Hep. Ignat. Ipec. Kali. Merc. Natr. 

mur. Nitric ac. Nux vom. Phosphor. 

Plumb. Puis. Rheum. Rhus. Sep. 

Spig. Sulph. Sulph. ac. Yeratr. 
DROWSINESS: Nux mosch. 
FAINTING: Petr. Sassap. Spig. 
FLATULENCE, discharge of : Calc. 

carb. Calc. phosph. Cocc. Sab. 

Staph. 
— distress from: Amm. muriat. Arn. 

Hyosc. Nux vomica. Sab. Spong. 
HEAT : Rhus. Sulph. 
LABOR-LIKE PAIN: Op. 
NAUSEA: Ant. tart, Ars. Asar. 

Cupr. Hell. Merc. Nitric acid. 

Prun. Snip] i. Veratr. 
PALPITATION OF HEART : Ant. 

tart. Nitric acid. 
PROSTATIC JUICE, discharge of: 

Ign. Phosph. ac. Sil. 
RECTUM, pain in: Asar. Calcar. 

Merc. Magn. mur. N. vom. Puis. 

Sab. Sulph. Yeratr. 
— falling of : Ars. Asar. Calcar. Daph. 

Ignatia. Merc. Nux vom. Puis. Ruta. 

Sepiae. Sulph. 
RUMBLING IN BOWELS: Ar- 
senic. Calc. carb. Lycop. Olean- 
der. Phosph. Phosph. acid. Sulph. 

acid. 
RUSH OF BLOOD TO THE 

HEAD: Rhus. 
SHUDDERING: Bell. Nitric acid. 

Rheum. Veratr. 
SWEAT: Bell. Mercur. Stramon. 

Veratr. 



STOOL AND ANUS. 



77 



TENESMUS: Aeon. Ars. Colch. 

Laur. Merc. Nux vom. Op. Rhus. 

Selen. Sulph. Veratr. 
THIRST : Ars. Cham. Chin. 
VARICES, protrusion of: August. 

Kali. Merc. Nux vom. 
VERTIGO: Cham. Veratr. 
VOMITING: Arg. Ant. tart. Ars. 

Cupr. Kali bichr. Ipec. Rheum. 

Sulph. Veratr. 
WEAKNESS, feeling of: Veratr. 

C. AFTER STOOL. 

ANIXETY: Caust. 
AS IF BRUISED: Calc. 
CHILLINESS : Canth. Mezer. Puis. 
CHILL: Daph. Mez. Plat. 
COLIC: Agar. Amm. mur. Anac. 

Carbo veget. Con. Dros. Dulc. Iod. 

Kali bichr. Lye. Nux vom. Natr. 

mur. Op. Phos. Pulsat. Rheum. 

Stann. Sulph. Veratr. 
CONGESTION OF THE HEAD: 

Lach. 
DROWSINESS : Nux mosch. 
ERUCTATIONS: Baryt. Merc. 
FLATULENCE, discharge of : Agar. 

Calc. Carbo veget. Hep. Lye. Nux 

vom. Phosph. Puis. Sulphur. Thuj. 
HEAD-ACHE : Ambr. Sab. Sil. 
LANGUOR: Am. Ars. Bry. Gale. 

earb. Chin. Colic. Cuprum. Daph. 

Ferr. Hyosc. Ipec. Lach. Lye. 

Pliosph. Puis. Sec. corn. Veratr. 
MUCUS, discharge of: Asarum. 

Merc. Phosph. Stann. 
NAUSEA: Aeon. Caust. Veratr. 
SMALL OF BACK, pain in: Puis. 
PALPITATION OF THE HEART : 

Caustic. Con. 
RECTUM, pressure in : Hellebor. 

Ignat. 
— pain in : Cham. Nux vom. 
— constriction of : Nux vom. 
— prolapsus of : Merc. 
SWEAT: Aeon. Caust. 
TENESMUS: Capsic. Tpec. Merc. 



Nitr. Pliosph. Rheum. Rhus. Sulph. 
Staph. 
THIRST: Caps. 
VERTIGO : Carbo an. Zinc. 
VOMITING: Veratr. 

3. Anus, with rectum and 
perineum. 

a. ANUS AND RECTUM. 

BLEEDING BETWEEN STOOL : 

Alum. Ant. cruel. Caps. Carbo veg. 

Merc. Phosph. Puis. Sabin. Sep. 

Stram. Sulph. 
BORING IN THE RECTUM: Va- 

ler. 
BURNING IN THE ANUS : Am- 
nion, mur. Ant. tart. Ars. Baryt. 

Bov. Bry. Caps. Carbo anim. Carbo 

veget. China. Cocc. Coloc. Graph. 

Iod. Ipec. Kali. Laur. Merc. Mur. 

ac. Natr. Natr. mur. Nitric ac. N. 

vom. Oleand. Pliosph. Puis. Sepice. 

Stront, Sulph. Thuj. Verat. 
— in the rectum : Alumina. Aur. Ars. 

Calc. Carbo an. China. Con. Eu- 

phorb. Lye. Mur. ac. Magn. mur. 

Natr. mur. Nitric ac. Petr. Phosph. 

Puis. Sep. Stront. Sulph. Veratr. 
CONTRACTION: Camph. Conium. 

Natr. mur. Nux vom. Op. 
— in annus: Alum. Ang. Carbo an. 

Cocc. Graph. Ign. Nitric ac. Nux 

vom. Plumb. Sec. Sep. Sulph. 
— in rectum : Amm. Bell. Calc. Chin. 

Coloc. Ferr. Ign. Nux vom. Phosph. 

Sep, Thuj. 
CREEPING : Calc. Colonic. Croc. 

Kali. Natr. Nux vom. Plat. Rhus. 

Sabad. Sep. Zinc. 
CUTTING IN ANUS : Arsen. Chin. 

Caust. Kali. Laur. Lye. Natr. Nux 

vom. Phosph. Staphys. Sulph. 
— in rectum: Canth. Caust. Chin. 

Lye. Mang. Nux vom. Pliosph. 

Sep" Sulph. 
DRAWING IN: Plumb. 
EXCORIATION: Cham. Graph. 



78 



STOOL A2tt> ANNUS. 



— in anus : Alum. Amm. Arsen. 

Graph. Hep. Merc. Nux vom. 

PhospJt. Puis. Sassap. Veratr. 
— in rectum : Camph. Natrum mur. 

Phosph. Ph. ae. Puis. 
FIGWARTS: Nitric acid. Sabina. 

Thuj. 
FISTULA KECTI : Calc. Caust. 

Petr. Sil. Sulph. 
GNAWING: Ang. Merc. Phosph. 
HEAT: Canth. Con. 
HERPES : Natr. mur. 
ITCHING IN ANUS : Aeon. Alum. 

Ambr. Ant. crud. Baryt. Bell. Bry. 

Calc. Carlo veg. Caust. China. 

Cilia. Croc. Euph. Ign. Kali. Lye. 

Merc. Nitric ac. Nux vom. Op. 

Phosphor. Platin. Rhus. Sabad. 

Sassap. Sep. Sil. Stann. Staph. 

Sulph. Teuc. Thuj. Zinc. 
— in rectum : Aco. Ambr. Asar. Bell. 

Cic. Clu. Chin. Euphorb. Ferr. Ign. 

Nitric ac. Nux vom. Ruta. Sabad. 

Sep. Sil. Spigel. Stann. Sulph. 

Teuc. Valer. 
MUCUS, discharge of, between stool : 

Antim. Caps. China. Colchic. Hell. 

Graph. Merc. Phosph. Puis. Rhus. 

Sep. Spig. Sulph. Tart. 
PAIN, simple : Aconit. Canthar. Car- 
bo an. Caust. Lye. Merc. Natr. 

mur. Nux vom. Phosph. Seneg. 
— in rectum : Aeon. Ambr. Camphor. 

M( j r<-. Magn. mur. Sep. 
PINCHING: Merc. Natrum mur. 

Sabad. 
PRESSURE IN ANUS: At on. 

Baryt. Calc. Cyclam. Laur. Nitric 

ac. Ntu; vom.Tetr. Phosphor. Puis. 

Sencg. Staph. 
— in rectum: Am. Bell. China. Kali. 

Lye. Nitric ac. Nux vom. Opium. 

Phosph. Sen. Stann. 
RECTUM, prolapsus of: Antim. 

crud. Ars. Asar. Bry. Colch. Dttl<\ 

Tgn. Lach. Merc. Natrum tnuriat. 

'Nux no hl. Ruta, Sep. Sulph. 



REMAINING OPEN, always : Phos. 
SORENESS : Ars. Carbo an. Cau- 
stic. Hep. Graph. Merc Nitric ac. 

Phosph. Sep. Sulph. 
— pain as of: Amm. Ars. Caust. 

Grapli. Hep. Ign. Mur acid. Natr. 

mur. Nux vom. Phosph. Puis. Sep. 

Spongia. Sulphur. Veratr. 
SPASM, (in anus): Colch. Lach. 

Kali bichr. 
— in rectum : Calc. Caust. Chin. Colch. 

Lach. Lye. 
SPHINCTER ANI, lameness of: 

Bell. Cole. Hyosc. 
STITCHES IN ANUS : Aeon. Ars. 

Bry. Canth. Carbo an. Carbo veg. 

Chin. Con. Croc Graph. Ign. Ipec. 

Kali. Lye. Natrum. Natr. mur. N. 

vom. PJios. Phosph. ac. Plat. Ran. 

bulb. Sab. Sep. Sil. Sulph. 
— in rectum : Alum. Ant. tart. Bell. 

Bov. Carbo an. Caustic. Chin. 

Graph. Ign. Lye. Magn. mur. Natr. 

mur. Nux vom. Phosph. Puis. Ru- 
ta. Sep. Sil. Sulph. Valer. 
SWELLING : Camph. Graph. Hep. 

Ign. Nux vom. 
TEARING IN THE ANUS : Colchic. 

Daph. Kali. Nux vom. Phos. ac. 

Sep. Thuj. 
— in rectum : Carbo veg. China. Lye. 

Kali. Nux vom. Phosph. ac. Ruta. 

Sabad. 
TENESMUS: Aeon. Am. Arsen. 

Bellad. Bov. Calc. Canthar. Caps. 

Colch. Daph. Euphorbium. Hep. 

Ipec. Kali. Laur. Merc. Natr. Ni- 
tric ac. Nux vom. Phosph. Plat. 

Rheum. Rhus. Ruta. Sep. Staph. 

Sulphur. Veratr. Zinc. 
THROBBING: Grat. Lach. Natr. 

mur. 
TORPOR: Alum. Carb. veg. Chm. 

Ign. Kali. Lycop. Natr. mur. Nux 

vom. Op. Ruta. Sep. Staph. Thuj. 

Veratr. 
ULCERS : Caust. Sassap. 



URINE AND URINARY ORGANS. 



79 



URGING TO STOOL : Alum. Anac. 

Am. Am. Asa f. Bar. Bellad. Calc. 

Gamph. Canth. Carb. v. Caustic. 

Coccul. Colch. Coloc. Con. Ferr. 

Graphit. Hepar. Hyosc. Ign. Kali. 

Lack. Lye. Merc. Magn. mur. Na- 

trum. Natr. mur. Nitr. ac. N. moscli. 

N. vom. Petr. Phos. Puis. Rheum. 

Rhodod. Rhus. Ruta. Sabad. Sep. 

Sil. Stann. Staph. Sulphur. Veratr. 

Verb. 
— with emission of flatulence: Cji\>. 

an. Lach. 
—with falling of rectum: Ruta. M r • 
— at night: Merc. Puis. Sulph. 
— with erections: Thuj. 
—painful: Ars. Caust. Sulph. 
— ineffectual : Aeon. Anac. Am. Asa 

f. BeR. Calc. Carb. Caps. Carb. veg. 

Caust. Coccul. Colch. Con. Graph. 

Hell. Ign. Lach. Lye. Kali bich. 

Merc. Magn. mur. Natr. Natr. mur. 

Nitr. ac. Nux vom. Phosph. Plumb. 

Pulsat. Rheum. Rhus. Ruta. Sa- 
bad. Sassap. Sep. Sil. Spig. Stann. 

Staph. Sir am. Sulph. Thuj. Veratr. 
VARICES : Ambra. Amnion, mur. 

Anac. Antlm. crud. Ant. tart. Ars. 

Bar. Bell. Brom. Calc. Caps. Carb. 

an. Carb. veg. Caust. Coloc. Ferr. 

Graph. Hell. Ignat. Kali. Lach. 

Lye. Magn. Merc. Mur. a&. Natr. 

mur. Nitr. ac. Nux vom. Phosph. 

Ph. ac. Plumb. Puis. Rhus. Sabin. 

Sep. Sil. Stram. Sulph. Sulph. ac. 

Thuj. 
— protruding: Calc Caustic. Ferr. | 

Graph. Merc. Puis. Sep. Sulph. j 

Thuj. I 



—with colic : Carb. veg. Nux vom. 

Sulph. 
-—blue : Carb. veg. Mur. ac. 
— blind : Ars. Cham. Ign. Nux vom. 

Puis. Sulph. Veratr. 
— bleeding: Aconit. Arum. Antlm. 

crud. Bell. Calc. Caps. Carb. veg. 

Chin. Cupr. Ferr. Ipec. Ign. Merc. 

Nux vom. Phosph. Puis. Sab. Sep. 

Stram. Sulph. 
—burning: Ant. crud,. Arsen. Calc. 

carb. Caps. Carb. an. Graph. Nitr. 

ac. Sulph. ac. 
—inflamed: Aeon, Arsen* Nux vom. 

Sulph. 
—swollen : Alum. Calcar. carb. Carb. 

veg.' Graph. Nux vom. Puis. 
— ulcerated: Nux vom. Puis. Sulph. 
— itching: Aeon. Graph. Phosph. 

Sulph. Sulph. ac. 
— humid: Sulph. 
—excoriated: Cham. 
— stinging: Ars. Baryt. Caust. Puis. 
— suppressed flow of : Carb. veg.'S. 

vom. Sulph. 
— as if sore : Merc. Mur. ac. Phosph, 

Puis. Stann. 

b. PERINEUM. 

BURNING: Ant. crud. Rhodod. 
CONTRACTION: Sep. Sulph. 
CUTTING: Lye. N. vom. 
HERPES: Petr. 
INFLAMMATION: Plumb. 
ITCHING: Agn. Ars. Carb. veg. N. 

vom. Petr. Seneg. Tarax. 
PAIN, simple : Caust. Lye. Phos. 
SORENESS: Carb. v. Merc. Rhod. 
STITCHES : Alum. Merc. Nat. Sep. 
TEARING: Daph. 



XXV. URINE AND URINARY ORGANS. 

TJRIJSTfi. 

1. Quality Thereof. 

ACRID : Ant. tart. Arn. Borax. Cal- 
car, Cann. Canth. Caust. Clem. 



Creos. Graph. Hep. Iod. Kali. Merc. 
Natr. mur. Rhus. Sassap. Seneg, 
Thuj. Verat. 



80 



UEDfE AND URINARY ORGANS. 



AMMONIACAL: Asa f. Carbo veg. 

Creos. Iod. Mosch. Nitr. avid. Petr. 

Phosh. 
BILIOUS: Yaler. 
BLOODY: Aeon. Ambr. Ant. tart. 

Am. Arts. Calc. carb. Cann. Canlli. 

Capsic. Carbo veg. Chin. Coloe. 

Con. Hep. Ipec. Lye. Merc. Mezer. 

Nitr. aeid. Nux vom. Op. Phosph. 

Ph. ae. Puis. Sec. corn. Sep. Squil- 

la. SulpJt. Zine. 
BROWN: Aeon. Ambr. Am. Ars. 

Asa f. Bell. Bry. Calc. Caust. Colch. 

Dig. Merc. Nitr. tic. Petr. PJicmh. 

Rhodod. Puis. Sep. Sulph. Tart. 

Yaler. 
BURNING: Aeon. Arseri.\ Camph. 

Cann. Canthar. Caps. Creos. Digit. 

Hep. Merc. Phosph. Staph. Yeratr. 
BLACKISH: Colch. 
CAT'S URINE, smelling like : Viol. 

tart. 
— like garlic : Phosph. 
— sour. Ambr. Calcar. Graph. Merc. 

Natr. 
— pungent : Asaff.'Bor. Merc. 
— like sulphur : Phosph. 
— foul: Carbo veg. Dulc. Merc. Nitr. 

ac. Phosph. ac. Puis. Rhod. Sulph. 

Viol. trie. 
— like violets: N. mosch. Tereb. 
CLEAR: Amm. muriat. Euphr. Hy- 

osc. Laches. Nitr. Squill. Stramm. 
COLD : Agar. Nitric acid. 
COLORLESS (see pale): Puis. 
COPIOUS: Aeon. Alum. Ambra. 

Amm. mur. Arg, Am. Ars. Aur. 

Bar yt. Bell. Bism. Bryo. Canth. 

Carbo veg. Carbo an. Chin. Cicut. 

Clem. Coloc. Creos. Cycl. Daph. 

Digital. Euph. Gruaj. Hyosc. Ign. 

Iod. Laur. Led. Lycopod. M. arct. 

Merc. Mur. ac. Natrum. Nitric. 

Oleand. Petr. Phosph. Phosph. ac. 

Pulsat. Kims. Sab. Sassap. Selen. 

Senega. Spijr. S(|iiilla. Staph. Sulph. 

Tar. Thuj. Yaler. Verat. Verb. Vi- 
ola trie. Vit. 



LIKE CURD : Ambr. Cina. 
DARK: Aco. Ant. tart. Am. Asa f. 

Bell. Bry. Carbo veg. Chin. Colch. 

Big. Hell. Hep. Iod. Ipec. Lach. 

Lycop. M. arct. Merc. Nitric acid. 

Op. Phosph. Rlius. Selen. Sep. 

Staph. Sulphur. Tart. Veratr. 
DIMINISHED: Aco. Agar. Ambr. 

Ammon. mur. Ant. tart. Am. Ars. 

Aur. Bell. Bry. Calcarea carb. Cann. 

Canth. Carbo veg. Caust. Cham. 

Chin. Coccul. CorT. Colch. Con.Cupr. 

Daph. Dig. Dulc Graph. Grat. Hell. 

Hep. Hyosc. Iod. Ipecac. Kali. 

Laur. Led. Lye. Merc. Mur. acid. 

Nitric ac. Nux mosch. Nux vomica. 

Op. Petr. Phosph. Phosphoric ac. 

Plumbum. Puis. Ruta. Sabad. Sas- 
sap. Sec. com. Selen. Seneg. Squil- 

la. Stannum. Staph. Stram. Stront. 

Sulph. Veratr. Zinc. 
FIBRES, full of: Cann. 
FIERY: Aeon. Bry: Cann. Colch. 

Plumb. 
LIKE FLOUR: Calc. Graph. Mep. 

Natrum mur. 
FROTHY: Lach. Laur. Lycopod. 

Seneg. 
GREENISH: Ars. Camph. Iodine. 

Kali. Rhod. Buta. Veratr. 
HOT: Aeon. Ars. Bry. Canthar. 

Cham.|Colchic. Dulcam. Hep. Lach. 

Nitric ac. 
INODOROUS : Ambr. Dros. 
LIGHT-YELLOW: Ambra. China. 

Sec. corn. 
LITTLE AT A TIME: Aconit. 

Agar. Bell. Cwm. Canth. Caust. 

Colonic. Dig. Euphorb. Hell. 

Hyosc. Iod. Kali. Laur. Led. Merc. 

Nitric ae. Nux vom. Oj't. Petr. 

Phosph. Puis. Rhus. Ruta. Sil. 

Staph. Sulph. Tart. Veratr. 
LOAM-COLORED: Anac. Canthar. 

Ign. Sabad. Sassap. Sep. Sulphur. 

Zinc. 



URINE AND URINARY ORGANS. 



81 



MILKY: Aur. Carho veg. Dulc. Iod. 

Phosph. ac. 
OPALESCENT : Iodine. Phosphor. 

Puis. 
PALE : Agar. Alum. Am. Aur. Bell. 

Bism. Canth. Chel. Chin. Cocc. 

Cblchic. Coloc. Con. Creos. Dig. 

Hep. Ignat. Iod. Lach. Laur. Mur. 

acid. Nitr. N. jugl. Nux voni. 01. 

an. Par. Phosph. Phos. ac. Pulsat. 

Rhod. Rhus. Sassap. Secede corn. 

Staph. Stram. Strontia. Sulph. 

Sulph. ac. Zinc. 
PURULENT: Cann. Canth. Clem. 

Lye. Nux vom. Sabin. Sep. 
RED : Aco. Ant. crud. Antim. tart. 

Am. Bell. Bry. Calc. Camph. Cann. 

Canth. Carb. veg. Chin. Col < -It. 

Coloc. Con. Dig. Hep. Ipec. Kali 

bichr. Merc. Nux vom. Op. Phos. 

Plumbum. Puis. Sassap. Sep. Sil. 

Squilla. Staph. Sulph. 
SEDIMENTOUS : Aconit. Alum. 

Ambr. Ant. crud. Am: Arsen. Aur. 

Baryt.Bry. Calc. car6.Camph.Cann. 

Canth. Carbo an. Carboveg. Canst. 

Cham. Chin. Chinin. Cicut. Col- 
chic. Coloc. Con. Creos. Bulcam. 

Graph. Hep. Hyoscyam. Iod. Ipec. 

Kali. Lach. Laur. Lol. tern. Lye. 

Mang. Mercur. Mezer. Najfcr. mur. 

Nitr. Nitric ac. Nuxmosch. Oleand. 

01. an. Opium. Petr. Phosph. 

Phosph. ac. Puis. Rhus. Ruta. Sas- 
sap. Selen. Seneg. Sepia>. Sil. 

Spong. Squilla. Sulph. Sulph. ac. 

Tar. Thuj. Yaler. Zinc. 
SEDIMENT, blueish: Prim, 
—bloody : Aconit. Calcar. carb. Cann. 

Canth. Caps. Coloc. Dulc. Ly<: 

Merc. Phosphor. Phosph. ac. Puis. 

Sep. Sulph. Sulph. ac. Zinc. 
— brown : Ambr. Lach. Yaler. 
— thick: Camph. Laur. Mercur. Se- 

cale corn. Spong. Sulphur. Valer. 
— dark: Iod. 



— purulent : Canthar. Clem. Con. 

Lye. Puis. Sep. 
— fibrous: Cann. Canth. Cham. Merc- 

Jlezer. Sassap. Seneg. Tart. Zinc 
— flocculent: Cannab. Cham. Mer.\ 

Nitr. Nitric ac. Seneg. Tart. 
— gelatinous : Puis. 
— yellow: Ammon. mur. Bry. Cham. 

Chin. Cupr. Lye. PJtos. Sil. Spong. 

Sulph. Sulph. ac. Zinc. 
— of yellow sand: Sil. 
— gray: Ant. tart. Con. Spong. 
— gravelly : Ambra. Ant. crud. Calc. 

carb. Canth. Chin. Lach. Lye. Natr. 

mur. Nitric acid. Nux mosch. Nux 

vom. Op. Phosph. Puis. Ruta. Sas- 
sap. Sep. Sil. Thuj. Y r aler. Zinc. 
— clayey — Anim. m. Anac. Kali. Sas- 
sap. Sep. Sulph. Sulph. ac. Zinc. 
— floury: Ant. tart. Cede. Graph. 

Merc. Hyos. Natr. mur. Phosph. 

ac. Tart. 
— reddish: Aeon. Ambr. Amm. mur. 

Ant. crud. Am. Ballad. Canth. 

Chin. Coloc. Con. Creos. Dulc. 

Graph. Iod. Ipec. Kali. Lach. Lye. 

Mang. Mez. Natr. mur. Nitr. ac. 

Op. Petr. Phosph. Puis. Sec. corn. 

Selen. Sep. Sil. Squill. Thuj. Yaler. 
-like blood : Amm. 
— like red sand : Natr. mur. Nitr. ac. 

Sil. 
— slimy: Ant. crud. Ars. Aur. Bry. 

Calc. carb. Carb. veg. Caust. Chin. 

Cina. Coloc. Con. Dulc. Hep. Ipec. 

Merc. Natr. Natr. mur. Nitr. ac^d. 

N. vom. Phosph. Phosph. ac. Puis. 

Rheum. Sassap. Seneg. Sulphur. 

Valer. 
-turbid: Alum. Con. Rhus. Zinc. 

violet: Puis. 
— whitish : Amm. Baryt. Bell. Calcar. 

Canth. Caps. Colch. Coloc. Con. 

Dulc. Graph. Hep. Ignat. Nitr. ac. 

Oleand. Petr. Phosph, Phosph. ac. 

Prun. Puis. Rhodod. Rhus. Sep. 

Spig. Spong. Sulph. Valer. Zinc. 



82 



URINE AND URINARY ORGANS. 



— whitish-turbid: Con. Rhus. 

— cloudy: Alum. Ambr. Bry on. 

Caust. Kali. Laur. Merc. Nitr. 

Petr. PJiosph. ac. Plat. Seneg. 

Thuj. Yaler. 
— brick-dust: Aeon. Am. Chin. Ipec. 

Puis. 
TENACIOUS : Canth. Cupr. Creos. 

Dulc. Phosph. ac. 
THICK: Camph. Con. Dulc. loci. 

Nux vom. Pluiiib. Sabad. Seneg. 

Sulph. ac. 
TURBID: Ambr. Anac. Ant. tart. 

Ars. Aur. Bell. Cann. Canth. Car- 

bo an. China. Chlorof. Ona. Clem. 

Colch. Coloc. Con. Cycl. Dig. Dulc. 

Hep. Ignat. loci. Kali. Lach. Lye. 

Merc. Mosch. Mur. ac. Nitr. acid. 

Phosph. Plumb. Pulsat. Rhus. 

Sabad. Sassap. Sep. Sulph. Sulplt. 

ac. Valer. Veratr. Zinc. 
— becoming : Ambr. Ang. Am. Aur. 

Bry. Caust. Cham. Cina. Con. Dig. 

Graph. Hep. Iod. Laur. Mercur. 

Mezer. Nitr. Petr. Phosph. at*. 

Bhus. Sassap. Seneg. Sepia*. 

Sulph. Thuj. Valer. 
WHITISH: Ang. Arm Aur. Cann. 

Garb. veg. 'Cina. Con. Iod. Merc. 

PJiospli. Ph. ac. Bhus. Sassap. 

Suljjh. 
WHITISH-YELLOW: Amm. Phos. 
WHITISH-GREEN: Camph. 
WHITISH-TURBID: Cann. China. 

Con. 
YELLOW: Ant. cruel. Am. Ars. 

Bell. Bry. Canth. Cham. Chin. 

Daph. Hyosc. Iodine. Ipec. Lach. 

Led. Magn. m. Nitr. Petr. Bheum. 

Samb. Sassap. Veratr. Zinc. 

2. Urme After Stool. 

BURNING URINE : Cam.. Canthar. 

Caps. N. mosch. Puis. Staph. 

Veratr. 
DIABETES : dcon. Argent. Bell. 



Cann. Cupr. Clem. Dig. Hyosc. 

Led. Nitr. ac. Pulsat. Bhus. Squill. 

Sir am. Tar. Veratr. 
— with emaciation: Merc. 
— with head-ache : Veratr. 
— with back-ache : Phosph. ac. 
— with sweat: Aeon. Bell. 
MICTURITION, nocturnal: Agaric. 

Ambr. Amm. mur. Anac. Arm Ars. 

Bry. Bov. Calc. Canth. Con. Graph. 

Iod. Kali. Lach. Lye. Natr. Natr. 

in. Nitr. ac. Puis. Bhus. Buta. 

Sep. Sll. Stront. Sulph. Thuj. Zinc, 
—too frequent: Aeon. Anac. Ant. 

crud. Arg-. Arm Ars. Aur. Bar. 

Bell. Bry. Calc. carb. Calc. phosph. 

Camph. Can. Caps. Caust. Chel. 

Chin. Coff. Con. Creos. Cyclam. 

Daph. Euphorb. Graph. Hell. 

Hyosc. Ign. loci. Kali. Laches. 

Led. Lye. M. austr. Merc. Mur. ac. 

Natr. Natr. mur. Nitr. N. vom. 

Oleancl. Petr. Phosph. Phosph. ac. 

Plumb. Rhus. Sassap. Selen. Sil. 

Splg. Spong. Squill. Staph. Sulph. 

Tar. Thuj. Valer. Veratr. Verb. 
— difficult : Aeon. Agar. Bellad. 

Camph. Cann. Canth. Cic. Dig. 

Euphorb. Hyosc. Hep. Nux mosch. 

Op. Phosph. Plumb. Sec. corn. 

Thuj. 
— too seldom: Aeon. Agar. Ammon. 

mur. Apis. Am. Arsen. Aur. Bell. 

Bry. Camph. Canthar. Carb. veg. 

Chin. Cic. Colch. Cupr. Dig. Graph. 

Hep. Hyosc. Iod. Laur. Led. M. 

austr. Mane. Merc. Nitr. ac. N. vom. 

Op. Phos. Plumb. Puis. Ruta. Sec. 

corn. Squill. Staph. SI ram. Sulph. 

ac. Vera I. 
—drop by drop: Agar. Am. Bell. 

Camph. Cann. Canth. Caps. Caust. 

Chin. Clem. Colchic. Con. Dig. 

Dros. Dulc. Euphorb. Graph. >1. 

austr. Merc. A', mosch. Nux com. 

Petr. Phosph. ac. Puis. Rhus. Hula. 

Sil. Staph. Stram. Sulph. Thuj. 



URINE AND URINARY ORGANS. 



83 



— interrupted : Agar. Carb. an. Caust. 

Clem. Con. Dulc. Led. M. austr. 

Op. Phosph. acid. Puis. Sulph. 

Thuj. Zinc. 
— involuntary: Aeon. Ant. tart. Arn. 

Ars. Bell. Bry. Calc. Canthar. 

Carb. veg. Caust. Chin. Cic. Cina. 

Creos. Dig. Dulc. Ferr. Hep. 

Hyosc. Iod. Lach. Laur. Led. Lye. 

M. austr. Merc. Natr. mur. Nitr. 

ac. Nux vom. Petr. Phosph. ac. 

Puis. Rhus. Euta. Sep. Sil. Spig. 

Squill. Stram. Sulph. Veratr. 

when coughing : Bry. Caust. 

Natr. mur. Veratr. 
— at night, in bed: Aeon. Ars. Bell. 

Bry. Carb. v. Caust. Cham. Cina. 

Con. M. austr. Natr. Op. Puis. 

Bhus. Kuta. Sep. Sil. Stram, 

Sulph. 

in the first sleep : Sep. 

—in the day-time : Ferr. 
ISCHURIA: Aconit. Agar. Arn. Aur. 

Bellad. Camph. Cann. Canthar. 

Chin. Cic. Coloc. Con. Dig. Eu- 

phorb. Graphit. Hep. Hyosc. Laur. 

Lycop. Nitric ac. Nux vom. Op. 

Plumbum. Pulsat. Ruta. Sabina. 

Strain. Sulph. Veratr. Zinc. 
STREAM, double : Canth. 
— thin : Camph. Canth. China. Led. 

Mercur. Puis. Spongia. Staph. 
— scattering: Cann. Canth. 
— slow: Camph. Merc. Plat. 
— strong: Agn. Cic. Vit. 
TENESMUS OF BLADDER: Aco- 
nit. Arn. Camphor. Cann. Canth. 

Caps. Colch. Merc. Nux vom. Puis. 

Sabin. Sassap. Squilla. Sil. Viol. 

trie. 
URGING TO URINATE: Aeon. 

Agar. Alum. Ambra. Ammon. mur. 

Ant. tart. Arg. Arn. Ars. Bar. Bell. 

Bor. Bovist. Bry. Calc. carb. Cann. 

Canth. Caspic. Carbo an. Caust. 

Chamom. Cicut. Cocc. Colchic. 

Coloc. Con. Copaiv. Creos. Dig. 



Dulc. Euphorbium. Graph. Guaj. 

Hell. Hyosc. Ignat. Iod. Ipec. Kali. 

bichr. Lach. Lycop. M. austr. 

Mur. magn. Men. Merc. Mur. ac. 

Natr. Nitric, ac. N. jugl. N. Tom. 

Petr. Phosph. Phos. ac. Plumb. 

Puis. Rhod. Bhus. Buta. Sabadilla. 

Sabina. Sambuc. Sassap. Selen. 

Sep. Sil. Spig. Squill. Stann. 

Staph. Sulphur. Tar. Tart. Thuj. 

Veratr. Zinc. 
— with scanty discharge : Aeon. Anac. 

Ant. crud. Antim. tart. Bell. Bry. 

Calc. carb. Cann. Canth. Caps. Carb. 

veg. Caust. Cocc. Colch. Cuprum. 

Con. Digit. Dros. Euphorb. Hell. 

Hyosc. Iod. Led. M. austr. Men. 

Merc. Natr. Nitric ac. Nux mosch. 

Nux vom. Petr. Phosph. Phosph. 

acid. Plumb. Puis. Buta. Sabad. 

Samb. Sassap. Staph. Sulph. Ve- 
ratr. 
— with copious discharge : Agar. Alum. 

Ant. tart. Arg. Ars. Bellad. Bism. 

Carbo an. Cin. Calc. Cycl. Creos. 

Lach. Mur. ac. Natr. mur. Rhus. 

Spig. Squilla. Stann. Sulph. Tar. 

Verb. Viol. trie. 
— irresistible : Baryt. Bell. Bry. Calc. 

Chin. Ign. Merc. Nitr. ac. Phosph. 

Phosph. acid. Pulsat. Rhus. Ruta. 

Squilla. 
— ineffectual: Aco. Arnica. Camph. 

Canth. Caps. Caust. Cham. Chin. 

Big. Hell. Hyosc. Merc. Mur. acid. 

Nux vom. Petr. Ph. ac. Plumb. 

Pulsat. Sabina. Sassap. Sec. corn. 

Sep. Squill. Sulph. 

3. Accompanying Ail- 
ments. 
a. Before urination. 
BURNING IN THE URETHRA: 
Arn. Cann. Natr. Nux vom. Puis. 
Zinc. 



84 



URINE AND URINARY ORGANS. 



CUTTING IN THE URETHKA: 

Canth. 
— in the abdomen • Puis. 
DRAWING IN RENAL REGION : 

Clem. 
— in penis : Cic. 
GENERALLY: Am. Bor. Bryon. 

Bellacl. Canth. Chin. Cic. Coloc. 

Creos. Digit. Dulc. Hep. ISux vom. 

Phosph. ac. Plumb. Puis. Rhod. 

Rhus. Sulphur. Tar. 
PAIN IN THE BLADDER: Nux 

vom. 
SORE PAIN IN URETHRA: Cop. 

Nux vom. Phosph. 
STINGING IN THE BLADDER: 

Canth. 
TEARING IN THE GLANS : Chin. 

b. During urination. 

BURNING IN BLADDER: Aconit. 

Camph. Lach. Staph. 
— in urethra : Ambra. Ars. Bar. Calc. 

Cann. Canth. Caust. Cham. Clem, 

Chin. Colch. Dulc. Eerr. Hep. Ipec. 

Kali bichr. Merc. Nitric ac. Nux 

vom. Phosph. ac. Puis. Sabad. Sas- 

sap. Sep. Staph. Sulphur. Thuj. 

Veratr. 
GENERALLY: Aeon. Anac. Apis. 

Ars. Bell. Bor. Bry. Calcar. Camph. 

(.'aim. Cantliar. Caps. Carbo veg. 

Caust. Chin. Clem. Colch. Con. 

Cupr. Dig. Dulcam. Graph. Hell. 

Hep. Ipec. Kali. Lye. Mur. magn. 

.Here Mezer. Mur. ac. Natr. mur. 

Nitric ac. Nux vom. Petr. Phos/th. 

Phosph. ac. Puis. Rhod. Rhus. 

S as sap. Sec. corn. Seneg. Sep. 

Spigel. Staph. Stram. Sulph. Thuj* 

Veratr. Zinc. 
GNAWING US URETHRA; Canst. 
HEAT IN URETHRA: Caust. 
ITCHING IN URETHRA: Alum. 

Ambra. A in. Cant]). Daph. Lye. 

Natr. mur. Xux void. Thuj. 
LAMINATIONS IN URETHRA: 

Ant. crud. Calc. Canth. Cou. Dig.. 



Graph. Merc. PJtos. ac. Puis. Zinc 
— in bladder: Canth. Lye. Thuj. 
—in renal region : Canth. Merc. 
OS COCCYX, pain in: Graph. 
PRESSURE IN BLADDER : Aeon. 

Con. Nitric ac. Spig. Staphys. 

Veratr. Zinc. 
— in the urethra : Canth. Puis. 
— in renal region : Bell. Lye. 
PROSTATIC JUICE, discharge of: 

Natr. Phosph. ac. 
STITCHES IN BLADDER: Canth. 

Lye. Sulph. 
— in urethra : Bry. Can. Canth. Chin. 

Clem. Con. Cupr. Daph. Graph. 

Ign. Lach. Merc. Natr. mur. Sulph. 

Thuj. 
— in kidneys : Aco. Bell. Canth. Hep. 

Phosph. ac. 
— in bowels : Nitric ac. 
STOOL INVOLUNTARY : Muriat. 

ac. Squill. 

c. After urination. 

BURNING IN URETHRA: Con. 

Graphit. Lye. Merc. Nitric acid. 

Rhod. Sulph. 
CUTTING IN URETHRA: Canth. 

Con. Staph. Sulph. 
DRIBBLING OF URINE: Bryon. 

Gale. carb. Lach. Petr. Selen. Thuj. 
DRIBBLING OF BLOOD: Daph. 

Zinc. 
GENERALLY: Anac. Antim. tart. 

Am. Asaf. Aur. Bell. Calad. Calc. 

Cann. Canth. Capsic. Chin. Clem. 

Coloc. ( on. Creos. Dig. Hep. Kali. 

Lach. Lye. M. arct. Mercur. Mur. 

ac. Natr. Natr. mur. Nitr. ac. Nux 

vom. Par. Phos. Plat. Puis. Rhod. 

Ruta. Selen. Seneg. Sep. Staim. 

Staph. Sulph. Thuj. Veratr. Zinc. 
ITCHING IN URETHRA: Canth. 

Lye. Sassap. 
MUCUS, discharge of: Con. Natr. 

mur. 
NAUSEA: Dig. 



URINE AND URINARY ORGANS. 



85 



PRESSURE IN URETHRA : Stann. 

— on the bladder : Con. Stann. Zinc. 
SORENESS IN URETHRA: Nux 

vom. Thuj. 
STITCHES IN URETHRA: Am. 

Caps. Mere. Muriat. acid. Phosph. 

Veratr. 
— in bladder: Guaj. 



— in kidneys : Ambr. 

TEARING IN URETHRA: Carbo 

veg. Lye. 
URETHRA, as of a drop in: Lact. 

Thuj. 
URGING TO URINATE : Bar. Dig. 

Mercur. Rnta. Stann. Staph. Zinc. 



uiiijsrAiiY onaA.xrs. 



1. Bladder. 

BURNING : Aeon. Ars. Canth. Lach. 

N. vom. Phosph. ac. Puis. Staph. 
CATARRH: Ant. Dulc. Nux vom. 

Puis. Sulph. 
CONSTICTION: Caps. Cic. Phos. 

ac. Puis. Sassap. 
CUTTING: Canth. Kali. Lye, Nux 

vom. Puis. Thuj. 
DRAWING : Calad. Rhod. 
FULLNESS, feeling of: Caladium. 

Ruta. 
GENERALLY : Aeon. Alum. Ambr. 

Ant. cruel. Am. Ars. Aurum. Bell. 

Bry. Gale. Camph. Cann. Canth. 

Caps. Carbo veget. Chin. Cic. Coff. 

Clem. Colch. Dig. Dulc. Graph. 

Hyosc. Ign. Kali. Lycop. M. austr. 

Merc. Mezer. Natr. mur. Nitr. ac. 

N. vom. Phosph. Phos. ac. Puis. 

Rhus. Ruta. Sabin. Sassap. Sep. 

Staph. Sulph. Thuj. Zinc. 
HEMORRHOIDS: Aconit. Borax. 

Carbo veg. Dulcam. Nux vom. 

Puis. Sulph. 

INFLAMMATION: Aconit. Camph. 

Canth. Dig. Merc. N. vom. Puis. 

Squilla. Sulph. 
— of neck of' bladder: Aconitum. 

Canth. Con. Dig. Nux vom. Puis. 

Sulph. 
INSENSIBLE: M. austr. Stann. 



PARALYSIS : Ars. Bell. Canth. Cic. 

Dale. Hyosc. Laur. M. austr. 
PRESSING: Alum. Carbo veget. 

Chin. Colch. Nux vom. 
PULSATION: Canth. 
PRESSING: Hyosc. 
PRESSURE: Asar. Bellad. Bryon. 

Camph. Carbo veg. Con. Ign. Lach. 

Natr. mur. Nitric acid. Pulsat. Sas- 
sap. Sep. Squilla. Staph. Zinc. 
RELAXED : Mur. ac. 
SPASMS: Asa f. Camph. Canth. 

Caps. Phosph. ac. Sep. 
SPASMODIC PAIN : Prun. 
STITCHING: Aur. Canth. Cham. 

Guaj. Lye. Puis. Rhus. 
STONE : Amb. Ant. crud. Calc. carb. 

Cann. Lye. Nux vom. Phosph. 

Ruta. Sassa2i. Sil. 
SUPPURATION : Canth. Puis. 
SWELLING OF NECK OF 

BLADDER : Puis. 
THICKENING: Dulc. 

2. Urethra. 

BURNING: Arsen. Baryt. Bryon. 
Calc. carb. Cann. Canth. Caust. 
Clem. Colon. Cupr. Ipec. Kail 
bichr. Lye. Mercur. Natr. Nitric 
ac. Petr. Phosph. Phosph. acid. 
Sassap. Sepiae. Staph. Sulph. Tliuj. 



86 



URINE AND TOINATJY ORGANS. 



CUTTING: Ant. cruel Calc/Carb. 

Caun. Canth. Carbo veg. Colchic. 

Con. Cupr. Dig. Ignat. Lye. Merc. 

Nux vom. Phosph. ac. Rhod. Sep. 

Sulph. Thuj. 
DISCHARGE: Agn. Calc. carbon. 

Caiin. Canthar. Caps. Dulc. Hep. 

Mere. Nitr. ac. Nux vom. Petr. 

Puis. Sassap. Sulphur. Thuj. 
— bloody : Calc. carbon. Lycop. Merc. 

Nitric ac. Zinc. 
— thick: Merc. 
— purulent: Cann. Canthar. Clem. 

Mercur. Nitric acid. Sassap. Sulph. 

Thuj. 
— yellowish: Cann. Mercur. Natr. 

mur. Nitric ac. Thuj. 
— greenish : Merc. Nitric ac. 
— slimy: Ant. Cann. Caps. Dulc. 

Merc. Mezer. Nitric ac. Phos. ac. 

Puis. Sulph. 
— watery: Cann. Merc. Sulph. 
DRAWING : Cole. Kali. Lye. Puis. 

Sabad. Sulph. Zinc. 
GENERALLY: Aeon. Alum. Ant. 

crud. Antim. tart. A^n. Arg. nitr. 

Aur. Bov. Bryon. Calc. carb. Cann. 

Canth. Capsicum. Caust. Chel. 

China. Clem. Coff. Colch. Con. 

Cop. Cupr. Dulc. Ferr. Graph. 

Hep. Ign. Kali. Lach. Lycop. M. 

austr. Merc. Mezer. Natrum mur. 

Nitric ac. Nux vomica. Phosph. 

Phosph. ac. Puis. Rhus. Sabin. 

Sep. Staph. Sulphur. Thuj. Ve- 

ratr. Zinc. 
INFLAMMATION: Aeon. Bovista. 

Cann. Canth. Clem. Digital. Hyose. 

Merc. Nux vom. Puis. Squilla. 

Sulph. 
ITCHING: Agar. Arm Bov. Bry. 

Canth. Chin. Lye Merc. Nat Dim 

mur. Nux vom. Sulph. Thuj. 
PRESSURE: Canth. Colch. Nux 

vom. Puis. 



PULSATING : Canth. Merc. 
SORENESS, as from: Bar. Daph. 

Natr. mur. Phosphor. Teucr. Zinc. 
SPASM: Chin. Carbo an. * 

STITCHING: Arn. Bryon. Cann. 

Canth. Capsic. Con. Cuprum. 

Daph. Graioh. Ign. Iod. Lach. 

Lye. Merc. Mur. ae. Natrum mur. 

Nux vom. Phosphor, ac. Squilla. 

Sulph. Thuj. 
STRICTURE : Camph. Canth. Carbo 

veg. Clem. Dulc. Lye. N. vom. 

Petr. Puis. Rhus. Sulph. 
SWELLING: Canthar. Merc. Nitr. 

Rhus. 
TEARING: Cann. Carbo vegetab. 

Clem. Colch. Lycop. Natrum. Sas- 
sap. Sulph. 
TICKLING: Canth. 
TWITCHING: Con. Natr. Phosph. 
ULCER : Merc. Nitric ac. 

3. Kidneys. 

BURNING: Bell. 
DRAWING: Clem. 
GENERALLY: Aeon. Alum. Bell 

Cann. Canth. Carbo veget. Clem. 

Colchic. Hep. Kali. Lye. Nitric ac. 

Nux vomica. Phosph. Phosph. ac. 

Pulsat. Rheum. Ran. seel. Sassap. 

Sep. Sulph. Thuj. Zinc. 
GRAYEL : Alum. Calcar. carbon. 

Cann. Canth. Lye. Nitric ac. Nux 

vom. Petr. Phosph. Ruta. Sil. Sas- 
sap. Sulph. 
INFLAMMATION : Bell Cann. 

Canthar. Hep. Lye. N. vom. Puis. 
JERKING: Canth. • 
PULSATIONS : Canth. 
PRESSURE: Thuj. Zinc. 
AS IF SORE : Zinc. 
SPASMODIC PAINS: Sulph. 
STTTOTTES: Aeon. Bell Canthar. 

Hep. Kali. Phosph. ac. Zinc. 



87 



XXYI. SEXUAL ORGANS AND FUNCTIONS. ' 



1. Penis. 
BLUENESS: Am. 
BURNING: Canth. Euphorbium. 

Merc. Mur. ac. Plumb. 
COLDNESS : Lye. Merc. Sulph. 
DEADNESS: Lye. Merc. 
DRAWING : Canth. Cic. Iod. Kali. 

M. austr. Merc. Ban. sc. Zinc. 
EBUPTION: Graph. Phosph. acid. 
GANGBENE: Ars. Canth. 
GENERALLY: Alum. Ambr. Anac. 
• Ant. crud. Am. Ars. Bovista. Bry. 

Cale. earb. Camphor. Caim. Canth. 

Caps. Carbo veg. Canst. Chin. 

Clem. Colch. Con. Cupr. Dig. Ferr. 

Graph. Hep. Ign. Iodine. Ipec. 

Kali. Lach. Lye. M. austr. Merc. 

Mezer. Mur. ac. Natr. Natrum 

mnr. Nux vom. Op. Phosphor. 

Phosph. ac. Plat. Plumbum. Puis. 

Ran. Rhus. Sabin. Selen. Sep. Sil. 

Spigel. Staph. Sulph. Tliuj. Viol. 

trie. Zinc. 
GONORRHOEA: Cann. Cantharis. 

Caps. Clem. Dulc. Ferr. Lye. Merc. 

Natr. mur. Nitric ac. Nux vom. 

Puis. Sabina. Sec. corn. (?) Selen. 

Sulph. Thuj. 
— acute : Cann. Canth. Merc. Nitr. ac. 
— chronic : Cann. Capsic. Dulc. Ferr. 

Merc. Nitr. ac. N. vom. Sep. Sulph. 
— green : Cann. Merc. 
— white: Cann. Caps. Ferr. 
— clear: Merc. Sulph. 
— yellow: Cann. Mere. Nitric ac. 

Sulph. 
INFLAMMATION : Canthar. Merc. 

Plumb. Sulph. 
ITCHING: Ars. Con. Spig. Sulph. 
PAIN AS IF BRUISED : Arn. 
PRESSURE: Viol. trie. 
PUSTULES: Bovist. 



REDNESS : Arn. Cann. 
RELAXED : Calc. Lye. Merc. Prun. 
SORE, painful as if: Arn. Cann. 

Cicut. 
SPASM: N.mosch. 
STITCHES: Asa feet. Lye. Merc. 

Puis. Spig. Sulph. Thuj. 
SWELLING : Arn. Cann. Canthar. 

Merc. Plumb. 
TEARING: Con. Kali. M. austr. 

Merc. Thuj. 
TWITCHING: Lye. 
TENSION : Am. Graph. 
ULCER: Merc. 

2. Glans. 

BURNING: Ars. Cann. Chin. Lye. 

Merc. Stann. Tart. 
COLDNESS: Lye. Merc. 
CREEPING: Alum. Merc. Natr. 

mur. Tart. 
CUTTING: Lye. Thuj. 
DAMPNESS: Alum. Lye. Merc. 

Natr. mur. Nitr. ac. N. vom. Sulph. 

Thuj. 
DRAWING: Alum. Asa feet. Iod. 

Lye. 
ERUPTION: Calacl. Lycop. Nitr. 

Petr. Sep. 
FORMICATION: Alum. 
GENERALLY : Alum. Antim. crud. 

Ars. Calc. carb. Cann. Canth. Carb. 

veg. Caust. Chin. Colch. Dig. 

Graph. Ign. Iod. Lach. Kali. Lye. 

M. austr. Merc. Mez. Natr. Natr. 

mur. Nitr. ac. N. vom. Petr. 

Phosph. Puis. Rhus. Sabin. Sep. 

Sil. Stann. Staph. Sulph. Thuj. 
HARDNESS: Cann. 
INFLAMMATION : Arnic. Cannab. 

Cupr. Merc. Rhus. 
ITCHING: Ambr. Angust. Ars. 

Cann. Euphr. Hell. Iod. Mang. 



88 



SEXUAL ORGAN.- AND FUNCTIONS. 



Merc. Natr. Nitr. ac. N. voui. 

Phosph. ac. Sep. Sil. Thuj. 
PRESSURE: Lye. Viol. trie. 
REDNESS: Arsen. Cann. Merc. 

Sabin. 
SMEGMA : Merc. Nitr. ac. 
SORENESS, as from: Nux vom. 

Sabin. 
SPOTS, red : Cann. Carbo veg. Lack. 

Nitr. ac. 
SWELLING: Ars. Cann. Canth. 

Merc. Rhus. 
— on one side: Spig. 
STITCHES: Aeon. Am. Ars. Eu- 

phorb. Enphr. Lycop. Merc. 

Phosph. Rhod. Sabin. Sulph. Thuj. 
TEARING: Daph. Euphorb. Kali. 

Lye. Merc. 
TUBERCLES: Hell. 
ULCERS: Merc. Nitr. ac. Sep. 

Sulph. Thuj. 
— chancrous: Merc. Nitr. ac. Rhus. 

Sulph. Thuj. 
ULCERATIVE PAIN: Ambr. Ign. 

ESICLES: Merc. Phosph. acid. 

Rhus. 

3. Prepuce. 

BURNING: Arsen. Cann. Merc. N. 

vom. 
CREEPING : Croc. Merc. Ph. ac. 
DRYNESS : Calad. Ign. Sil. 
ERUPTION: Aur. Graph. Merc 

Nitr. ac. Rhus. Sulph. 
GENERALLY : Aeon. Arn. Arsen. 

Calad. Calc. carl). Cannab. Canth. 

Canst. Chin. Euphorb. Graph. Hep. 

Ign. Lach. Lye. M. arct. More. 

Mezer. Natr. mur. Nitr. ac Nux 

vom. Phosph. ac. Plumb. Puis. 

Rhod. Rhus. Selen. Sep. Sil 

Staph. Sulph. Thuj. Viol. trie. 

Zinc. 
HARDNESS: Lach. Merc. Sulph. 
HERPES : Caust. Dulc. Hep. Merc. 

Nitr. ac. Phosph. ac. Sep. 
INFLAMMATION: Cale. earb. 



Cann. Merc. Nitr. ac. Sulph. 
ITCHING: Aco. Agar. Bry. Calad. 

Carb. veg. Cann. Caust. Euphras. 

Merc. Nitr. ac. N. vom. Puis. Sep. 

Sil. Sulph. Thuj. 
PAIN AS IF SORE : Calad. Cham. 

Ign. N. vom. 
PARAPHIMOSIS : Bell. Coloe. Ign. 

M. arct. Merc. N. vom. 
PHIMOSIS : Cannab. Canthar. Merc. 

Nitr. ac. Rhus. Sulph. Thuj. 
REDNESS : Calc. Cann. Merc. 
SCURFS : Caust. Nitr. ac. (Comp. 

Herpes.) 
STITCHES: Ars. Bry. Caun. Eu- 
phras. Hep. Merc. Puis. 
SMARTING: Calad. Merc Nux 

vom. Puis. 
SPOTS, red: Nitr. ac. Rhus. 
SORENESS: Calad. Cann. Carbo 

veg. Ign. Nitr. ac. N. vom. 
STRICTURE: Cann. Merc. Sep. 

Sulph. 
SUPPURATION: Merc. 
SWELLING : Calad. Cann. Graph. 

Merenr. Nitric ae. Rhus. Sulph. 

Thuj. 
ULCERS: Aurum. Caustic. Hep. 

Merc. Nitric ac. Bhu.s. Sep. 

Sulpjh. Thuj. 
— chancrous: Kali bichr. Mercur. 

Nitric ac. Rhus. Thuj. 
VESICLES : Merc. Rhus. 

4. Testicles. 

BURNING: Iod. Plat. Staph. 
COLD FEELING : Merc. 
CONSTRICTION: N. vom. Plumb. 
DRAWING: Amm. Clem. Ipecac. 

M. arct. Merc. Phos. Puis. Rhod. 

Staph. Zinc. 
DWINDLING: Aur. Lye. 
GENERALLY: A<jn. Amm. Antim. 

crud. Arn. Aur. Bell. Calc. carb. 

Canth. Carbo veg. Caustic. Chin. 

Clem. Core. Con. Dig. Graph. 

Ignat. Iod. Kali. Lye M. austr. 



SEXUAL ORGANS AND FUNCTIONS. 



89 



Merc. Natrum. Nitric ac. Nux vom. 

Phos. Phosph. ac. Plat. Plumbum. 

Puis. Rhod. Elms. Selen. Sep. Sil. 

Spong. Staph. Sulph. Tar. Thuj. 

Zinc. 
GNAWING: Plat. 
HANGING DOWN: Nitr. ac. Puis. 
HARDNESS : Agn. Arg. Arnica. 

Aur. Clem. Iod. Merc. N. vom. 

Rhod. Spong. 
HEAT: Arn. 
—feeling of : Sulph. ac. 
HERNIA : Lach. N. vom. Rhus. 
INDURATION: Amm. Ignatia. M. 

austr. Plumb. 
INFLAMMATION : Aco. Aur. Clem. 

Lye. Mercur. Nux vom. Puis. 

Staph. Zinc. 
ITCHING : Iod. Ign. Merc, Nux 

vom. Spig. 
JERKS : M. austr. 
PAIN AS IF BRUISED : Arn. 

Clem. Con. Dig. 
PRESSING TOWARD THE 

TESTICLES: Iod. 
PRESSURE: Aur. Bism. Cannab. 

Caust. Ign. Lach. Phos. ac. Puis. 

Squilla. Staph. Zinc. 
SENSITIVENESS: Arn. Asa feet. 

Cann. Phosph. ac. Zinc. 
SPASM: Phosph. 
STITCHES : Arn. Bell. Merc. Nux 

vom. Rhod. Spig. Thuj. 
SWELLING: Arn. Arsen. Aur. Can- 

thar. China. Clem. Con. Iod. Lye. 

Merc. Nitric acid. Nux vom. Puis. 

Rhod. Ruta. Spong. Staph. Zinc. 
— of epidydimis : Sulph. 
TEARING: Chin. M. austr. Phos. 

ac, Puis. Staph. 
TENSION: Arn. Sulph. 
TURNING: Sabad. 

5. Scrotum. 

BLUENESS: Arn. 
BURNING: Euphorb. Rhod. 
CONTRACTION: Petr. Puis. 



COLDNESS: Caps. 

CREEPING : Arn. Carbo veg. Selen. 

Thuj. 
DAMPNESS: Petr. Rhus. Sulph. 
ERUPTION: Petr. Phosphor, ac, 

Rhus. 
ERYSIPELAS: Ars. 
GENERALLY: Aeon. Ambr. Ant. 

crud. Arn. Ars. Baryt. Bell. Calc. 

carb. Camphor. Cannab. Carbo 

veg. Caust. Chin. Clem. Con. Eu- 
phorb. Graph. Hep. Ign. Iod. Kail. 

Lye. M. austr. Mezer. Natr. Nitric 

ac. Nux vom. Petr. Phosph. Plios. 

ac. Plumbum. Puis. Rhodod. Rhus. 

Selen. Sep. Sil. Staphys. Sulph. 

Thuj. Yiol. trie. Zinc. 
HERPES : Calc. carb. Dulc. Petr. 
HYDROCELE: Arn. Graph. Nux 

vom. Puis. Rhodod. Rhus. Sil. 
INFLAMMATION : Ars. Phosph. ac. 

Plumb. 
! ITCHING : Ambr. Amm. Aurum. 

Baryt. China. Cocc. Graphit. Lye. 

Meph. Nux vom. Petr. Pulsat. 

Rhodod. Rhus. Selen. Staph. 
PAIN AS IF BRUISED : Aeon. 

Arn. Kali. 
PULLING: Petr. 
RASH: Rhus. 
REDNESS: Puis. 
RELAXED: Chin. Lye. 
SHRIVELING: Rhod. 
SORENESS : Arn. Petr. Plumb. 

Sulph. 
STITCHES: Arn. Merc. Sulphur. 

Thuj. 
SWELLING: Arn. Canth. Carbo 

veg. Graph. Plumbum. Puis. Rhus. 

Sep. 
SWEAT : Baryt. Ignat. Rhodod. 

Thuj. 
TENSION: Arn. 

6. Spermatic Chord, 
BURNING: Staph. 
DRAWING: Agn. Canthar. Clem. 



90 



SEXUAL ORGANS AND FUNCTIONS. 



M. austr. Merc. N. voni. Fids. 

Ehod. 
GENERALLY: Alum. A mm. niur. 

Ant. cruduni. Am. Canthar. Clem. 

Iod. Kali. M. austr. Mercnr. Nitric 

ac. Xu.j'rom. Phosph. acid. Plumb. 

Puis. Sabin. Spong. Staphys.Th.nj. 

Yeratr. 
HARDNESS : Phosph. ac. 
PRESSURE: Nux mosch. Spong. 

Sulph. Thuj. 
STITCHES: Amm. mur. Arn. Grat. 

Staph. Thuj. 
SWELLING: Cann. Phos. Puis. 

Spong. 
TEARING: Colch. Puis. 
TENSION: Cann. M. austr. 
THROBBING : Amm. mur. 
TWITCHING: Plumb. 

7. Prostate Gland. 
HARDNESS: Iod. 
INFLAMMATION : Agn. Iod. Merc. 

Puis. 
PROSTATIC JUICE, discharge of: 

Alum. Anac. Calcar. Con. Hep. 

Lycop. Nitric acid. Petr. Phosph. 

ac. Plat. Selen. Sep. Sil. Staph. 

Sulph. Zinc. 
— when urinating: Anac. Calc. Sep. 

Sulph. 
— at stool: Alum. Calcar. Hep. Ign. 

Selen. Sil. Sulph. 
— after stool : Selen. 
— before stool : Selen. 
— with relaxed parts: Calcarea. 

Phosph. ac. 
SWELLING: Puis. 

8. General Symptoms. 
COLDNESS: Agn. Capsic. Lycop. 

Merc. 

ERUPTION: Aur. Calad. Caustic. 
Dulc. Graph. Merc. Nitric av. Petr. 
Phosph. ac. Rhus. Sep. Sil. Sulph, 
Thuj. 



— on the hairy part of [the parts : Ka- 
li, bichr. Lach. 

FETID SMELL : Natr. mur. Sassap. 

FIGWARTS: Euphr. Lye. Nitric 
ac. Phosph. ac. Sabin. Sassap. 
Thuj. 

— bleeding: Thuj. 

— flat: Nitric ac. Thuj. 

— like cock's-crest : Nitric acid,. Thuj. 

— humid: Nitric acid. Sulph. Thuj. 

—dry: N. vom. Sulph. Thuj. 

GANGRENE: Ars. Canth. 

HAIR, falling off: Natrum mur. 

Nitric ac. Rhus. Selen. 
HERPES: Aur. Dulc. Nitric acid. 

Petr. Phosph. ac. Sulph. 
RELAXED: Calc. Lye. Phos. ac. 

Selen. 
SWEAT : Calad. Merc. Phos. ac. 

Sep. Sulph. Thuj. 
WEAKNESS : Agn. Calc. Lycop. 

Mang. Sep. Sulph. 

9. Sexual Instinct, 
Functions. 

ERECTIONS: Agar. Alum. Ambr. 

^iiiac. Arn. Ars. Aur. Baryt. Bell. 

Boy. Calc. carb. Cann. Canth. Caps. 

Carbo animal. Carbo veg. Chin. 

Clem. Colch. Con. Big. Graph. Ig- 

natia. Kail. Lach. Lycop. M. arct. 

Mur. magn. Merc. Mosch. Natr. 

Natr. mur. Nitric ac. Nux vom. Op. 

Phos. Phosph. ac. Plat. Plumbum. 

Puis. Rhus. Sabin. Sep. Sil. Spig. 

Staph. Sulph. acid. Tar. Thuj. Viol. 

trie. Zinc, 
—in the evening : N. vom. Phos. 

Staph. 
—in the morning: Ambr. Anac. Arn. 

Brom. Caps. Lach. Natrum. N. vom. 

Phos. Plumb. Puis. Rhus. Thuj. Vit. 
—at night : Canth. Merc. Natr. mur. 

Nitric ac. Plumb. Puis. Staph. 

Sulph. ac. Zinc, 
—in the day-time: Cann. Hijosc. 

Lach. Puis. 



SEXUAL ORGANS AND FUNCTIONS. 



91 



— day and night : Canth. 

— too short : Calad. Calc. Con. Selen. 

— deficient: Agn. Calad. Camphor. 

Con. Graph. Hell. Lack. Lye. Magn. 

carb. Nux mosch. Puis. Tencr. Vit. 
— too feeble: Baryt. Caladium. Lach- 

esis. Lye. Mercur. Selen. Sulph. 
— too strong : Canthar. Creos. Lach. 

Natr. nrar. Nux vom. Op. Phos. 

Puis. Sabin. Zinc. 
— too painful: Cann. Canth. Graph. 

Ign. Kali. Merc. Nitric ac. Nux 

vom. Plumb. Sabad. Sulph. Thuj. 
— without sexual lust : Ambra. Calad. 

Cann. Caps. Graphit. Lach. Magn. 

Natruni muriat. Phosph. ac. Sabad. 

Sabin. Sil. Spig. 
SEMEN BLOODY: Caust. Canth. 

Led. Merc. 
— thin: Selen. 
— inodorous: Selen. 
— watery: Led. Sulph. 
— flow of: Agar. Alum. Anac. Arg. 

Arn. Ars. Aur. Baryt. Bell. Bism. 

Bov. Brom. Calad. Calc. Canth. 
i 

Carbo an. Carbo veg. Caustic. 
China. Cicut. Con. Ferr. Graphites. 
Guaj. Kali. Lach. Led. Lye. Magn. 
Merc. Natr. Natr. mur. Nitric ac. 
Nux mosch. Nux vom. Op. Petr. 
Phosph. Phosph. ac. Puis. Ban. 
bulb. Bhus. Buta. Sangv. Selen. Sep. 
Silicea. Stann. Staph. Sulphur. 
Thuj. Verb. Vit. Zinc. 
in the day-time : Canthar. Car- 
bo an. Caust. Graph. Lach. 
not taking place during inter- 
course: Calad. Graph. Kali. 
Lach. Lye. 

with relaxed penis : Bellad. Con. 

Graph. Mosch. N. vom. M. arct. 
Plumb. Selen. 
— — at stool : Phosph. ac. 
— weakening : Baryt. Carbo an. Chin. 
Kali. Lach. Lye. Nux vom. Phosph. 
Phosph. ac. 



— too soon : Bor. Calad. Calcar. Lye. 

Phosph. Sel. Zinc. 
— too often : Bar. Calc. carbon. Canth. 

Carbo veg. Chin. Ci: Con. Kali. 

Lye Nitric ac. Petr. Phosph. 

Phosph." ac. Sep. Sil. Sulph. 
— during the siesta : Alumina. Caust. 

Clem. Mercur. Staph. Sulph. 
— without force: Canthar. Con. 

Phosph. Selen. 
— deficient: Calad. Calc. Camphor. 

Kali. Lach, Lye. Natr. mur. 
— followed by languor: Baryt. Calc. 

carb. 

by anxiety : Carbo an. 

by head-ache : Calcar. Lach. Sil. 

irresistible desire : Bhus. 

heaviness in the limbs next 

day : Puis. 

amorous fancies : Alumina. Ars. 

Aur. Baryt. Bism. Calc. Chin. 
Grat. Led. Natr. Nux vom. Ole- 
and. Op. Phosphor. Plumb. Sa- 
bad. Samb. Sassap. Sil. Staph. 
Viol. trie. 
SEMEN, followed by dryness of the 

skin: Baryt. 

contractive feeling in urethra: 

Thuj. 

voluptuous dreams : Calcar. ph. 

Kali carb. 
— early in the morning: Lach. N. 

vom. Plumb. Puis. 
— after midnight : Samb. 
— several nights in succession: Aur. 

Caust. Carb. an. Con. 
— after onanism: Calc. Carbo veg. 

Chin. Natr. mur. Ph. ac. Sep. Staph. 
— without dreams : Anac. Ant. crud. 

Bism. Calc. Cic. Guaj. Phosph. 

Puis. Kan. sc. Buta. Stann. Verb. 

Zinc. 

fancies : Phosph. 

thrill : Anac. Natr. Carb. Sulph. 

ac. Plat. 
—painful: Calc. Cann. Canth. Clem. 

Mosch. Natr. carb. Sassap. Thuj. 



92 



SEXUAL ORGANS ANfD FUNCTIONS; 



— with cutting in urethra : Bor. 

— with cutting in urethra afterwards : 

Natr. mui'. 
— too late: Agar. Calc. Lach. Lye. 

Petr. 
SEXUAL INTERCOURSE, aver- 
sion to: Agar. Cann. Caust. Clemat. 

Kali. Lye. Phosph. Rhod. 
— desire for: Calcar. Cantli. Chin. 

Laeli. Mosch. Phos. Puis. Stann. 

Yeratr. 
— falls asleep during : Bar. Lye. 
— followed by mental languor : Calc. 

Sep. 

by pain in urethra : Canth. 

— —by dullness of head : Bov. Chin. 
Lye. 

by ill-humor : Petr. 

by back-ache : N. vom. 

— with relaxed penis: Con. Lye. N. 

vom. 
— followed by weakness : Agar. Calc. 

Knit. Lycop. Nitr. ac. Selen. 

by sweat : Agar. 

by bruised feeling : Sil. 

by tremor of the legs : Calc. 

carb. 
SEXUAL LUST : Calc. carb. Canth. 

Carb. veg'. Chin. Graph. Hyosc. 

Lach. Mosch. Natr. mur. N. vom. 

Phosph. Plat. Puis. Sep. Stann. 

Stram. Veratr. Zinc. 
SEXUAL DESIRE TOO STRONG : 

Agar. Alum. Ant. crud. Aur. Baryt. 

Bov. Calc. Cann. Canth. Carb. veg. 

China. Coff. Con. Dig. Dulc. Terr. 

Graph. Hyosc. Ign. Iod. Kali. Lach. 



Lycop. Mane. M. a ret. M. aust. 

Men. Merc. Mosch. Natr. mur. N. 

vom. Op. Petr. Phos. Plat. Plumb. 

Puis. Rhus Ruta. Sabin. Sep. Sil. 

Stajli. Strain. Sulph. Yeratr. Zinc. 
SEXUAL DESIRE, like priapism: 

Canth. Graph. Natr. mur. N. vom. 

Phosph- Plat. Puis. Staph. 
— like satyriasis: Canth. Merc. N. 

vom. Phosph. Sulph. Yerat. 
— deficient : Amm. mur. Bellad. Bor. 

Calc. carb. Camph. Con. Graph. 

Hep. Kali. Lach. Lye. Magn. c. 

Nitr. ac. Phosphor, ac. Rhod. Stann. 

Sulph. 
— too feeble : Alum. Ambr. Bar. Bell. 

Bor. Calacl. Calc. Carbo an. Caust. 

Clem. Ferr. Graph. Hep. Kal. Lact. 

Lye. Magn. c. Mur. ac. Natr. mur. 

Nitr. ac. Op. Petr. Phosph. ac. 

Ehod. Selen. Sep. Spong. Stann. 

Sulph. Teucr. 

— with impotence : Agar. Graph. Se- 
len. 
SEXUAL POWER, too feeble : Agar. 
Bar. Calad. Calc. Canth. Chin. Con. 
Ignat. Mang. N. mosch. Selen. Sep. 
Sulph. Vit. 

deficient : Agar. Agn. Ant. crud. 

Baryt. Calad. Calc. Camph. Cann. 
Carb. v. Caust. Chin. Chlor. Con. 
Cupr. m. Ferr. Graph. Hep. Ign. 
Iod. Laches. Lye. Mosch. Mur. 
acid. Natr. mur. Nitr. acid. N. 
mosch. N. vom. Phosph. Plumb. 
Rhus. Selen. Sep. Sil. Sulph. Thxi}. 
Vit. Zinc. 



FJEMALJZ SJZJCTJAL ORG-A.JSTS JlJSTJD 
F ZTJSTC T TONS. 



A. SEXUAL ORGANS. 

1. Elxternal Organs. 
APHTHAE: Carb. veg. 
BURNING: Calc. Canth. Carbo veg. 
Caust. Kali. Lye. M. anstr. N. vom. 



Petr. Sabin. Sil. Staph. Sulph. 

Tiiuj. 
DAMPNESS : Aur. Sulph. 
ERUPTIONS: Calc. Caust. Dulc. 

Graph. Mierc.Nux vom. Petr. Rhus. 

Sep. Staph. Sulph. Yeratr. 



SEXUAL OEGANS AND FUNCTIONS. 



93 



GENERALLY: Aeon. Agar. Alum. 

Ambr. Amm. Ant. crud. Arn. Asa 

f. Aur. Bar. Bell. Bry. Calc. Canth. 

Carbo veg. Cham. Chin. Coff. Con. 

Creos. Dulc. Ferr. Graph. Hyosc. 

Kali. Lijc. Meph. Merc. Natr. Natr. 

mur. Nitr. ac. Nux vom. Petr. 

Phosph. Platin. Pulsat. Rhus. Sec. 

corn. Sep. Silic. Staph. Sulph. 

Thuj. Veratr. 
GNAWING : Kali. Lye. Nux vom. 
HAIR, falling out : Natr. mur. Nitr. 

ac. 
HEAT: Aur. Canth Carbo veg. M. 

austr. Merc. Nux vom. 
ITCHING : Agar. Alum. Ambr. Calc. 

Carbo veget. Creos. Con. Dulc. Kali 

bichr. Kali carb. Lye. Merc. Natr. 

mur. Nux vom. Sep. Staphys. Sil. 

Sulph. 
NETTLE-RASH: Ant. tart. 
PAINFULLNESS : Kali bichr. Merc. 

Staph. 
PIMPLES : Graph. Kali. Merc. 
PUSTULES: Bry. Merc. 
REDNESS: Carbo veg. 
SWELLING: Ambra. Amm. Aur. 

Canth. Carbo veg. Meph. Mercwr. 

Nitric ac. Nux vom. Sec. corn. Sep. 

Thuj. 
SORENESS: Ambr. Amm. Carbo 

veg'et. Caust. Daph. Graph. Hep. 

Kalic bichr. Lye. Merc. Petr. Rhus. 

Sep. Sil. Sulph. Thuj. 
SORE PAIN: Ambr. Brom. Cham. 

Creos. Ferr. m. Rhus. Thuj. 
STITCHES : Aur. Con. Croc. Gra- 

phit. M. austr. Merc. Phosph. Sep. 

Staph. Thuj. 
TUBERCLES. Calc, Merc. Phos. 
ULCER: Graph. Merc. Nitric ac. 

Sec. corn. Sep. Thuj. 
VARICES: Calc. carb. Carbo veg. 

Lye. 
VESICLES: Graph. Staph. 



2. Vagina. 

BURNING: Aur. Cham. Hyosc. Lye. 

Sulph. Thuj. 
CONTRACTION: Mosch. Rhus. 

Sep. Thuj. 
DRYNESS: Bell. Lye. 
GENERALLY : Alum. Ambra. Aur. 

Ars. Bell. Calc. Canth. Capsic. Car- 
bo veg. Caust. China. Coff. Con. 

Creos. Dulc. Ferr. Ferr. m. Graph. 

Hep. Iodine. Kali. Lye. Mur. magn. 

Mercur. Natr. Natr. mur. Nitric ac. 

N. vom. Petr. Phosph. Plat. Puis. 

B 7 .us. Sabina. Secale corn. Sep. 

Sil. Stann. Staph. Sulph. Sulph. 

acid. Thuj. 
HEAT : Aur. Creos. Merc. 
INDURATIONS: Bell. Sep. 
INFLAMMATION: Merc. Nitric 

acid. 
—with swelling : Merc. 
ITCHING: Con. Creos. Sulph. 
— with voluptuous ieelmg : Creos. 
LABOR-LIKE PRESSING: Croc. 

Moschus. Sil. 
PAIN DURING INTERCOURSE: 

Ferr. 
PROLAPSUS: Creos. Ferr. Merc. 

Nux vom. Sep. Stann. 
SORENESS : Hyosc. Kali bichr. 
— with burning : H370SC. 
— painful: Ferr. m, Rhus. 
SPASMODIC PAIN : Nux vomica. 

Staph. 
STITCHES: Ars. Berb. Con. Mur. 

ac. Nitric ac. Puis. Rhus. 
SWELLING: Kali bichr. Merc. 

3. Uterus. 
CANCER: Ars. Bell. Calc. Carb. an. 

Clematis. Creos. Uraph. Iod. Kreo- 
sota. Lach. Phosph. Rhus. Sabin. 
Sec. corn. Sil. SuIjjIl. Thuj. 

CONTRACTION : Sep. Thuj. 

CORROSIVE ULCERATION OF 
OS TINC^E : Ars. Bell. Merc. Ni- 
tric ac. Sep. Thuj. 



94 



SEXUAL ORGANS AND FUNCTIONS. 



CUTTING IN THE OS UTEKI: 

Puis. 
DESCENSION: Sec. corn. 
DISTENSION : Lye. Phosphor, ac. 

Sep. 
DBA WING: Puis. Rhus. 
GENERALLY : Aeon. Antim. crud. 

Arn. Asa f. Aur. Bell. Bov. Bryon. 

Calc. Carbo an. Carbo veg. Caust. 

Cham. China. Cocc. Coff. Con. Cre- 

os. Croc. Ferr. Geum urb. Graph. 

Hyoscyam. Ign. Iod. Ipecac. Kali. 

Lach. Magn. carb. Magn. mur. 

Mosch. Natr. Natr. mur. Nux mosch. 

Nux vom. Op. Phosph. ac. Plat. 

Puis. Rhus. Sabadilla. Sabina. Sec. 

corn. Sep. Stann. Stram. Sulphur. 

Thuj. Zinc. 
HEMORRHAGE: Aeon. Arg. nit. 

Aloe. Arn. Bell. Bry. Calc. Canth. 

Carbo an. Carbo veg. Cham. Chin. 

Cofifea. Creos. Croc. Ferr. Hyosc. 

Iod. Ipec. Lye. Mag. m. M. austr. 

Merc. Mill. Natr. carb. Nitric ac. 

Nux mosch. Nux vom. Phosph. Plat. 

Psor. Pulsat. Rhus. Sabin. Sec. 

corn. Sep. Sil. Squill. Stram. Sulph. 
INDURATION: Aur. Bell. Carb. 

an. Chin. Clem. Cocc. Con. Iod. 

Magn. mur. Rhus. Sep. Staph. 
INFLAMMATION: Aeon. Bellad. 

Bry. Canth. Cham. Chin. Coff. Con. 

Dulc. Ign. Lach. Mere. Nux vom. 

Plat. Puis. Sabin. Sec. corn. 
LABOR-LIKE PAIN: Cham. Mur. 

ac. Op. Sec. corn. Sep. 
POLYPI: Calc. Staph. Thuj. 
PROLAPSUS : Aur. Bell. Calc. Cre- 
os. Merc. N. vom. Sep. Stann. 
PUTREFACTION : Carbo an. Sec. 

corn. 
SENSITIVENESS OF NECK OF 

UTERUS: CI. in. 
SORE, pain as if: Mur. ac. Rhus. 
SPASMS : Bell. Bryon. Caustic. 

Chamom. Cic. Core. Con. (ileum 

urb. Hyosc. Ignatia. Magn. Magn. 



mur. Natr. mur. Nux vom. Plat 

Pulsat. Sep. Stann. 
SPASMODIC PAIN: Cocc. Ignat. 

Nux vom. Thuj. 
STITCHES: Muriat. acid. Phosph. 

Plat. 
SWELLING: Bell. Merc. N. vom. 

Sec. Sep. 

4. Ovaries. 

DROPSY: Apis. Ars. Canthar. Dul- 

cam. Iod. Mercur. Sepise. Staph.(?) 
GENERALLY: Aeon. Agar. Ambr. 

Ant. crud. Apis. Ars. Asa f. Aur. 

Bell. Canth. Carbo an. Carbo veg. 

Chin. Coloc. Con. Graph. Hyosc. 

Ign. Iod. Kali. Lach. Lye. Merc. 

Mezer. Nux vom. Plat. Plumb. 

Ran. bulb. Sabin. Sassap. Sec. 

corn. Sep. Staph. Sulphur. Thuj. 

Vit. Zinc. 
INDURATION: Apis. Aur. Bellad. 

Carbo an. Iod. Lach. 
INFLAMMATION: Aconit. Ambra. 

Ant. carb. Apis. Ars. Bell. Bry. 

Canth. China. Coloc. Con. Dulc. 

Ign. Lach. Mercu, . Plat. Puis. Sa- 
bin. Staph. 
SENSITIVENESS: Apis. Plat. 
SWELLING: Apis. Graph. Iod.(?) 

Lach. 

5. General Symptoms. 

FIGWARTS : Nitric ac. Thuj. 

PAIN AS IF BRUISED: Bar. m. 

PRESSING TOWAEDS THE 
PARTS : Bell Bov. Chin. Cha- 
mom. Con. Croc. Graph. Ipec. 
Kali. Merc. Mosch. Natr. Plat. Pul- 
sat. Sep. Sulph. Thuj. 

RUSH OF BLOOD: Bell. China. 
Croc. Ign. Nux vom. Phosph. Plat. 
Sec. corn. Sulph. 

SORENESS BETWEEN THE 
THIGHS : Arson. Caust. Creos. 
Graph. Hop. Lye. Nitric acid. 
Phosph. Rhod. Sep. Sulph. 

WEIGHT, feeling of : Nux vom. 



SEXUAL ORGANS AND FUNCTIONS. 



95 



SEXUAL FUNCTIONS AND 
INSTINCT. 

BLOOD, loss of, between the pe- 
riods : Ambr. Arn. Bell. Bov. Calc. 
Cham. Chin. Coc. Coff. Croc. 
Hyosc. Kali. Ipecac. Merc. Magn. 
mur. Nux vom. Petr. Phosphor. 
Prun. Rhus. Sabin. Sec. corn. Sep. 
Sil. Sulph. Stram. 

— of pregnant females: Cham. Cocc. 
Kali. Phosph. Sabi?ia. Sec. corn. 

— of nursing females : Sil. 

INTERCOURSE, aversion to : Cann. 
Canst. Chlor. Cub. Kali. Lye. 
Natr. mur. Petr. Phosph. 

— desire for: Calc. Creos. Kali. Sa- 
bin. Sulph. ac. 

— with pains : Creos. Ferr. mur. Kali. 

— with too ready conception: Bor. 
Canth. Merc. Natr. 

— with nausea : Sil. 

— without thrill : Ferr. m. 

MISCARRIAGE: Aco. Apis. Arn. 
Asar. Bell. Bry. Calc. Calend. 
Canth. Caps. Carbo an. Carbo veg. 
Cham. China. Cocc. Croc. Cycl. 
Ferrum. Hyosc. Ipec. Iod. Kali. 
Lach. Lycop. Merc. Nitric ac. Nux 
mosch. Nux vom. Op. Phosph. 
Plat. Plumbum. Puis. Rhus. Ruta. 
Sabin. Sec. corn. Sep. Sil. Sulph. 
Zinc. 

— disposed to : Asar. Calcarea. Carb. 
veg. Cocc. Creos. Ferr. Kali carb. 
Lye. Nux mosch. Plumb. Puis. Ru- 
ta. Sabin. Sabad. Sep. Sil. Sulph. 

— of chlorotic females : Carbo veg. 
Chin. Ferr. Sep. Sulph. 

— with congestion of blood to the 
womb : Bell. N. vom. Plat. Sep. 

— withjspasms: Cham. Hyosc. Ipec. 
Nux vom. 

— with leucorrhcea : Calc. Ferr. Sep. 
Sulph. 

— at the outset of pregnancy: Sabin. 



Confinement, Ailments 

Incident to. 

AFTER-PAINS TOO VIOLENT, 

LONG: Arn. Bryon. Bell. Calc. 

carb. Cham. Coff. Cupr. Ferr. Ign. 

Kali. Nux vom. Puis. Rhus. Ruta. 

Sabina. Sep. Sulph. 
INJURY OF PARTS DURING 

DELIVERY: Arn. 
PAINS SPURIOUS: Bell. Cham. 

Cocc. Coff. Cupr. Hyosc. Ign. Ipec. 

Kali. Nux mosch. Nux vom. Op. 

Puis. Sec. corn. Sep. Stann. 

with urging on the rectum : Nux 

vom. 

violent : Aeon. Coff. 

with contraction of the womb : 

Bell. 
— too feeble: Arn. Bell. Camphor. 

Carb. veg. Cham. Chin. Cocc. Coff. 

Graph. Ign. Kali. Lye. Magn. mur. 

Mosch. Natr. Natr. mur. N. mosch. 

Nux vom. Op. Puis. Rhus. Ruta. 

Sec. corn. Sep. Sulph. Sulph. ac. 

after a fright : Op. 

of feeble persons : Sec. corn. 

with spasmodic pains : Puis. 

— too strong : Aeon. Arn. Aur. Bell. 

Cham. Cocc. Coff. Con. Hyosc. N. 

vom. Sec. corn. Sep. 
PLACENTA ADHERING : Bell. 

Puis. Sec. corn. 
SEXUAL INSTINCT EXCITED : 

Bell. Calc. Canth. Chin. Coff. Con. 

Creos. Ferr. Graph. Hyosc. Kali. 

Mane. Mosch. Nux vom. Plat. 

Phosph. Puis. Stram. Sulph. 

Sulph. ac. Thuj. Veratr. Zinc. 
— unto nymphomania : Bell. Canthar. 

Hyosc. Merc. Natr. mur. Phosph. 

Plat. Puis. Raph. sat. Stram. 

Veratr. 
SPASMS : Bell. Cham. Cic. Cocc, 

Hyosc. Ignat. Ipecac. Mosch. Plat. 

Stram. Veratr. 



96 



SEXUAL OBGANS A2>D FUNCTIONS. 



UTERINE HEMORRHAGE : Bell. 
Chanioni. Chin. Croc. Ferr. Ipec. 
P/o^. Sabin. Sec. corn. 

Menses. 

MENSES, pale, watery: Alum. Am. 

Bell. Berb. Bov. Calc. Carb. an. 

Carbo veg. Cocc. Con. Creos. Dig. 

Ferr. Graph. Hell. Hyosc. Ipec. 

Kali. Led. Lij<: Magn. Mane. M. 

austr. Merc. Natr. m. Nitr. ac. N. 

mosch. Phospk. Plat. Puis. Rhus. 

Sabin. Sec. corn. Sep. Sulph. Tart. 
— brown: Bry. Calc. Carb. veg. Con. 

Rhus. 
— thick: Arn. Croc. Cupr. Magn. 

c. N. mosch. N. vom. Plat. Puis. 

Sulph. 
— dark, black: Amm. Ant. crud. Arn. 

Asar. Bell. Bism. Bry. Canth. Carb. 

an. Carb. veg. Cham. Chin. Creos. 

Croc. Ferr. Ign. Lach. Magn. Nitr. 

Nitr. ac. Xux vom. 01. an. Plat. 

Puis. Sec. corn. Selen. Sep. Sulph. 
— thin: Ferr. Graph. Sabin. Sec. 

corn. 
— flesh colored : Sabin. Stront. 
— too soon: Alum. Ambr. Amm. 

Arn. Asa f. Asar. Bell. Bor. Bov. 

Bry. Calc. Canth. Carb. an. Carb. 

veg. Cham. Clin. Cin. Cocc. Colch. 

Coloc. Con. Creos. Croc. Dulcam. 

Ferr.Fluor. ac. Gent. Graph. Grat. 

Hell. Hep. Ign. Iod. Ipec. Kali. 

Laur. Led. Lye. Magn. M. austr. 

Mang. Mosch. Mur. ac. Natr. mur. 

Nitr. ac. Nux mosch. Nux vom. 

Petr. Phosph. Phosph. ac. Plat. 

Puis. Rhod. Rhus. Sabin. Sec. 

corti. Sep. Silic. Spong. Stann. 

Staph. Sulph. Sulph. ac. Veratr. 

Zinc. 
■—light-colored: Arn. Bell. Bry. Calc. 

Canth. Carb. veg. Dros. Dulc. 

Hyosc. Led. M. austr. Phosph. 

Rhus. Sabin. Sec. corn. Stront. 



— too short: Amm. Bar. Con. Dulc. 

Graph. Lach. Magn. mur. M. arct. 

Mang. Mercur. Phosph. Plat. 

Puis. Ruta. Sulph. 
— too long: Aeon. Ars. Asar. Bar. 

Bryon. Canth. Carb. an. Caust. 

Chin. Coff. Croc. Cupr. Dulc. 

Ferr. Ign. Lye. M. austr. Natr. 

mur. Nux vom. Phosph. Plat. Puis. 

Sabin. Sec. corn. Sil. Sulph. 

Sulph acid. 
— at night : Bov. Magn. carb. Sabm. 
— by fits and starts: Cham. Puis. 

Sabin. 
— acrid: Amm. carb. Ars. Canth. 

Carb. v. Graph. Kali. Nitr. Phosph. 

Puis. Sassap. Silic. Sulph. Sulph. 

ac. 
— frothy: Arn. Ferr. Ipec. 

— slimy: Cocc. Puis. 

— too scanty : Aco. Alum. Amm. Arn. 

Asa. Baryt. Bor. Bry. Calc. Carb. 

veg. Caust. Cicut. Coccul. Con. 

Creos. Crot. Cupr. Dig. Dulc. Ferr. 

Graphit. Ign. Iod. Kali. Kali hydr. 

Lach. Lye. M. arct. Magn. Merc. 

Natr. mur. 01. an. Phosph. Puis. 

Ruta. Sabad. Sassap. Sep. Sil. 

Staph. Sulph. Veratr. Vit. Zinc. 
— too late: Aeon. Amm. Ast. Aur. 

Bell. Bry. Caust. Chamom. Chel. 

Cic. Cocc. Con. Croc. Cupr. Dulc. 

Ferr. Graph. Hyosc. Hyp. Iod. 

Kali. Lach. Lye. Magn. Merc. 

Natr. carb. Natr. mur. Nic. Nitr. 

ac. Nux mosch. Petr. Phosph. Puis. 

Rhus. Sabad. Sabin. Sassap. Sep. 

Silic. Stront. Sulph. Vitr. Zinc. 
— too copious: Aco. Agar. Ambr. 

Amm. mur. Ant. cr. Arg. nitr. Ars. 

Bar. carb. Bell. Bor. Bry. Calc. 

Canth. Carb. v. Cham. Chel. .Chin. 

Cina. Coff. Creos. Croc. Cycl. 

Dulc. Ferr. Hyosc. Ign. Iod. Ipec 

Laur. Led. Lye. M. austr. Merc. 

Mosch. Mur. ac. Natr. mur. Nitr. 

ac. N. mosch. Xux vom. Phell. 



SEXUAL ORGANS A^'D FUNCTIONS. 



97 



Phosph. Platin. Plumb. Rhus. 

Ruta. Sabin. Samb. Sec. corn. Serj. 

Sil. Spong. Stram. Sulpli. Sulph. 

ac. Verat. Vine. Zinc. 
— too copious at nignt : Amm. carb. 
— lumpy: Amm. carb. Am. Bell. 

Canth. Cham. Cliin. Croc. Ferr. 

Fluor, ac. Hyosc. Ipec. N. vom. 

Plat. Puis. Rhus. Sabina. Stram. 

Stront. 
— irregular: Cocc. loci. N.vom. Puis. 

Ruta. 
— suppressed: Aeon. Agn. Alum. 

Amm. Ars. Baryt. Bell. Bry. Calc. 

Caust. Cham. Chin. Cocc. Coloc. 

Con. Croc. Cupr. Dulc. Ferr. 

Graph. Hyosc. Ign. Iod. Kali carl). 

Lye. M. arct. Magn. mur. Mercur. 

Natr. mur. N. mosch. Paeon. Petr. 

Phosph. Puis. Rhod. Rhus. Ruta. 

Sabad. Sang. Sassap. Sep. Silic. 

Staphys. Stram. Sulph. Valer. 

Verat. Vit. Zinc. 
— of young girls, delaying: Bry. 

Calc. Canst. Cocc. Con. Dulc. 

Graph. Kali. Lach. Lye. Magn. 

Natr. mur. Petr. Puis. Sabin. Sep. 

Stramon. Sulph. 
'—fetid: Bell. Bry. Carb. an. Cham. 

Chin. Croc. Ign. Kali. Merc. Plios. 

Rheum. Sabin. Sil. Sec. corn. 
— repeating: Alum. Bry. Ferr. M 

arct. Natr. mur. N. vom. Phosph. 

Ph. ac. Puis. Rhus. Sep. Veratr. 

Zinc. 

Menses and the Accompa- 
nying Ailments. 
1. Previous to the menses. 

ABDOMEN, distended: Ammon. 

mur. Creos. Lye. 
— distention: Creos. Lye. 
ANXIETY: Ammon. Cocc. Con. 

Merc. Natr. mur. Stann. 
BACK-ACHE: Ann. Bar. Brom. 

Calc. Caust. Hyosc. Magnes. carb. 



Mosch. Nitr. N. mosch. Nux vom. 

Spong. 
BREAST, spasm of: Cocc. Cupr. 
BREASTS SWOLLEN: Bry. Calc. 
— painful: Calc. Con. 
BURNING IN PUDENDUM: Calc. 
CANINE HUNGER: Magn. carb. 
CARDIALGIA: Lach. Nux mosch. 

Puis. Sep. 
CATARRH: Graph. Puis. 
CHILL: Lye. Puis. Veratr. 
COLDNESS OF THE TRUNKS: 

Mang. 
COLIC: Amm. Bell. Calc. Cham. 

Puis. Sep. 
— labor-like: Hyosc. 
— with fainting : Sep. 
—with vomiting : Puis. 
— with pressing : Magn. carb. 
COLIC : Alum. Amm. mur. Cham. 

Croc. Ferr. Hyosc. Nux vom. Ol. 

an. Plat. Puis. 
COUGH: Graph. Sulph. Puis. 
DELIRIUM: Lye. Hyosc. 
DIARRHOEA : Bov. Sil. Veratr. 
DREAMS : Calc. Caust. Con. 
DEO WSINESS : Puis. 
EXCITED NERVES : Creos. Lye. 
ERUPTION IN NAPE OF NECK: 

Carbo veg. 
EXPECTORATION, bloody: Phos. 
FACE HOT : Alum. Lye. 
— pale: Puis. 
— blue: Veratr. 
— bloated: Chin. 
IN GENERAL : Alum. Amm. Asar. 

Bar. Bry. Calc. Carbo veg. Caustic. 

Cham. Chin. Coccul. Coif. Con. 

Creos. Cuprum. Ferr. Glon. Graph. 

Iod. Kali. Lach. Lye. Mane. Mang. 

Merc. Mur. ac. Natr. mur. N. 

mosch. Nux vom. 01. an. Phosphor. 

Phos. ac. Plat. Puis. Rhus. Sep. 

Sulph. Sulph. ac. Veratr. 
GUMS SWOLLEN: Baryt. Mercur. 

Phosph. 
HARD HEARING: Creos. 



98 



SEXUAL ORG 



L XD FUNCTIONS. 



HEAD-ACHE: Carbo v<j. Cupr. 

Ferr. Iod. Lach. Natr. mur. Sulph. 

Veratr. 
HEARTBURN: Sulph. 
HEAT: Calc. 

INCLINATION TO VOMIT: Ve- 
ratr. 
ITCHING HERPES : Carbo veg. 
— of the parts : Graph. Sulph. 
LABOR-LIKE PAIN: Rhus. Plat. 
LANGUOR : Alum. Nux moseh. 
LAUGHTER: Hyosc. 
LEGS WEARY AND HEAVY: Bar. 

Lye. 
LEUCORRHCEA: Alum. Calcar. 

Ferr. Sulph. 
LIMBS AS IF BRUISED : Nitric 

acid. 
LIVER, stitches in : Con. 
— pains in the : Nux mosch. 
LOSS OF APPETITE: Bell. 
LOSS OF CONSCIOUSNESS: 

China. Sep. 
MELANCHOLY: Canst. Lye. Natr. 

mur. 

NAUSEA: Veratr. 

NOSEBLEED : Sulph. Veratr. 

PAINS IN THE BREASTS : Con. 

PALPITATION OF HEART: Al- 
umina. Cupr. Iod. Sep. Spong. 

PEEVISH: Cham. Natr. mur. 

PRESSING TOWARD THE 
PARTS : Magn. carb. Plat. 

PUPILS DILATED : Lye. 

RUSH: Dulc. 

RESTLESSNESS : Creos. Kali carb. 

RUSH OF BLOOD: Alum. Cupr. 
Mane. Merc. 

— to the head : Merc. 

SEXSTTIYENESS: Sep. 

SHUDDERING: Sep. 

SLEEP, RESTLESS : Alum. 

SOURNESS OF PARTS: Kali 
carbon. Sil. 

SPASMS, abdominal : Cham. Cupr. 

SPASMS: Cham, Cocc. Coff. Cupr. 
Hyosc. Merc. 



—hysteric : Hyosc. 

—in abdomen : Carbo veget. Cham. 

2. At the appearance of the menses. 

COLIC : Graph. Staph. 

DIARRHCEA: Veratr. 

FLATULENCE: Staph. 

IN GENERAL : Aco. Bryon. Canst. 

Cham. Graph. Hyosc. Ign. Iodine. 

Merc. Natr. mur. Plat. Puis. Sep. 

Sil. 
HEAD-ACHE: Hyosc. 
NAUSEA: Hyosc. 
PAINS IN LIMBS : Sep. 
SPASMS : Aeon. Cham. Coff. Plat. 
SWEAT: Hyosc. 

URGING TO URINATE: Sassap. 
VOMITING: Carbo veget. Phosph. 

Puis. 

3. During the menses. 
ABDOMEN DISTENDED: Alum- 
ina. Natr. Zinc. 
— co dness in: Kali carb. 
— pinching in : Alum. 
— pressure in : Cocc. Con. Nux vom. 

Sec*, corn. 
— cutting in : Sulph. 
ANXIETY: Bell. Natr. mur. Zinc. 
BACK-ACHE: Amm. carb. Caiist*. 

Lye. 
BLOODY EXPECTORATION : 

Phos. 
BURNING IN ANUS: Amm. mur. 
BURNING IN THE HANDS AND 

FEET : Carbo veg. Calc. 
COLIC: Alum. Amm. Bar. Bell. 

Calc. Carbo an. Carbo veg. Chain.. 

Cocc. Con. Graph. Kali. Ign. Larli. 

Lye. Magn. carb. Natr. Nitr. Nux 

vom. Phos. Plat. Sec. corn. Sil. 

Stront. Sulph. Zinc. 
CONSTIPATION: Natr. mur. Sil. 
CONVULSIONS: Chin. Cham. 
DELIEIUM: Hyosc 
DISCHARGE OF BLOOD AT 

STOOL : Amm. mur. 
EARS, humming in: Pctr. Verat. 



SEXUAL ORGANS AND FUNCTIONS. 



99 



ERUCTATION: Bry. Graph. Kali 

carb. 
EYES, agglutinated : Calc. carb. 
— black before the : Puis. 
EBUPTION: Kali. Sil. 
FACE, pale : Amm. Graph. Lye. Puis. 
— blue: Veratr. 
— color of, changing : Zinc. 
— jaundiced: Caust. 
FAINTING: Ign. Lye. Natr. mur. 

Nux vom. 
FE VEB (chill and heat) : Natr. mur. 

Phosph. 
CHILL : Graph. Nux vom. Puis. 
— and shaking : Natr. carb. 
FLATULENCE : Cocc. Kali carb. 
IN GENEBAL : Aeon. Alum. Amm.. 

carb. Amm. mur. Bell. Bov. Calc. 

Canth. Carbo an. Caust. Cham. 

Chin. Cocc. Coffea. Con. Creos. 

Cupr. Graph. Hyosc. Ign. Kali. 

Laches. Lye. Magn. m. Mur. ac. 

Natr. Natr. mur. Nux vom. Phosph. 

Plat. Pulsat. Sabin. Sep. Sil. Stan- 

num. Sulph. Veratr. Zinc. 
GUMS SWOLLEN : Merc. Nitr. ac. 
HEAD: congestion of: Calcarea. 

Caust. Chin. Con. Glon. Iod. Merc. 

Phosph. 
— ache: Alum. Bry. Calcar. Carbo 

veg. Graph. Hyoscyam. Kali carb. 

Laur. Lye. Magn. carb. Natr. mur. 

Nux vom. Phosph. Puis. Plat. 

Sepise. Sulph. Veratr. 
— heat in : Calc. Cham. 
HEAT : Magn. mur. N. vom. Sep. 
LANGUOB: Alum. Bov. Carbo an. 

Graph. Ign. Iod. Kali. Magn. carb. 

Magn. mur. Nux vom. Petr. Puis. 

Phosphor. Sec. corn. Zinc. 
LEGS, languor in the: Sulph. 
— drawing in the : Spong. 
LEUCOBBHGEA: Coccul. 
LIMBS AS IF BBUISED : Phosph. 
BODY AS IF BBUISED: Ambr. 

Conium. Petr. 



SMALL OF BACK AS IF 
BBUISED: Caust. 

LIMBS, cold: Cham. 

— pain in: Bry. Con. Graph. Magn. 
mur. Nux vom. Sep. Veratr. 

LOINS, pain in: Berb. See. corn. 

LOSS OF CONSCIOUSNESS: 
Cham. 

LOSS OF APPETITE: C^pr.Magn. 
carb. 

LOWEB LIMBS GO TO SLEEP : 
Puis. 

LOWEB LIMBS, pain in the: Cha- 
mom. Nitr. Veratr. 

— blueness of the : Ambr. 

MELANCHOLY: Mane. Natr. mur. 
Sep. 

MENTAL DEBANGEMENT : Hy- 
osc. Veratr. 

NAUSEA . Amm. Calc. Graph. Lye. 
Magn. carb. N. vom. Phosph. Puis. 
Veratr. 

— with water-brash : Puis. 

NIGHT-SWEAT : Bell. Graph. 

NOSE-BLEED: Sep. 

OPPBESSION: BeU. Ign. Nitr. ac. 

PAIN, labor-like : Cham. Graph. Hy- 
osc. Lach. Sabin. 

PALPITATION OF HEABT : Crot. 

. Ign. Iod. Phosph. Sep. 

PABTS, burning in the: Rhus. Sil. 

— itching in the : Hep. Lycop. Sulph; 
Zinc. 

— pains in the : Canth. Sep. 

PRESSING DOWNWARD: Amm. 
carb. 

PRESSURE IN PIT OF STOM- 
ACH: Caps. Sulph. 

— in small of back : Puis. 

— in vertex : Calc. caust. 

DIARRHCEA : Amm. mur. Bov. 

BESTLESSNESS: Plat. Sep. 

RUSH OF BLOOD TO THE 
HEAD : Calc. Chin. 

SLEEP, restless : Alum. Calcar. Kali 
carb. 

SLEEPLESSNESS: Amm. Sep. 



100 



SEXUAL ORGANS AND FUNCTIONS. 



SMALL OF BACK, pains in : Amm. I 

Amm. mur. Bell. Berb. Calc. Carbo | 

vegetabil. (ham. Cocc. Creos. Croc. 

Graph. Ign. loci. Kali. Lack. Lye. 

Natr. Nux rom. Phosph. Puis. Se- 

calc corn. Sulpli. 
SNEEZING: Magn. carb. 
SORENESS BETWEEN THE 

THIGHS : Graph. Kali carb. Sas- 

sap. 
— of the parts : Graph. Kali carbon. 

Sil. 
SPASMS : Aeon. Cham. Core. Cojf. 

Cnpr. Hyosc. Ign. Laeh. Nitric ac. 

Puis. 
—in abdomen : Cham. Cocc. Graph. 

Mane. Nux vom. Puis. Sulph. 
— with pressure clown : Sep. 
— in the chest : Pliosph. Puis. 
STITCHES IN THE PARTS : Sul- 
phur, acid. 
STOMACH, pressure in : Amm. Bry. 

Puis. Sassap. 
SWEAT : Graph. Hyosc. Magn. mur. 
SWOLLEN CHEEKS: Graph. 
SWOLLEN FEET : Calcar. Graph. 

Lycop. 
THIGHS, pain in the : Con. Magn. 

mur. Sassap. 
THIRST: Nitr. Veratr. 
TOOTH-ACHE : Amm. Calc. Cham. 

Carbo veget. Kali. Law. Phosph. 

Sep. 
TREMBLING : Hyosc. Sil. 
TRISMUS: Hyosc. 
URGING TO STOOL, ineffectual: 

Calc. Puis. 
URINATION, involuntary: Calcar. 

carb. 
URINATE, urging to : Puis. Sabin. 
VERTIGO: Calc. Caustic. Iodine. 

PhoHph. Puis. Veratr. 
VOMITING: Amnion, mur. Carbo 

veg. Lye. Phosph. 
WHINING MOOD: Plat. Zinc. 
YAWNING: Bell. Carbo animal. 

Phosph. 



4. After the menses. 
ANXIETY: Phosph. 
BACK, coldness in : Kali. 
CARDIALGIA: Kali carb. 
CHILL : Graph. Puis. 
COLIC : Graph. Lye. Nux vom. 
DIARRHCEA: Graph. 
ERYSIPELAS: Stram. 
EXHAUSTION: Alum. 
FAINTNESS: Alum. Phos. Plat. 
IN GENERAL: Alum. Berb. Bor. 

Bryon. Calc. Carbo an. Con. Creos. 

Cupr. Graph. Kali. Lye. Merc. 

Natr. mur. Nux vom. Phosph. 

Phosph. acid. Plat. Puis. Sep. Sil. 

Stramon. Veratr. Zinc. 
HEAD, heavy: Natr. mur. 
LEUCORRHCEA: Alum. Bov. 

Canth. Creos. Merc. Phosph. acid, 
—bloody : Sil. 
— yellowish : Phosph. acid. 
PALPITATION: Iod. 
PARTS, pain in the: Creos. Natr. 

mur. 
PRESSING TO THE PARTS: 

Creos. 
RELAXED: Alum. 
SMALL OF BACK, pain in : Magn. 

carb. Puis. 
SPASMS, abdominal: Creos. 
STERILITY: Amm. Calc. Cann. 

Caust. Cic. Con. Croc. Ferr. Graph. 

Merc. Natr. mur. Phosph. Plat. 

Plumb. Puis. Ruta. Sabin. Sepias. 

Sulph. Sulph. ac. 
STOOL, bloody: Graph. 
TOOTH-ACHE: Calc. Magn. 
VOMITING: Puis. 

Whites. 
LEUCORRHCEA : Alum. Ambra. 
Amm. Amm. mur. Anac. Ant. 
crudum. Ars. Bell. Bor. Bov. Bry. 
Calc. Carbo an. Carbo veg. Caust. 
Cham. Chin. Coccul. ('<>»»„ Creos. 
Drosera. Ferr. Graph. Guaj. Hej). 
Iod. Kali. Lijc. Magn. Magn mur. 



SEXUAL ORGANS AND FUNCTIONS. 



101 



Merc. Mezer. Nair. Natrum. mur. 

Nitric ac. Nujo vom. Petr. Phosph. 

Pulsat. Ran. bulb. Rnta. Sabina. 

Sassap. Sep. Sil. Squill. Stanuum. 

Sulph. Sulph. ac. Thuj. Vit. Zinc. 
1. According to its Quality. 
LEUCORRHCEA, old: Iod. 
— smarting: Cham. Ferr. Lach. 

Phosph. Merc. 
— blistering: Phosph. 
— pale-yellow : Merc. corr. 
— bloody : Canth. Carbo veget. Chin. 

Cocc. Creos. Nitric ac. Sep. Sulph. 

ac. 
— blood-red: Chin. Lye. 
— brown: Amm. mur. Carb. an. 

Nitric ac. 
— burning: Calc. Carbo an. Con. 

Creos. Puis. Sulph. ac. 
— thick : Ars. Bov. Caust. Kali bichr. 

Natr. mur. Puis. Sabina. Zinc. 
— thick-slimy: Bov. Con. 
— thin: Carbo veg. Ol. an. Puis. 

Sulph. 
— transparent : Sep. Stann. Sulph. ac. 
— purulent: Calc. Chin. Coccul. 

Creos. Ign. Merc. Nitric ac. Sabin. 

Sep. 
—albuminous : Ammon. muriat. Bor. 

Bov. Mez. Petr. Plat, 
—staining the linen : Creos. 
— flesh-colored : Cocc. Nitr. ac. 
— yellow: Aeon. Alum. Arsen. Bov. 

Carbo an. Cham. Creos. Kali carb. 

Kali bichr. Lycop. Natr. Nux vom. 

Sabin. Sep. Stann. Sulph. 
— staining yellow : Carb. an. 
— yellow-green : Bov. 
— greenish : Bov. Carbo veget. Lach. 

Merc. Sep. 
— green-reddish: Sep. 
—ichorous : Sabin. 
—itching: Alum. Ars. Calc. Creos. 

Kali. Merc. Natr. m. Sabin. Sep. 
— milky. Amm. Calc. Carbo veg. 

Creos. Ferr. Lye. Phos. Puis. Sil. 

Sabin. 



— milk-colored : Carbo veg. 

— reddish: Calcar. China. Cocc. 

Nitric ac. Phosph. 
—in fits and starts : Calc. Cham. Lye. 
— acrid: Alum. Amm. Arsen. Bov. 

Calc. Carb. veg. Cham. Con. Creos. 

Ferr. Ign. Iod. Kali. Kali. hydr. 

Lye. Merc. Mezer. Natr. mur. 

Phosph. Puis. Ran. bulb. Ruta. 

Sep. Sil. Sulph. 
— slimy : Alum. Amm. m. Bor. Bov. 

Calcar. Coccul. Creos. Daph. Ferr. 

Graph. Guaj. Lach. Magn. Merc. 

Mezer. Natr. Natr. mur. Nitr. acid. 

N. vom. 01. an. Plumb. Puis. Sabin. 

Sassap. Stann. Sulph. Thuj. Zinc. 
— painless : Creos. N. vom. Puis. 
— excoriating : Alum. Natr. mur. 
— starch like : Sabin. 
— fetid : Chin. Creos. Natr. Nitr. ac. 

N. vom. Sabin. Sep. 
— watery: Amm. Ant. tart. Carb. 

veg. Cham. Creos. Graph. Merc. 

Mezer. Mur. ac. Puis. Sep. Sil. 
— white, slimy : Graph. 
— tenacious: Aeon. Bar. Bov. 

Mezer. Phosph. Sabin. Stann. 
2. Accompanying Ailments. 
ABDOMEN, distended: Amm. m. 

Sep. 
— pains in: Bell. Caustic. Con. 

Creos. Ign. Lye. Magn. mur. 

Puis. Sil. Sulph. 

labor-like: Dros. 

AT URINATING : Sil. 
AFTER URINATING: Carb. veg. 
DISCHARGED IN THE MORN- 
ING : Natr. mur. 
FACE, pale: Ars. Puis. Sep. 
IN GENERAL : Alum. Ambr. Amm. 

mur. Ars. Bell. Bov. Calc. Carb. 

an. Caust. Cham. Cocc. Con. Cop. 

Creos. Ferr. Graph. Ign. Kali 

Lye. Magn. Magn. mur. Merc. 

Natr. mur. Phosph. ac. Prun. Puis. 

Sabin. Sec. corn. Sep. Sil. Sulph. 

Sulph. ac. Zinc. 



102 



UPPER EXTREMITIES. 



PRESSING DOWN : Natr. mur. 
SMALL OF BACK, pains in : Bar. 
Caust. Grapkit. Kali. Magn. mur. 



SPASMS, abdominal: Magn. mur. 
STITCHES IN UTERUS : Sep. 
WEAKNESS : Alum. Creos. Sep. 



XXVII. EXTREMITIES. 



TJJPJPJEtt, 



Arm-Pit. 

BORING : Arg. Phosph. 
BURNING : Carlo veg. Cocc. Men. 

Phosph. Plumb. Puis. Rhus. Sep. 
CREAKING : Croc. Daph. Merc. 
CRAWLING: Cocc. 
DISLOCATION-PAIN : Mag n. 

Phos. 
ERUPTION: Alum. Ant. crudum. 

Kali. Sulph. 
IN GENERAL : Aeon. Alum. Ambr. 

Amm. mur. Asa foet. Bell. Bry. 

Carbo veg. Caust. Chin. Colch. 

Creos. Digit. Euphorb. Ferr. Kali. 

Lack. Laur. Led, Lycop. Magn. 

Magn. mur. Merc. Mezer. Natr. 

Nux vom. Phosph. Pu-s. Bhod. 

Rhus. Sep. Sil. Squill. Stann. 

Stront. Sulph. Thuj. Viola, tricol. 

Zinc. 
HEAVINESS : Aeon. Am. Phosph. 

Puis. 
ITCHING: Caustic. Magn. Ignat. 

Natr. Op. 
LAMENESS : Lach. Puis. Sil. 
MUSCLES, twitching of: Croc. 

Spig. Spong. 
PAIN AS IF BRUISED: Aco. 

Alum. Coccul. Ferr. Ign. Lye. 

Magn. Plumb. Spig. Sulph. Zinc. 
PATN, simple: Bry. Daph. Graphit. 

Kali. Magn. 
— laming: Ambr. Chin. Euphor- 

bium. Mur. ac. Nur vom. 
PRESSURE: Am. lie". Bryon. 

Caust. C.olch. Creos. Digital. Laur. 



Lycop. Natr. Oleand. Phosph. ac. 

Ran. bulb. Rhus. Sep. Staph. Sulph. 

Zinc. 
RAISED: Merc. 
GONE TO SLEEP: Ferr. 
SPOTS, brown : Ant. crud. 
STITCHES: Aeon. Alum. Asa f. 

Bell. Bry. Calc. Caust. Cicc. Cocc. 

Ferr. Graph, Guaj. Ign. Kali. 

Lach. Laur. Lye. Nitric acid. Phos. 

Plumb. Pulsat. Rhus. Sil. Staph. 

Stann. Sulph. Thuj. Zinc. Veratr. 
SWELLING: Aeon. 
— feeling of : Bell. 
TEARING: Aeon. Ambr. Argent. 

Bell. Boy. Bry. Caust. Canth. Carb. 

veg. Chin. Graph. Iod. Kali. Laur. 

Led. Lye. Natrum mur. Nux vom. 

Phos. Rhus. Stront. Zinc. 
TENSION: Dig. Euphorb. Hyosc. 

Kali. Petr. Teucr. Zinc. 
THROBBING: Daph. Magn. mur. 

Rhod. Sulph. Tar. 

Arms. 

Upper arms.*) 

BLUE SKIN: Cupr. Lach. Secale 

corn. Veratr. 
BORING : Canth. Plumb. Rhus. 
BURNING: Agaric. Aur. Borax. 

Carbo veg. Dulc. Kali. Lach. Nux 

vom. Phosph. Hints. Sep. Zinc. 
BONE-PAINS: Bar. Bell. Lycop. 

Merc. Nitric ac. Thuj. 
COLDNESS: Bell. Camph. Cham. 

Hyosc. Kali bichr. Rhus. Veratr. 

*) U. means Upper, L. Lower arms. 



UPPER EXTREMITIES. 



103 



— feeling of : Graph. Rhus. Sec. com. 
CONTRACTION : Bism. Calc. 
CONTUSIVE PAIN: Cycl. Hell. 
CONVULSIONS: Bell. Chamom. 

Cocc. Cupr. Hyosc. Ipecac. Op. 

Rhus. Squill. Secale corn. Stram. 

Veratr. 
CRAMPY : Calc. Cin. Dulc. Men. 

Oleand. Phosph. Valer. 
CREEPING: Bell. Cocc. Sec. com. 

Sep. 
ERUPTION : Ant. crudum. Cane. 

Carbo veg. Dulc. Kali. Phos. ac. 

Sep. 
ERYSIPELAS : Bell. Rhus. 
FAINTNESS : Alumin. Anac. Am. 

Asar. Calcar. Cupr. Cycl. Guaj. 

Ign. Kali. Led. Natr. miir. N. vom. 

Plat. Plumb. RIlocI. Sep. Stann. 

Valer. 
IN GENERAL : Amm. mur. Antim. 

crud. Asa foet. Aur. Bell. Bnjon. 

Canth. Carbo an. Carbo veg. Chel. 

Clem. Coccuh Con. Cupr. Dig. 

Ferr. Hep. Ign. Iod. Kali. Lach. 

Lycop. M. arct. Mang. Mezer. Mur. 

acid. Natr. mur. Nitr. Oleand. Petr. 

Plumb. Phos. Puis. Rhodod. Rhus. 

Selen. Sep. Sil. Stann. Staphys. 

Sulph. Sulphur, ac. Valer. 
HEAT : Bryon. Natr. mur. Nitr. acid. 
FEELING OF HEAT : Bry. Graph. 

Nitric ac. Staph. 
HERPES : Kali carb. Natr. mur. 

Sulph. 
— U. and L. : Bov. Con. Dulc. Graph. 

Natr. muriat. Phosph. Sil. 
ITCHING: Daph. Dulc. Euphorb. 

Lach. Laur. M. austr. Nux vom. 

Oleand. Ran. sc. Ruta. Stront. 

Thuj. 
JERKS : Anacard. Oleand. Ruta. 

Stann. 
LAMENESS: Agar. Bism. Caust. 

Chel. Cocc. Kali. Lach. Nux vom. 

Phos. ac. Staph. 



MUSCLES, twitching of : Coccul. 

Men. Valer. 
NUMBNESS : Ambr. Aur. Bell. 

Cham. Coccul. Iod. Plat. Puis. 

Veratr. 
PAIN, simple : Agar. Baryt. Bell. 

Bry. Calc. Cupr. Graph. Puis. 

Zinc. 
— laming : Bell. Chamom. Dig. Natr. 

mur. Rhod. Sil. Zinc. 
— as if dislocated: Alum. Bry. Eu- 
phorb. Rhod. 
—as if bruised : Bellad. Coccul. Cycl. 

Daph. Ferr. Hep. M. austr. Magn. 

mur. Natruni mur. Nitric ac. Plat. 

Plumbum. Puis. Sep. Sulph. Thuj. 

Veratr. 
PARALYSIS : Agar. Bell. Caustic. 

Chel. Lach. Oleand. Rhus. 
PRESSURE : Ammon. mur. Anac. 

Arg. Asa feet. Aur. Bell. Calcar. 

Camph. Cycl. Daph. Euphorb. Led. 

Nux vom. Petr. Puis. Rhod. Sabm. 

Stann. Staphys. Sulph. Vit. 
GONE TO SLEEP: Ambr. Baryt. 

Cham. Coccul. Croc. Graph. Ignat. 

Kali. Lach. Lycop. Magn. mur. 

Nux vom. Petr. Rhus. Sec. corn. 

Sep. Sil. 
SPASMS : Bell. Cuprum. Ipec. Sec. 

corn. 
SPOTS, red: Plat. Rhus. Sulph. 
STIFFNESS : Amm. mur. Caust. 

ftux vom. Oleand. Sassap. Rhus. 
STITCHES : Aeon. Alum. Antim. 

crud. Arn. Asa f. Bell. Bry. Canth. 

Cocc. Con. Dulc. Ferr. Guaj. Kali. 

Laur. Mang. N. mosch. Phosph. 

Phosph. acid. Puis. Rhod. Rhus. 

Sabina. Squill. Stann. Staph. 

Sulph. Tar. Thuj. 
SWEAT: Asar. Ipec. 
SWELLING : Antim. crud. Bell. 

Bry. Hell. Rhus. 
SWELLING OF BONES : Rhus. 

Sil. Sulph. 



104 



UPPER EXTREMITIES. 



TEARING : Agar. Amm. mur. Anac. 

Am. Am-, Bell. Bryon. Cantli. 

Carbo an. Caustic. Chel. China. 

Cin. Con. Digit. Dros. Ferr. Guaj. 

Kali. Led. Lye. Mur. ac. Magnes. 

nrur. Nitr. Nux vom. PJwsph. 

Plumb. Puis. Films. Sabina. Sassap. 

Sil. St arm. Staphys. Sulph. Zinc. 
TENSION : Ant. crud. Asa feet. Bry. 

Dig. Laur. Rhus. 
TREMBLING: Ars. Bry. Capsic. 

Caust. Cicut. Hyosc. M. arct. Op. 

Petr. Phosph. Puis. Rhus. Sabad. 

Sil. Spig. Sulph. Veratruin. 
TUBERCLES : Ant. crud. Arsenic. 

Cdlc. Cocc. Nitric ac. Stajm. 
TUMORS: Aug. crud. Ars. Canst. 

Natr. mur. Nitric ac. 
ULCERS : Lach. Rhus. 

Shoulder-Joint. 

BEATING: Magn. Merc. Thuj. 
BURNING : Brorn. Graph. 
CONTUSIVE PAIN: Dros. 
CREAKING: Ant. tare. Bar. Cic. 

Croc. Ferr. Merc. Thuj. 
DISLOCATED, as if: Magn. 
DRAWING: Asa f. Carbo veget. 

Cham. Magn. mur. Staph. 
FEELING OF WEAKNESS : Dros. 
— of heaviness: Puis. 
IN GENERAL: Am. Asa f. Bry. 

Calc. Carbo veg. Caust. Croc. Dros, 

Ferr. Ign. Kali. Lach. Lye. Led. 

Merc. Natrum mur. Nux vom. 

Pulsat. Rims. Staph. Sulph. Ve- 

ratrum. Vit. Zinc. 
HEAT, feeling of: Brom. 
INFLAMMATION : Aeon. Brv. Led. 

Puis. Rhus. 
JERKING : Puis. 
JERKS: Colch. Sil. 
LAMENESS: Lye. Puis. Stann 
PAIN AS IF DISLOCATED : Alu- 

min. Ambr. Arn. Caps. Croc. Ign. 

Natr. mur. Petr. Puis. Rhod, Rhus. 

Sabina. Sep, Spigel. Thuj. 



I — as if bruised : Ferr. Ign. Kali. Nux 

vom. 
— simple : Aco. Calc. Croc. Ign. Natr. 

mur. Phosph. 
— laming : Euphorb. Nux vom. Puis. 

Staph. 
PRESSURE: Bism. Bryon. Calcar. 
i Dros. Kali. Laur. Led. Staph. Vit. 
STIFFNESS: Caust. Euphorbium. 

Staph. 
STITCHES : Asa feet. Bry. Calcar. 

Coccul. Crot. Ferr. Graphit. Hell. 

Ignat. lod. Laur. Led. Mercur. 

Puis. Staph. Stront. Sulph. ac. 

Thuj. 
SWELLING: Aeon. Bry. Hep. 
TEARING : Ambr. Argent. Bism. 

Bry. Carbo veg. Caust. Ferr. 

Graph, Ign. Led. Merc. Phos. 

Puis. Rhus. Sabin. Sulph. Vit. 
TENSION: Asa f. Bov. Bry. Eu- 
phorb. Laur. Lye. Zinc. 

Arm-Pit 

BURNING : Carbo veg. Caust. 

CUTTING: Kali. 

ERUPTION : Lye. Merc. Natrum 
mur. Nitric ac. Petr. Sep. 

GLANDULAR SWELLINGS : Bel- 
lad. Calc. Hep. Iod. Mercur. Natr. 
mur. Nitric ac. Sulph. Rhus. Staph. 

SORENESS : Carbo veg. 

SORE, as if: Teucr. 

STITCHES : Arn. Cantli. Graph. 
Men. Staph. Zinc. 

SWEAT: Hep. Kali. Lach. Merc. 
Nitric ac. Phosph. Rhus. Sep. 

TEARING : Colch. Kali. Natr. mur. 

Lower Arm. 
BLUE SKIN: Samb. 
BORING: Asa f. Natr. Phosph. ac. 

Ran. sc. 
BURNING: Agar. Amm. mur. Asa 

feet. Carb. veget. Euphorb. Graph. 

Merc Mur. ac. Oleander. Rhus. 

Sulph. Zinc. 



UPPER EXTREMITIES. 



105 



BONE-PAIN : Kali bichr. Natr. mur. 

Spong. 
CHILL: Ign. Puis. Rhus. 
COLDNESS : Bry. Nux vom. Rhus. 
CONTUSIYE PAIN : Dros. 
CRAMPY : Anac. Gin. Conium. Ole- 

and. Plat. Bhodod. Ruta. Valer. 
CREEPING: Am. Bell. Cocc. Con. 

Merc. Op. Sec, corn.. 
DEADNESS: Nux vom. 
ERUPTION : Amnion, mur. Calad. 

Canst. Lach. Lye. Merc. Nitr. ac. 

Phos%)h. ac. Sil. Staphys. Sulph. 

Thuj. Zinc. 
FAINTNESS: Nux vom. Rhus. 
IN GENERAL : Aeon. Agar. Alum. 

Amm. mur. Anac. Arg. Arn. Asa f. 

Bell. Baryt. Bism. Bry on. Calad. 

Calc. Camph. Canth. Carbo an. 

Caust. Chamom. China. Cic. Cin. 

Colonic. Con. Creos. Croc. Cupr. 

Dulc. Ferr. Graph. Guaj. Hep. Hy- 

osc. Ign. Kali carb. Laur. Lye. M. 

arct. Mang. Merc. Mezer. Mosch. 

Mur. ac. Natr. Nitr. Nitric ac. Nux 

vom. Oleand. Phosph. Phosph. ac. 

Plumb. Puis. Ran. sc. Rhod. Rhus. 

Ruta. Sabin. Sassap. Selen. Sep. 

Sil. Spig. Squill. Stann. Staph. 

Sulph. Tar. Teucr. Thuj. Valer. Vit. 

Zinc 
HEAT: Bry. 
HEAVINESS : Anac. Aur. Croc. M. 

austr. Phos. ac. Sulph. 
HERPES : Con. Magn. Merc. Nux 

vom. 
INSENSIBILITY : Stront. 
ITCHING • Agar. Amm. mur. Carb. 

an. Caust. Dulc. Hyosc. Laur. Merc. 

Puis. Ran. Rhus. Spig. Sulph. 
JERKS : Dulc. 
LAMENESS : Bellad. Calc. Caust. 

Dulcam. Lach. Lycop. Sil. Sulph. 
PAIN AS IF BRUISED : Con. Croc. 

Mur. ac. Rhus. Ruta. Zinc. 
— as if dislocated : Coccul. Led. 
r— as if sore : Arn. Cic. Rhus. 



— simple : Croc. Baryt. Bellad. Calc. 

Graph. Phosph. 
— laming: Baryt. Bism. Cycl. Dulc. 

Mosch. Natr. mur. Nux vom. Ruta. 

Sfl. Staph. Stront. Zinc. 
PRESSURE: Anac. Asa f. Baryt. 

Bismuth. Camph. Cocc. M. arct. 

Mang. Oleander. Plat. Prun. Ruta. 

Sabin. Spigel. Staphys. Verb. 
RASH: Merc. Selen. 
SHOCKS: Oleand. 
SPOTS, blueish: Sulph. ac. Thuj. 
—red: Vit. 
STITCHES: Aconit. Anac. Ant. 

crud. Arn. Asa f. Bell. Bov. Bryon. 

Calc. Carbo an. Caustic. Cicut. 

Cycl. Dig. Hyosc. Lycop. Magn. 

M *rc. Mosch. Oleand. Phosphor. 

Phosph. ac. Ran. bulb. Sabin. Sas- 
sap. Spig. Staph. Stram. Tar. Thuj. 
SWELLING: Bry. Calc. Caust. Lye. 

Nux vom. Rhus. 
TEARING: Aeon. Alum. Ammon. 

mur. Anac. Arg. Asa f. Aur. Baryt. 

Bell. Bism. Bry. Canth. Carbo veg. 

Caust. Cina. Colch. Cupr. Cycl. 

Daph. Dig. Graph. Grat. Guaj. 

Kali. Lach. Lycop. Mur. ac. Magn. 

mur. Natr. mur. Nitric ac. Phosph. 

Puis. Ran. bulb. Rhod. Rhus. Sas- 
sap. Sil. Stannum. Staph. Stront. 

Sulph. Teucr. Thuj. Valer. Zinc. 
TENSION: Anac. Am. Caustic. Co- 

loc. Dig. Kali. Led. Puis. Stront. 

Sulph. Zinc. 
THROBBTNG: Sabad. 
TREMBLING : Caustic. Nitric ac. 

Rhus. 
TUBERCLES: Coccul. 
— miliary : Agar. 
WARTS: Calc. Sil. 
i WEAKNESS : Dulcam. Nux vom. 

Rhus. 

Elbow and Joint, 
BONE-PAIN, nocturnal: Lye. 
BORING: Caust. Thuj. 



106 



TPPEPv EXTREMITIES. 



BURNING : Asa feet. Carbo animal. 

Carbo veg. Gale, phosph. Mercur. 

Mill. Nitr. Phosph. Plat. Rhus. 

Sulph. 
BRUISING PAIN : Canst. Dulcam. 

Puis. Ruta. Sulph. Yeratr. 
CONTRACTION : Canst. Laur. Sec. 

corn. 
CONTUSIYE PAIN : Caustic. Dros. 

Ruta. 
TEARING: Alum. Ambr. Aur. Bov. 

Canth. China. Colchic. Daph. Iod. 

Kali carb. Kali bichr. Laur. Lye. 

Merc. Mur. ac. Nitr. Nux mosch. 

Pulsat. Rhus. Ruta. Sassap. Sil. 

Stront. Sulph. Zinc. 
CREAKING: Ant. cnul. Conium. 

Merc. M. arct. Sulph. 
DISLOCATION PAIN: ArnuMang. 

Rhus. 
ERUPTION: Dulc. Hyosc. Merc. 

Sabin. Staph. Sulph. 
FAINT FEELING: Led 
GNAWING: Dulc. 
ITCHING: Agar. Alum. Caustic. 

Laur. Merc. Natr. Phosphor. Rhus. 

Sulph. 
— in the bend of the elbow : Canth. 

Laur. Spig. 
JERKING: Bellad. Caustic. Croc. 

Natr. mur. Nitric ac. Rhus. Veratr. 
LAMENESS : Bell. Graph. 
PAIN, simple: Cupr. Dig. Laur. 

Phosph. Puis. Sulph. ac. 
— laming : Bell. Cham. Coccul. Daph. 

Sabin. Staph. Stront. 
PARALYSIS : Dulc. Petr. 
PRESSURE: Alum. Argent. Hep. 

Led. Zinc. 
STEATOMA: Hep. 
STIFFNESS: Kali carb. M. arct. 

M. austr. Stann. Thuj. 
STITCHES: Asa ./'. Bellad. Bryon. 

Coccul. Coloc. Hell. Kali. Laur. 

Merc. Mur. a •. Nn £ mosch. Phosph. 

Rho.l Sabin, Spig. Spong. Thuj. 



SWELLING: Bryon. Hep. Lack. 

Yeratr. Yit. 
TENSION: Daph. Dros. Mur. ac. 

Puis. Rhus. Stann. Sulph. 
THROBBING : Rhus. Thuj. 
TUBERCLES: Gaust. Mur. ac. 
WEAKNESS : Staph. Sulph. 

Bend of the Elbow. 

IN GENERAL: Amm. mur. Anac. 
Am. Bell. Canth. Caust. Clem. 
Con. Cupr. Dros. Graph. Iod. Kali. 
Laur. Lye Men. Petr. Phosph. 
Puis. Sep. Spig. Sulphur. Thuj. 
Yaler. Zinc. 

Tip of che Ellbow. 

IN GENERAL: Agar. Alum. Bry. 

Carbo an. Causticum. Graph. Hep. 

Merc. Mur. ac. Oleand. Phosphor. 

ac. Rhus. Sabina. Spong. Stann. 

Wrist-Joints. 
BORING: Hell. Rhod. 
COLD FEELING: Rhus. 
CREAKING : Con. Merc. Selen. 
DISLOCATION-PAIN: Arn. Bov. 

Bry. Calc. e. Canst. Graph. Ign. 

Lye. Nux vom. Rhodod. Rhus. 

Ruta. Sabin. Stannum. Staph. 

Sulph. 
ERUPTION: Merc. Calc. phosph. 

Rhus. Sulph. 
EXCORIATION: Sulph. 
GANGLIA : Magn. m. Sil. 
IN GENERAL : Aeon. Amm. Anac. 

Arn. Ars. Asa f. Bism. Bov. Bry. 

Calc. c. Calc. jihosph. Carbo veg. 

(Jaustic. Chel. Colch. Creos. Cycl. 

Dig. Euphrasia. Graph. Hep. 

Hyosc. Iod. Kali. Led. Lye. Mang. 

Merc. Mezer. Nitr. Phosjmor. Puis. 

Ehod. RllHS. Ruta. Sabin. Sassap. 

Selen. Sep. Sil. Staphys. Stront. 

Sulphur* Teucr. Thuj. Verb. Zinc. 
ETCHING: Amm. mur. 
\V'.XTO; MOhTLITY: Sep. 



UPPER EXTREMITIES. 



107 



NODES, gouty: Calc. c. Lye. 
NUMBNESS : Bov. Croc. 
SPOTS: Kali. Petr. 
STIFFNESS: Bellad. Canst. Chel. 

Lach. Led. Lye. Puis. Rhod. Buta. 

Sabina. Sep. Sulphur. Thuj. 
STITCHES: Alum. Arn. Brijon. 

Calc. c. Caust. Con. Grapliit. Hell. 

Kali. Laur. Merc. Natr. mur. Nux 

vom. Rat. Sep. Sil. Squill. Sulph. 
SWELLING: Bry. Calc. 
TEARING: Baryt. Bov. Calc. c. 

Carbo veg. Chel. Grat. Kali. Lach. 

Mezer. 01. an. Phosph. Plumb. 

Puis. Bhod. Sabina. Sulph. Teucr. 
TENSION: Amm. carb. Spongia. 

Zinc. 
TBEMBLING: Aeon. 
TWITCHING: Bar. Khus. Sulph. 

Valer. 
PAIN : Aeon. Ammon. Asa foet. 

Hyosc, Merc. Nitr. Sulph. 
— laming: Aconit. Asar. Bism. Eu- 

phorb. Kali. Led. Nux vom. 
— as if sprained : Arn. Calc. c. Puis. 

Bhod. 
— as if bruised: Calc. phosphor. 

Caust. Nitric ac. Puis. Buta. 
PBESSUBE: Led. Nitr. ac. Stann. 

Zinc. 
WEAKNESS : Merc. Phosph. 

Hands. 

BEATING: Sabad. 

BLISTEBS: Amm. mur. Arg. nitr. 

Bell. Canth. Clem. Hep. Kali. Lach. 

Natr. mur. Bhus. Sep. Squill. 

Sulph. 
BLUENESS: Aco. Camph. Cupr. 

Lach. Nux vom. Bhus. Samb. Ve- 

ratrum. 
BOILS: Calc. carb. Hep. Lycop. 

Merc. 
BUBNING: Aeon. Anac. Aurum. 

Bryon. Calc. Chin. Hell. Kali. 

Lach. Laur, Nux mosch. Nux vom. 



Op. Phosph. Sec. corn. Sep. Squill. 

Stann. Staphys. Sulph. Zinc. 
BRITTLE, skin : Graph. Natr. mur. 
CHILBLAINS : Agar. AW. ac. Petr. 

Phosph. Puis. Stann. Sulph. 
CHILLINESS: Ambr. Anac. Merc. 

Nux vom. Petr. 
COLDNESS: Aeon. Agar. Ambr. 

Am. Aur. Bar. Bell. Calc. c. Camph. 

Cann. Caustic. Cham. Chin. Crot. 

Cuprum. Cycl. Daph. Dig. Dros. 

Ferr. Hell. Iod. Ipecac. Kali. M. 

arct. Mang. Nitric ac. Nux vom. 

Phosph. Puis. Banunc. bulb. Rhus. 

Samb. Sep. Spigelia. Sulph. Thuj. 

Yeratr. Vit. 
— feeling of : Bhus. Sec. corn. 
CONTRACTION: Cann. Cin. Merc. 

Nux vom. Prim. Sec. corn. 
CRAMPY FEELING: Aeon. Ambr. 

Anac. Asa f. Aur. Calc. carb. Cann. 

Euphr. Graph. Lycop. Mang. Men. 

Mercur. Mosch. Nitr. Nux vom. 

Plat. Sil. Spig. Spong. Stram. 
CREEPING : Am. Ars. Bar. Bell 

Caust. Croc. Lach. Laur. Nux vom. 

Phosph. Plat. Rhodod. Buta. Sec. 

corn. Spig. Sulphur. Veratr. 
— as if gone to sleep : Bry. 
DEADNESS: Calc. Con. Laches. 

Nux vom. Phosph. Rhus. Sec. com. 

Sil. Zinc. 
DESQUAMATION OF HANDS: 

Amm. Barr. Ferr. Merc. Phosph. 

ac. Sep. Sulph. 
DISLOCATION-PAIN: Bar. Rhus. 
DRY PALMS OF HANDS : Bism. 
DRYNESS: Lye. Natrum. Sabad 

Sulph. 
EMACIATION: Graph. Gratiola. 

Selen. 
ERUPTION: Alum. Antim. crnd. 

Ars. Canth. Carbo veget. Cic. 

Hep. Lye. Merc. Mur. ac. Nitric 

ac Rhus. Secale corn. Selen. Spig. 

Staph. Sulphur. Sulph. ac. Zinc. 
ERYSIPELAS : Ran. bulb. Bhus. 



103 



rPP-.R EXTREMITIES. 



IN GENERAL : Aeon. Agar. Ambr. 

Amm. Anac. Arg. Arn. Ars. Asa 

f. Aur. Bar. Bell. Bism. Bry. Calc. 

Carbo veg. Caustic*. Chaniom. Chin. 

Coccul. Creos. Cupr. Dig. Dulc. 

Forr. Graph. Hep. Ipec. Kali. 

Lach. Laur. Led. Lye. M. arct. 

Mang. Men. Merc. Mur. ac. Natrum. 

Natr. mur. Xhx vom. Op. Petr. 

Phosph. Phosph. ac. Plumb. Puis. 

Ban. bulb. Rhod. Rhus. Buta. 

Samb. Sec. corn. Selen. Sep. Sil. 

Spig. Stann. Staph. Sulph. Veratr. 

Verb. Zinc. 
HEAVINESS: Bov. Caust. Nitric. 

Pliosph. 
HEAT : Aeon. Bry. Carl), veg. Coc- 
cul. Graph. Hell. Hepar. Led. 

Lye. Nitric ac. N. vom. Phosph. 

Sep. Stann. Staph. Zinc. 
HERPES: Ambr. Bov. Calcarea. 

Clem. Dulc Merc. Natr. mur. Sas- 

sap. Sep. Sulph. Zinc. 
INSENSIBILITY: Bell. Lye. Natr. 

mur. Rhus. See. coriiut. Stann. 

Stront. Zinc. 
ITCH: Merc. Sep. Selen. Sulph. 
ITCHING : Aur. Bov. Cann. Caustic. 

Cina. Coccul. Hep. Kali. Nitric ac. 

Phosph. ac. Plat. Plumb. Rhus. 

Sulph. Veratr. 
JERKS: Valer. 
NODES, arthritic: Calc. carbon. 

Calc. phosph. Led. Lye. Bhod. 

Rhus. Sep. Sulph. 
NUMBNESS : Asa tot. Coccul. Car- 
bo veg. Lach. Lye. Puis. Rims. 

Buta. 
PAIN : Agar. Daph. Nux vom. Plumb. 
— laming: Bell. Bism. Caustic. Cycl. 

Dig. Xnx vom. Sil. Vit. 
PARALYSIS: Ambr. Crot. Cupr. 

Lach. Natr. mur. Nux vom. Phos- 
phor. Plumb. Bhus. Sil. Zinc. 
PARCHED SKIN: Lycop. Phosph. 

acid. 



PRESSURE: Asa f. Calc. phosph. 
Carbo veg. Cycl. Hep. Kali. Men. 

Nitric ac. Staph. Zinc. 
REDNESS: Dulc. Fluor, ac. Nux 

vom. Sabacl. Sangn. Staph. 
RHAGADES: Cycl. Graphit. Petr. 

Sulph. 

ROUGH: Alum. Kali. Nitric ac. 

Phosph. ac. 
GONE TO SLEEP : Ambra. Baryt. 

Carbo an. Croc. Fluor, acid. Graph. 

Kali. Lach. Lycop. M. austr. Natr. 

mur. N. vom. Phosph. Puis. Sec. 

corn. Sil. Veratr. 
SORE, pain as if: Calc. c. Nitric ac. 

Rhus. 
BRUISED, pain as if: Carbo veg. 

Dros. Buta. 
SPASM: Bell. Caust. Sec. corn. 
SPASMODIC FEELING: Anac. 

Bell. Caust. Plat. 
— pain: Anac. Caustic. Lycop. Spig. 
SPOTS: Ant. tart. Nitr. ac. Sep. 
— red : Merc. Sep. 
STIFFNESS: Ars. Bellad. Caust. 

Cham. Coloc. Croc. Merc-wr. Rhus. 

Zinc. 
STITCHES : Aeonit. Ang. Am. Asa 

f. Bellad. Calc. phosphor. Carbo 

an. Caust. Caps. Chel. Cina. Hell. 

Graph. Lach. Led. Lye. Mosch. 

Magn. mur. Par. Plumb. Squill. 

Stann. 
SWEAT : Ant. tart. Calcar. c. Cann. 

Chamom. Coccul. Con. Laur. 

Natr. mur. Nitric acid. Nux vom. 

Phosph. Sulph. Veratr. 
—cold : Caps. Sep. 
— in palm of hands: Aeon. Bar. 

Calc. c. Con. Dale. Fluor, ac. 

Ignat. Laur. Merc. Nux vom. 

Bheum. 
SWELLING: Aeonit, Ars. Bell. 

Bry. Calcar. Canst. China. Coccul. 

Dig. Forr. Hep. Lach. Lye. Merc 

Nux vom. Phosph. Rhus. Buta. 

Sec. corn. Stann. Sulph. 
— nocturnal: Dros. 



UPPER EXTREMITIES. 



109 



TEARING AND DRAWING: 

Agaric. Amm. Am. Ars. Anr. Bel- 
lad. Calc. Canth. Carfoo veg-et. 

Caust. Chamom. Chel. China. 

Colch. Cuprum. Digit. Graph. 

Grat. Iod. Kali. Lack. Lour. Led. 

Lye. Mang. Mur. acid. Natr. mur. 

Nitr. Petr. Phell. Phos. Plumb. 

Rheum. Rhod. Rhus. Sabin. Selen. 

Sep. Splg. Stann. Sulplt. Teucr. 

Verb. Zinc. 
TENSION: Bell. Canth. Caustic. 

Chin. Hyp. Zinc. 
TREMBLING: Agar. Anac. Ant. 

tart. Ars. Bell. Bism. Bryon. 

Calc. c. Caustic. Chin. Cic. Coccul. 

Coffea. Crotal. Ferr. magn. Hyos- 

cijam. Iod. Kali. Lach. Led. Nitr. 

ac. Oleand. Op. Phosph. Plat. 

Plumb. Rhus. Sil. Spong. Stan- 

num. Strain. Sulph. Zinc. 
TUBERCLES: Ars. Calc. Coccul. 

Lye. Natrum mur. Nitric ac. Rhus. 
TWITCHING : Anac. Bar. m. Ana ./. 

Bell. Cina. Cupr. Graph. Ignat. 

Lach. Laur. Meph. Natr. Op. Plat. 

Ran. bulb. Sep. Stann. Sulph. ac. 

Vit. 
ULCERS: Ars. Lye. Sil. Sulph. 
URTICARIA: Hep. 
VARICOSE VEINS : Alumin. Arm 

Calc. Chel.'Chin. Laur. Men. Nux 

vom. Op. Phosph. Puis. Rheum. 

Rhod. Stront. Sulphur. Thuj. 
CRACKED VEINS: Alum. Calc. 

Creos. Graph. Lach. Magn. c. 

Merc. Natrum mur. Nitric ac. 

Petr. Sil. Sulph. Zinc. 
VESICLES: Daph. 
W r ARTS: Calc. c. Caust. Dulcam. 

Rhus. Sep. Thuj. 
WEAKNESS: Calc. Carb. veg. 

Caust. Chin. Cupr. Hell. Nitr. Nux 

vom. Phosphor. Sil. Tab. Zinc. 
YELLOWNESS- Canth. Ign. Merc. 

Spig. 



Fingers. 

j BLOTCHES: Lach. Lye. Staph. 
I BURNING: Asa f. Asar. Calcar. 

Caust. Con. Dig. Kali. Lach. Natr. 

Nitric ac. Nux vomica. Oleand. 

Plat. Sil. Sulph. Sulphur, ac. Ve- 

ratr. 
BONE-PAIN: Fluor, ac. 
CHAPPING: Fluor, ac. Natrum 

mur. Petr. Sil. 
CHAPPING OF SKIN: Petr. 
CHILBLAINS : Agar. Croc. Nitr. 

ac. Nux vom. Petr. Puis. Rhus. 

Sulph. 
COLDNESS : Antim. tart. Calad. 

Cham. Chel. Digit. Hell. Lye. Mur. 

ac. Merc. Rhod. Sulph. Tar. Thuj. 
CONTRACTION: Ambra. Anacard. 

Antim. tart. Arg. Bism. Calc. Caus- 
tic. Cina. Colchic. Coloc. Graph. 

I^ijc. Merc. Nux vom. Plat. Rhus. 

Ruta. Sec. corn. Sep. Sil. 
CONTRACTION OF TENDONS : 

Caust. 
CRAMPY FEELING : Anacard. 

Am. Ars. Asa f. Calc. Cin. Coccul. 

Cycl. Euphr. Graphit. Ignat. Lye. 

Mur. ac. Mosch. Nux vom. Oleand. 

Phosph. Plat. Rhus. Stann. Staph. 

Sulphur. Veratr. 
CREAKING: Bar. Caps. Nitr. 
CREEPING : Aeon. Anibr. Amm. 

mur. Ars. Calc. Caust. Cina. Croc. 

Graphit. Kali. M. arct. Magn. Natr. 

mur. Opium. Plat. Ran. bulb. Rhod. 

Rhus. Sec. corn. Sep. Sil. Sulph. 

Thuj. Veratr. Verb. 
— in the tips of the fingers : Aco. 

Ammon. mur. Croc. M. austr. Sec. 

corn. Sep. Thuj. 
— as of ants: Sec. corn. 
— as if gone to sleep: Mur. ac. 
DEADNESS : Agar. Calc. Caust. Cic. 

Con. Hep. Lycop. Merc. Nitric ac. 

Phosph. ac. Puis. Rhus. Sec. corn. 

Sulphur. Thuj. Veratr. 



110 



UPPER EXTREMITIES. 



— gangrenous: Sec. corn. 

— of tips of ringers: Ant. tart. Chel. 

DESQUAMATION OF THE 

SKIN : Arnm. mur. 
— on the tips of the fingers : Sabadilla. 
DISLOCATION-PAIN : Bell. Cham. 

Ign. Natr. mur. Phosphor. Spig. 

Sulph. 
DRYNESS OF TIPS OF FIN- 
GEES : Ant. tart. 
ERUPTION: Antim. crud. Baryt. 

Canthar. Caust. Clem. Cycl. Daph. 

Graph.Lach. Lyc.Mur. ac. Phos.ac. 

Plumb. Puis. Rhus. Spigel. Squill. 

Veratr. Zinc. 
— between the lingers : Graph. Sulph. 

acid. 
ERYSIPELAS : Lye. Rhod. 
-of the tips of ringers: Thuj. 
EXHAUSTION : Sil. Rhus. 
HEAT: Sabad. Thuj. 
IN GENERAL: Aeon. Alum. Ambr. 

Anna. mur. Anac. Antim. tart. Arn. 

Ars. Asa f. Baryt. Bell. Bism. Bor. 

Bry. Calcar. Canth. Carbo vegetab. 

Caust. Cham. Chel. Cic. Cine. Coc- 

cul. Colch. Creos. Croc. Cyclani. 

Dros. Ferr. Graph. Hell. Hep. Ign. 

Kali. Lach. Lye. M. arct. M. austr. 

Magn. Mercur. Mosch. Natr. Natr. 

mm-. Nux vom. Oleand. Phosph. 

Puis. Ran. Rhodod. Rhus. Ruta. 

Sabad. Sec. corn. Sep. Sil. Spigel. 

Slann. Staphys. S front. Sulphur. 

Teucr. Thuj. Yaler. Veratr. Verb. 

Fit. Zinc. 
HERPES : Ambr. Merc. Nitric ac. 

Ran. bulb. 
INFLAMMATION: Aco. Con. Hep. 

Kali. Lye. Merc. Puis. Ran. Sil. 
INSENSIBILITY: Digit. Ferr. N. 

vom. Phosph. Rhus. Sec. corn. 
— of tips of fingers: Ant. tart. Cham. 

Ferr. M. austr. Staph. 
ITCHING: Agar. Alum. Aur. Cale. 

Camph. Caust. Chel. Con. Cycl. 

Lach. Lye. Nux vomica. Oleander. 



Phosph. Plumb.IPuls. Rhod. Sulph. 

ac. Zinc. Yeratr. 
ITCHING, between the fingers : Aur. 

Lach. Plumb. Rnod. 
— at the tips of fingers : Ambra. Ant. 

crud. Sulph. ac. Spig. 
LAMENESS: Carbo veg. 
— of the thumb: Kali. 
NODES, arthritic: Graph. Lye. 
NUMBNESS: Ang. Cale. Caust. 

Con. Cina. Euphr. Ferr. Graph. 

Kali. Lach. Lycopod. Phosph. Plat. 

Rhus. Sec. corn. Sil. Staph. Sulph. 
PAIN : Caust. Led. Sassap. Yeratr. 
— as if bruised : Amm. carbon. Cina. 

Natr. mur. Nitric ac. 
— laming: Bellad. Cycl. Digit. Kali. 

Mosch. Sabin. Sil. 
PARALYSIS: Cale. Bryon. Kali. 

Lach. Phosph. 
PRESSURE: Asa f. Bell. Con. Cycl. 

Dig. Hell. Hyosc. linn. Rhod. Ruta. 

Sassap. Staphys. Tar. Teucr. Yit. 

Zinc. 
REDNESS : Agar. Nux vomica. 
RIGIDITY : Ars. Merc. 
GOING TO SLEEP : Aeon. Ambra. 

Amm. mur. Aur. Bar. Cale. Carbo 

an. Cham. Cina. Croc. Dig. Graph. 

Iod. Kali. Laclt. Lijc. Merc. Magn. 

mur. Natr. mur. Nux vom. Par. 

Petr. Phosph. Plumb. Puis. Rhus. 

Sassap. Sec. corn. Sep. Sil. Staph. 

Sulphur. Thuj. Yeratr. 
SORE BETWEEN THE FIN- 
GERS: Graphites. 
SPASM: Bellad. Chamom. Hyper. 

Ign. Nux vom. Rhus. Yeratr. 
SPASMODIC FEELING: Anac. 

Bell. Caust. Digit. Nux vom. Plat. 

Rhod. 
SPOTS, yellow : Con. Petr. Sabadilla. 
— dark: Ant. tart. 
-red : Plumb. Zinc. 
STITCHES: Ambr. Amnion, mur. 

Anac Am. Bryon. Carbo an. Car- 
lo veg. Caust. Colch. Croc. JJap/i. 



UPPER EXTREMITIES. 



Ill 



Dig. Graph. Kali. Lack. Lye. 

Merc. Mur. ac. Natrum mur. Nux 

vom. Oleand. Petr. Phosph. Kan. 

sc. Rhod. Rhus. Sabad. Sassap. 

Stann. Stajm. Sulph. ac. Teucr. 

Thuj. Verb. Zinc. 
SWELLING: Amm. caro. xlrsenic. 

Bry. Calc. Hep. Iod. Lack. Lye. 

Magn. Merc. (Nitr. Nux vom. 

Phosph. Ran. seel. Rhus. Sil. 

SuJph. Thuj. 
— feeling as of a : Bell. 
TEARING: Agar. Am.br. Amnion. 

mur. Arsen. Aur. Bell. Bism. 

Canth. Carbo veg. Gaust Chel. 

Colch. Daph. Hell. Ign. Iod. Kali. 

Lach. Laur. Lye. Magn. Merc. Mur. 

ac. Natrum mur. Nitr. 01. an. Par. 

Phos. ac. Plumb.'R&n. bulb. Rhod. 

Sabin. Sil. Spig. Stann. Staph. 

Sulph. Teucr. Zinc. 

TENSION : Canth. Iod. Phosph. 
Plumb. Puis. Veratr. 

THROBBING: Carbo veget Crot. 

Sil. Sabad. Teucr. 
THUMB GOES TO SLEEP : Kali. 

Plumb. 
— clenched : Bell. Cham. Hyosc. Ign. 

Rhus. 
TREMBLING: Ambr. Bry. Rhus. 

Stront. 
TWITCHING : Alum. Amm. mur. 

Anac. Bry. Caust. Cham. Clc. Cm. 

Crotal. Cupr. Dig. Ign. Lycop. M. 
■ ' austr. Merc. Ol. an. Phosph. Plumb. 

Rheum. Rhod. Rhus. Sabad. Stann. 

Sulph. Sulph. ac. 
ULCERS: Alum. Ars. Caust. Lye. 

Natrum mur. Ran. bulb. Sil. Sulph. 
URTICARIA: Hep. 
WARTS: Caust. Lach. Lycopod. 

Petr. Sep. Sulph. 
WEAKNESS: Carbo veget. Hell. 

Nitr. Rhus. Sil. 
YELLOW,;turning: Chel. 



Finger- Joints . 
BORING: Hell. 
CRAMP-PAIN: Euphr. Magan. Plat. 

Sulph. 
CREAKING: Baryt. Caps. Meph. 

Nitr. 
DISLOCATION-PAIN: Natrum 

mur. Phosph. Sulph. 
DRY, as if : Puis. 
IN GENERAL: Ambr. Amm. Aur. 

Bell. Calc Caps. Carbo veg. Caust. 

Cham. Chin. Colch. Con. Creos. 

Drosera. Graph. Hell. Hep. Ignat. 

Kali. Led. Lye. Mang. Merc. Natr. 

mur. Nitr. Nitric ac. Nux vomica. 

Oleand. Phosph. Plat. Puis. Rhod. 

Rhus. Ruta. Sep. Sil. Spig. Spong* 

Staph. Sulph. Sulph. ac. 
NODES, gouty: Calcar. Clem. Hep. 

Lye. Rhod. Staph. 
PAIN: Kali. Sil Sulph 
— laming: Bell. Calc. 
PRESSURE: Led. Merc. Zinc. 
REDNESS : Lye. Spong. 
STIFFNESS: Aur. Ars. Carlo an. 

Caust. Graph. Hep. Lycopod. 

Rhus. Sep. Sulph. 
STITCHES: Am. Bar. Bry. Carbo 

veg. Con. Hell. Ign. Men. Nitric 

ac. Rhus. Sabin. Sepise. Sulph. ac. 
SWELLING : Euphr. Hep. Lycop. 

Nitric ac. 
TEARING: Agar. Amnion. Anac. 

Aur. Bell. Bryon. Carbo veg. Caust. 

Chel. Colch. HeU. Kali. Led. Lye. 

Phosph. acid. Plat. Puis. Rheum. 

Rhodod. Rhus. Ruta. Sabin. Samb. 

Spig. Staph. Sulph. Teucr. Zinc. 
TENSION : Iod. Nitric ac. Puis. Sep. 
ULCERS: Sep. 

Tips of Fingers. 
IN GENERAL : Ambr. Amnion, mur. 
Ant. tart. Asa f. Bor. Calc. Chel. 
Croc. Hep. Lach. M. austr. Phos. 
Pulsat. Rhus. Sec. corn. Sep. Sil 
Spig. Staph. Sulphur. Teucr. Thuj. 
Veratr. 



112 



LOWER EXTREMITIES. 



Finger-Nails. 
ALTERED COLOR: Ars. Mur. ac. 
BLUE: Chel. Chin. Chlor. Orotal. 

Dig. Nux vom. Petr. 
DISTORTION: Graph. Sep. Sulph. 
EXFOLIATION: Graphit. Mercur. 

Sulph. 
IN GENERAL: Alum. Ant. cruel. 

Arsen. Bar. Bism. Bor. Bov. Calc. 

Caust. Chel. Colch. Con. Crotal. 

Digit. Graph. Hep. Kali. Iodine. 

Lach. M. austr. Merc. Natr. mur. 

Nitr. Nitric ac. Nux vom. Phosph. 

Pulsat. Ran. bulb. Sabacl. Sep. Sil. 

Sulj It. Sulph. ac. Thuj. 
GNAWING: Alum. 
GROWTH, slow: Ant, cruel. 
HANG-NAILS: Natr. mur. Rhus. 

Stann. Sulph. 



NAILS, brittle: Graphit. Mercur. 

Thuj. 
— growing in : Sil. Sulph. 
PRESSURE : Calc. Caust. 
TEARING UNDER THE NAILS : 

Sil. 
— all round : Ambr. Lye. 
THICKENING: Graph. Sabad. 
ULCERATED : Alum. Arsen. Bar. 

Calcar. Conium. Hep. Kali. Laches. 

Ljcopod. Mercur. M. austr. Natr. 

mur. Petr. Bhosph. Sepias. Silic. 

Sulph. Thuj. 
ULCERATIVE PAIN : Bellad. Con. 

Graph. Hep. Kali. Merc. Plat. Puis. 

Sil. Sulpjh. Sulph. acid. Thuj. 
YELLOWNESS: Ambr. Con. Merc. 

Nux vom. 



lower ljcthlmities. 



Extremities. 

(t. signifies thigh, 1. leg.) 

IX GENERAL : Anac. Arn. Bellad. 
Bry. Calc. e. Calc. phosph. Carbo 
veg. Caustic. China. Colchic. Grot. 
Dig. Graphit. Guaj. Ignat. . Iod. 
Kali bichr. Kali carb. Lach. Led. 
Lycop. Mere. Mezer. Mosch. Mur. 
ac Natr. Natr. mur. N. vom. Oleand. 
01. an. Phosph. acid. Plat. Plumb. 
Puis. RJiodod. Rhus. Ruta. Sabin. 
Sep. Sil. Spigel. Spong. Staph. 
Sulph. Thuj. Valer. Viol. tr. 

Thighs. 

BLOTCHES: Calc. c. Lach. Merc. 

Staph. 
BOILS : Hep. Sep. Sil. 
BORING : Arn. Rhus. Staph. 
BURNING: Asa f. Carbo animal. 

('arl)O veget.Dnph. Euphorh. Kali. 

Xux vom. Phos. Plumb. Rims. Sil. 

Sulph. Zinc. 



CARIES: Asa f. Aur. Calc. c. Hep. 

Merc. 'Nitric a<: Phos. Sep. Sil. 

Sulph. 
COLDNESS (t. and 1.): Ars. Bell. 

Calad. Calc. c. Camph. Carbo veg. 

Daph. Led. Lye. Nitric acid. Nu.r 

vom. Op. Puis. Sec. corn. Sep. 

Sulph. Veratr. 
— feeling of : Helleb. M. austr. Oleand. 
— feeling of (t. and 1.) : Camph. 

Carb. veg. Chin. Merc. Natr. Sec. 

com. 
CONTUSIVE PAIN (t. and 1.) : 

Arn. Euphorb. Led. Nux mosch. 

Rhod. Bmta. 
CONVULSIONS (t. and 1.) : Cham. 

Caustic. Cuprum. Hyosc. Tan. 

Ipee. Men. Op. Plumbum. Rhus* 

Sec. corn. Strain. 
CRAMPS: Asar. Chin. Colch. 
— (t. and ].'): Boll. Bi.sm. Cina. CupP. 

Lach. Nux vom. Rhus. See. corn. 

St rant. 



LOWER EXTREMITIES. 



113 



CRAMPY FEELING : Angust. Am. 

Gale. c. Cycl. Digit. Graphit. 

Hyosc. Lycopod. Men. Petr. Phos- 
phor. Pvhus. Sep. Valer. Veratr. 
CREEPING: Arsenic. Bell. Guaj. 

Mane. Rhus. Sec. corn. 
CUTTING (t. and 1.): Alum. Bell. 

Bry. Graph. Lycop. Natr. Sil. 

Sulph. ac. 
DISLOCATION-PAIN (t. and 1.) : 

Carbo veg. Caust. Led. Natr. mur. 

Rhus. 
EMACIATION: Arg. nitr. Arsen. 

Calc. c. China. Iod. Lack. Merc. 

Nux vom. Selen. 
ERUPTION: Clem. Euphorb. Gra- 

phit. Kali. Lye. Merc. Natr. mur. 

Rhus. Sil. Sulph. 
EXTERNAL SIDE: Anac. Asa f. 

Bellad. Caustic. Coccul. Euphorb. 

Merc. Mezer. N. vom. Phosph. ac. 

Rhus. Stann. Sulph. Zinc. 
POSTERIOR SIDE : Alum. Antim. 

cried. Calc. c. Canth. Carbo veget. 

Caust. Con. Euphob. Graph. Ign. 

Kali. Led. Lye. Men! Merc. Mezer. 

Phosph. Phosph. ac. hus. Selen. 

Sep. Stann. Staph. Sulph. Veratr. 

Zinc. 
INTERNAL SIDE : Ant. crud. Asa 

f. Calc. c. Carbo veg. Caust. Gray It. 

Hep. lod.Kali. M. austr. Merc. Mur. 

acid. Nitric ac. Oleand. Petroleum. 

Rhod. Sabin. Selen. Stann. Staph. 

Sulph. Tar. Thuj. 
ANTERIOR SIDE : Anac. Ang. Ar- 
gent. Asa foet. Bar. Cann. Chin. 

Digit. Euphorb. Kali. Lye. Men. 

Mur. ac. Natrum mur. Nux vom. 

Olean. Phos. ac. Sabin. Sil. Spong. 

Stann. Thuj. Valer. 
FAINT FEELING : Arn. Ars. Bry. 

Chin. Crot. Dig. Guaj. Hell. Kali. 

Laur. Oleand. Phosph. ac. Plat. 

Rhodod. Ruta. Spig. Veratr. 
— (t. and 1.) : Agar. Alum. Ambra. 
Amm . Amm. mur. Arsen. Asar. 



Bell. Bryon. Calc. c. Cann. Caust 

China. Con. Croc. Graph. Hell. Ign. 

Ipec. Lach. Laur. Led. Lye. Nitr. 

ac. Nux mosch. Nux vom. Phosph. 

Ph. ac. Plat. Plumb. Puis. Rhodod. 

Rhus. Ruta. Sec. corn. Sep. Stront. 

Sulph. Zinc. 
FORMICATION: Ast. Bellad. Nux 

vom. Sec. corn. 
IN GENERAL: Agar. Ambr. Anac. 

Ant. tart. Arn. Asa f. Asar. Bell. 

Bry. Calc. c. Caps. Carbo an. Car- 
bo veg. Caust. Chel. Chin. Cocc. 

Colchic. Creos. Crotal. Cycl. Eu- 
phorb. Graph. Guaj. Hell. Hep. 

Ign. Kali. Lach. Led. M. austr. 

Merc. Mezer. Mosch. Mur. ac. Natr. 

mur. Nitric ac. Nux vom. Oleand. 

Phos. ac. Plat. Puis. Ran. bulb. 

Rhodod. Rhus. Sabin. Selen. Sep. 

Sil. Spigel. Spong. Stann. Staph. 

Sulph. Thuj. Zinc. 
HEAT : Aconit. Bryon. Caustic. 

Sulph. 
HEAVINESS : Alum. Ambr. Bry. 

Calc. c. Cann. Carbo veget. Graph. 

Hell. Ign. Iod. Kali. Lach. Lact. 

M. arct. Natrum mur. Nux vom. 

Puis. Rhus. Ruta. Sep. Spig. Stann. 

Sulphur. Sulph. ac. 
HERPES : Graph. Lye. Merc. Staph. 

Sulph. Zinc. 
INSENSIBILITY (t. and 1.) : Ambr. 

Ars. Asar. Carbo veg. Lach. Lye. 

Oleand. Op. Rhus. Sec. corn. 
ITCHING: Agar. Ant. crud, Ars. 

Calc. c. Carbo veg. Cic. Dig. Eu- 
phorb. Graph. Lach. Led. M. arct. 

Merc. Natrum mur. Nitric ac. N. 

jugl. Nux vom. Oleand. Rhod. Sec. 

corn. Sil. Spig. Staphys. Sulphur. 

Thuj. Veratr. Zinc. 
JERKS (t. and 1.) : Antim. tart. Cal- 

car. c. Cic. Creos. Euphr. Merc. 

Phosph. Strain. Sulph. Sulph. ac. 
LAMENESS : Causticum. Coccul. 

Oleand. 



114 



LOWER EXTREMITIES. 



— (t. and L): Bell. Bry. Caust, Coc- 
cul, Dig. Iod. Loch. Mane. Natr. 

mur, N. vom. Rhus. Ruta. Sec. 

corn. Sep. Sil. Sulpli. Zinc. 
MUSCLES RELAXED (t. audi.): 

Ambr. Calc. c. Carbo veg. Ferr. 

Iod. Merc. Nnx vom. Phosph. ac. 
NODES, gouty: Ant. crud. Calc. c. 

Calc. ph. Lycop. Rhus. Staph. 

Sulph. 
NUMBNESS : Carbo veget. Ferr. 

Graph. Spong. 
— (t. and L) : Ang. Asa f. Calc. c. 

Carbo veg. Coecnl. Iod. Kali. Lach . 

Merc. N. vom. Plat. Rhus. Sulph. 

Teratr. 
PAIN (t. and 1.) : Am. Anacaid. Aur. 

Calcar. e. Carbo veg. Cupr. Daph. 

Graph. Lycop. Mur. ac . Nitric, ac. 

Phosphor. Rhus. Sil. Stann. Sulph. 
—laming : Carbo veg. Caust. Cina. 

Coccul. Ign. Natr. mur. Nux vom. 

Rhus. Sep. 
— as if sore (t. and L) : Anac. Am. 

Calcar. c. China. Graph. Kali. Led. 

Lycop. Nux vom. Rhod. Staph. 

Sulph. 
— as if bruised: Bry. Bell. Calc. c. 

Caust. Coccul. Cuprum. Graph. 

Guaj. Hep. Led. Men. Natr. N. 

vom. Phosph. ac. Plat. Puis. Rata. 

Sepiaa. Spig. Sulph. Tar. Valer. 

Veratrum. 

(t. and L) : Bit. Bell. Canthar. 

Carbo veg. Croc. Graph. Laur. 
Natr. Nux mosch. Sep. Sil. 
Stann. 
PRESSURE: Agar. Caps. Digital. 

Guaj. Led. Men. Mosch. Mur. ac. 

Nitric, ac. Oleand. Ph. ac. Sabin. 

Sassap. SU. Stann. Verb. 
PULSATIONS : Asa foet. Coccul. 

Plat. 
SHUDDEBING: Cann. Chin. Ign. 

Phosph. Puis. 
GONE TO SLEEP: Ambra. Canth. 

Cham. Coccul. Croc, M. arct. 



I Mosch. Nux vom. Oleander. Puis. 

Rhus. Sec. coi^n. Veratr. 
j SORENESS BETWEEN THE 

THIGHS: Graph. Kali. Mercur. 
| Rhod. Selen. Sulph. 
SPOTS, red: Graph. Merc. 
STAGGERING : Asar. Coccul. HeU. 

Ign. Iod. Nux vom. Oleander. Op. 

Rhus. Sec. com. Strain. Yeratr. 
STIFFNESS: Ars. Graphit. Ignat. 

Natr. mur. Oleand. Rhod. 
— (t; and 1.) : Alum. Ang. Bell. Calc. c* 

Caust. Cic. Ferr. Ign. Kali. Led. 

Merc. Xatr. mur. Phosph. Rhus. 

Sep. Sulph. 
STITCHING : Aco. Am. Asa feet. 

Bell. Bry. Calc. c. Caustic. Coccul. 

Con. Euphr. Graph. Guaj. Hyosc. 

Laur. Mangan. Men. Nux vomica. 

Oleand. Phos. Rhus. Sabad. Sas- 
sap. Sep. Spig. Spong-. Stann. 

Staph. Sulph. Tar. Thuj. Viol. tr. 

Zinc. 
STRETCHY FEELING: Bellad. 

Daph. Phosph. ac. 
SWEAT: Carbo an. Merc. N. vom. 

Rhus. Thuj. 
—ft. and 1.) : Asa f. Hep. Phos. Sep. 

Yeratr. 
SWELLING (t and I.) : Arsen. Bry. 

Calc. c. Carb. veg. Chin. Colch. 

Dtileam. Hell. Lye. Merc. Phosph. 

Sec. com. Sep. Sil. Sulph. 
SWELLING OF BONES ft and 1.) : 

Asa f. Aur. Calc. c Calc. ph. Dulc. 

Iod. Lye. Merc. Phosph. Phosph. 

ac. Rhus. Sil. Staph. Sulph. 
TEARING AND DRAWING: Aga- 
ric. Alum. Amm. mur. Anac. Asa f. 

Aur. Bellad. Bry. Calc. c. Canth. 

Carbo an. Gaunt. ChamoTn. China. 

Ooccnl. Colchic. Daph. Dulc. En- 

phorb. Graph. Guaj. Kali. Lycop. 

Merc. Mezer. Natr. mur. Nitr. ac. 

Nux vom. Phos. ac. Plat. Plumb. 

Puis. Rhus. Sepia*. Sil. Stann. 

Sulpli. Valer. Zinc. 



LOWER EXTREMITIES. 



115 



TENSION: Am. Calc. c. Carbo veg. 

Creos. Guaj. Lye. Merc. Men. Ni- 
tric ac. Petr. Ehod. Rhus. Sab hi. 
— t. and 1. : Alum. Carbo anim. 

Caust. Cham. Dulcam. Iod. Kali. 

Lye. Natr. mur. Pulsat. Sep. 

Sulph. Zinc. 
THROBBING (t. and L): Antim. 

tart. Am f. Bell. Brom. Bry. Dig. 

Kali. M. austr. Natrum mur. Phos- 
phor. Rhus. Ruta. Sulph. 
TREMBLING (t. and 1.) : Ammon. 

mur. Am. Calc. c Carbo veg. 

Caust. Cic. Con. Digit. Graph. 

Lach. Mercur. Natr. Nux mosch. 

Nux vom. Plat Plumb. Puis. Rhus. 

Sil. 
TWITCHING: Agn. Arm Asa f. 

Caust. China. Graph. Laches. Lye. 

Mang. Nux vom. Phos. Puis. 

Rheum. Rhus. Sep. Sil. Staph. 

Sulph. Valer. Veratr. 
ULCERS: Calc. Sil. Thuj. 
— t. and 1. : Calc. Carbo veget. Graph. 

Lye. Merc. Natrum. Nitric ac. Petr. 

Rhus. Silic. Sulph. 
UNEASINESS (t. and 1.): Ars. 
1 Cann. Carbo veg. Caustic. Chin. 

Con. Graph. Kali. Lach. Mere* 

Nux vom. Phosphor. Plat. Ruta. 

Sep. Sulph. 
VARICOSE VEINS (t. and 1.): 

Ambra. Arn. Ars. Calc. c. Carbo 

veg. Ferr. Graph. Lye. M. austr. 

Puis. Sulph. Zinc. 

Legs. 
BOILS: Hep. Merc. Magn. carb. 

Nux vom. Sil. Sulph. 
BORING: Anacard. Aur. Mercur. 

Staph. 
BURNING: Agar. Arsen. Asa f. 

Carbo veg. Caust. Crot. Kali. Lye. 

Nux vom. Phosph. ac. Rhus. Sep. 

Tar. Teucr. Zinc. 
COLD FEELING: Ambra. Mosch. 

Puis. Valer. 



CONTRACTION: Ars. Canth. Cocc. 

Lye. Nux vom. 
CRAMP (in calves) : Alum. Ambra. 

Ang. Ars. Calc. carb. Camph. Carb. 

veg. Chamom. Cin. Coloc. Cupr. 

Dulc. Ferr. Graph. Hep. Hyosc. 

Ign. Laches. Led. Lye. M. austr. 

Men. Natr. Natr. mur. Nitric ac. 

N. jugl. N. vom. Petr. Rhodod. 

Rhus. Samb. Sec. corn. Sep. Sil. 

Stram. Sulphur. Veratr. Zinc. 
CREEPING: Bell. Cic. Ipec. Nux 

vom. Rhus. Sec. corn. 
CUTTING: Calc. c. Phos. ac. Thuj. 

(compt. t.) 
DIGGING: Spig. 
EMACIATION: Phos. ac. Samb. 
ERYSIPELAS : Arn. Rhus. Sulph. 
FAINTNESS: Natr. mur. Oleand. 

Plat. Stann. 
FLESH LOOSE, as if: Nux vom. 

Rhus. 
IN GENERAL: Aco. Ambr.Amm. 

mur. Anac. Ant. crud. Antim. tart. 

Ars. Asa f. Bell. Bryon. Calc. c 

Carbo veg. Canth. Caust. Cham. 

Chel. Conium. Creos. Cupr. Cycl. 

Dig. Euphorb. Ferr. Graph. Hyosc. 

Ign. Ipec. Kali. Lach. Led. Lye. 

M. austr. Men. Mercur. Mezer. 

Natr. N. vom. Oleand. Phosph. 

Phosph. ac. Plumb. Puis. Rhod. 

Rhus. Sabin. Sec. corn. Sep, Sil. 

Spigel. Spongia. Staph. Sulph. 

Tar. Valer. Veratr. Vit. 
HEAT : Aeon. BeU. Bry. Guaj. Hyosc. 
HEAVINESS: Ars. Bell. Camph. 

Ferr. Lgn. Ipec. Laur. Lye. Rhus. 

Veratr. (comp. t.) 
HERPES : Lye. Plumb. Staph. Sulph. 

Zinc. 
ITCHING: Agar. Asa f. Aurum. 

Calc. c. Chel. Dulcam. Daph. Kali. 

Lach. Laur. Lye. Natr. Op. Sabin. 

Sil. Staph. Sulph. 
LAMENESS : Agar. Ars. Carb. veg. 
NODES, gouty: Antim. crud. Rhus. 

Sulph. Staph. 



116 



LOWER EXTREMITIES. 



NUMBNESS: Alum. Graph. Kali. 

Sil. (comp. t.) 
PAIN AS IF SORE : See t. 
— as if bruised: Alumina. Asar. 

Calc. c. Caust. Croc. Digital. Eerr. 

Phosph. Plumb. Sep ice. (comp. t.) 
PRESSURE: Agar. Am. Ars.Jt.sa/. 

Bell. Camph. Cupr. Cylc. Ign. Led. 

Mang. Nux mosch. Nux vom. Phos. 

ac. Rhus. Ruta. Sep. Stann. Tar. 

Yaler. Zinc. 
PULSATIONS: Asa fcetida. Plat. 

Stann. 
RIGIDITY, feeling of (t. and 1.) : 

Cham. Coccul. 
SHUDDERING: Kali. 
GONE TO SLEEP : Asa f . Cicuta. 

Ign. Laur. Nux vom. Plumb. Samb. 
SPOTS, blue: Arn. Lach. 
— yellow: Stann. 
— red: Aeon. Calc. c. Coniuni. Merc. 

Sulph. ac. 
STIFFNESS: Fern Ipec. Petr. 

(comp. t.) 
STITCHING: Amm. mur. Anac. 

Ant. cruel. Arn. Asa f. Bell. Bry. 

Calc. c. Carbo an. Caustic. Chin- 
Graph. Hell. Ign. Kali. M. arct. 

Men. Mm-, ac. Natr. mm-. Nux vom. 

Plumb. Phosphor. Plat. Rhus. 

Ruta. Spig. Staph. Sulph. Valer. 
SWEAT: Euphorb. Hyosc. Mercur. 

(comp. t.) 
SWELLING : Aconit. Asa f. Ferr. 

Led. Puis. 
TEARING AND DRAWING : Agar. 

Alum. Ambr. Ant. tart. Arn. Ars. 

Bell. Bryon. Calc. c. Carbo an. 

Carbo veg. Caust. Cham,. Colch. 

Croc. Dulcam. Euphorb. Ferr. 

Graph. Ignat. Kali. Lach. Lye. M. 

an.str. Mezer. Magn. mur. Natrum. 

Nux vom. Phosph. Puis. Rhod. 

Rhus. Sassap. Sep. Silicea. Spong. 

Staph. Sulph. Valer. Zinc. 
TENSION: Asa t Bry. Calc. c. 

Chamom, Coca Graph. Ign. Kali. 



N. vom. Puis. Rhus. Spig. Valer. 

(comp. t.) 
TICKLING: Laur. 
TREMBLING: See t. 
TWITCHING: Anac. Arsen. Asar. 

Bellad. Cina. Cupr. Graph. Hyosc. 

Lycop. M. austr. Men. Op. Petr. 

Plumb. 
ULCERS: Ars. Calc. c. Graphit. 

Lach. Lye. Ruta. Staph. 
ULCERATIVE PAIN: Puis. 
UNEASINESS: See t. 

Heels. 
IN GENERAL : Amnion, mur. Ant. 
cruel. Arg. Arn. Calc. c. Caust. 
Coloc. Cycl. Graphit. Ign. Kali. 
Led. Lycop. M. arct. Merc. Natr. 
Nitric ac. Petr. Pulsat. RhoOod. 
Rhus. Salmi. Sec. corn. Selen. Sep. 
Sil. Spongia. Stann. Stront. Sulph. 
Valer. Viola, trie. 

Feet. 

BENT INWARDS : Sol. n. 
BOILS : Calc. c. Merc. 
BURNING : Am. Ars. Calc. c. Coc- 
cul. Crotai. Graph. Hep. Lye. 

Merc. Natr. Natrum mur. Phos. ac. 

Puis. Rhus. Sec. corn. Sep. Sil. 

Stann. Tar. 
CHILBLAINS: Ant. crud. Cham. 

Nitr. ae. Nux vom. Petr. Phosph. 

Puis. Rhus. Sulph. 
COLD, liable to take: Con. Sil. 
COLDNESS: Ambra. Amm. mar. 

Ant. crud. Ant. tart. Arn. Bell. 

Calad. Calc. c Caustic. Chel. Chin. 

Coff. Con. Dapli. Digit. Graph. Ign. 

Il>c<-. Kali. Lack. Lye. Men. Mur. 

ac Natr. Nux vom. Oleainl. Petr. 

Phtisph. Puis. Rhodod. Rims. 

Sabin. Samb. Sephc. Sil. Squilla. 

Si ami. Sulph. Verjilr. 
CORNS: Ant. criMl. Am. Calc. c. 

Canst. 1 Ign. Lye. Nux vom. Pals. 

Ran. sc. Rims. Sep. Sil. Sulph. 



LOWER EXTREMITIES. 



117 



CKAMPY FEELING : Calc. c. Cal- 

ad. Caust. Graph. Hep. Laches. 

Lye. Natr. raur. Petr. Sil. Sulph. 
— in the soles: Calc. c. Chelid. Ferr. 

Euphorb. Natr. c. Selen. Sil. 

Svdph. 
CKEEPING: Am. Bell. Caustic. 

Dulc. Graph. Ign. Natr. Nux vom. 

Phosph. Rhodod. Rhus. Sec. "corn. 

Sep. Stann. 
DEADNESS: Ant. crud. Arsenic. 

Calc. c. N. vom. Rhus. Sec. corn. Sil. 
DESQUAMATION: Dulc. 
DRY SOLES OF FEET : Bism. 
EXHAUSTION, feeling of: Bellad. 

Bov. Cham. Croc. Ferr. Lye. Phos. 

Plat. Rhus. Zinc. 
ERUPTION: Graph. Petr. Sulph. 
ERYSIPELAS: Kiix vom. Dulc. 
FETOS: Plumb. Sil. 
IN GENERAL: Aeon. Anac. Arn. 

Ars. Asa f. Aur. Baryt. Bell Bry. 

Calc. c. Camph. CarLo vej. Caust. 

Cham. Conium. Creos. Cuprum. 

Ferr. Graph. Hep. Ign. Kali.~Le&. 

Lye. Merc. Natr, Natr. mur. Nux 

vom. Petr. Phosph, Plumb. Puis. 

Bhocl. Rhus. Ruta. Samb. Secale 

corn. Sep. Sil.S1mni.Stront. Sulph. 

Verat. Zinc. 
GOUT: Am. Bryon. Graph. Lach. 

Led. Lye. Nux vom. Oleand. Rhus. 

Buta, Sabin. Veratr. 
HEAT: Aeon. Arn. Bryon. Calc. c. 

Carbo anim. Led. Nux vom. Puis. 

Phosph. Sep. Sulph. 
—of the soles : Anac. Nux vomica. 

Sangn. 
ITCHING: Agar. Asa f. BeL. Calc.c. 

Coccul. Lach. Lycop. Puis. Selen. 

Stann. 
LAMENESS: Oleander. Phosphor. 

Plumb. 
NUMBNESS: Bryon. Carbo veget. 

Con. Op. Phosph. ac. 
PAIN AS IF BRUISED : Bry. Laur. 

Magn. c. 



—as if sprained : Arn. Carbo veg. 
PRESSURE : Asa f. Bellad. Bryon. 

Graph. Led. Nux vom. Plat Stann. 

Sulph. ac. 
PULSATIONS : Ran. bulb. 
RIGID FEELING: Asa feet. 
GONE TO SLEEP : Alum. Ammon. 

mur. Ant. tart. Bar. Cocc. Euphorb. 

Graph. Kali. Lach. Laur. Lycop. 

Kux vom. Oleand, Plumb. Bhod, 

Sep. Sil. 
STIFFNESS: Ambr. Ars. Led. 
SPASM : Bar. Bell. Nux vom. Rhus. 

Secale corn. 
STITCHES: Alum. Arn. Asa feet. 

Bellad. Bryon. Calc. c. Carbo veg. 

Chin. Graph. Ign. Kali. Meph. 

Mur. ac. Natr. Natrum mur. Nitr. 

acid. Phosph. Ban. sc. Sep. Sil. 

Sulph. 
SWEAT : Bar. Calc. c. Cann. Carbo 

veg. Cupr. Graph. Ipec. Kali. Led. 

Lycop. Magn. mur. Merc. Nitr. ac. 

N. jugl. Ph. ac. Pulsat. Sep. Sil. 

Squill. Sulph. 
— of the soles of feet: Arn. Chin. 

Plumb. 
SWELLING: Amm. c. Arn. Ars. 

Asa f. Bell. Bry. Calc. carb. Caps. 

Caust. Cham. China. Cocc. Crotal. 

Digit. Ferr. Graph. Kali. Lach. 

Led. Lye. Merc. Natr. Natr. mur. 

Petr. Phosph. Puis. Rhod. Rhus. 

Sec. corn. Sep. Sil. Stann. Staph. 

Sulph. 
TEARING AND DRAWING: Al- 
um. Ant. crud. Am. Bellad. Bism. 

Bov. Carbo veg. Caustic. Chin. 

Colch. Ferr. Graphit. Hep. Lach. 

Lycop. Merc. Natr. Natr. mur. Ni- 
tric acid. Phosph. ac Rhodod. Si 1 . 

Spig. Stann. Strain. Sulph. 
TENSION: Bry. Led. Rhus. Sulph. 
TICKLING : Laur. Rhod. Sil. 
TREMBLING: Arn. Ars. Coffea. 

Strain. Veratr. Zinc. 



118 



LOWER EXTREMITIES. 



TWITCHING: Am. Chin. Cupr. 

Graphit. Ign. Ipec. Laur. Phosph. 

Sep. Yeratr. 
ULCEES: Ars. Ipec. Lack. Merc. 

Ruta. Sec. corn. Sulph. 
ULCERATIYE PAIN : Bry. Graph. 
UNEASINESS: Arn. Bar. Carbo 

veg. Rhus. 

Tarsal Joints. 

BEATING : Arg. Ruta. 

BEND, liable to: Carbo an. Na- 

trum. Natrummur. Nitric ac. Nux 

vom. Rhus. 
BORING: Spig. 

BURNING: Calc. Euphorb. Sul- 
phur. 
CREAKING: Camph. Kali bichr. 

Petr. 
IN GENERAL: Ambr. Am. Arsen. 

Bry. Calc. c. Carbo animal. Caust. 

Creos. Cycl. Dros. Graph. Hep. 
. Ign. KaU. Led. Lycop. Mang. Mere. 

Mezer. Natr. miir. Nitric ac. Petr. 

Phos. Puis. Rhus. Ruta. Sep. Sil. 

Spig. Staph. Stront. Sulph. Zinc. 
ITCHING : Daph. Kali. Oleand. 

SeJen. 
LAMENESS: Natr. mur. Oleand. 
PAIN AS IF SPRAINED: Arn. 

Bry. Carbo veg. Caust. Dros. Led. 

Men. Natr. Nux vom. Prun. Rhus. 

Sulph. Yaler. 
— as if bruised : Calcarea. Hep. Yaler. 
— as from weariness : Croc. Nux vom. 
PRESSURE : Camph. Daph. Led. 

Natr. Spig. 
PULLING : Caust. Spig. 
SPASM: Ars. Iod. 
STIFFNESS : Capsic. Caust. Chel. 

Ignat. Kali. Led. Lye. Petr. Rhus. 

Ruta. Sep. Sulph. 
STITCHES: Arn. Ars. Asa f. Bov. 

Bry. Caustic. Kali. Oleand. Rhus. 

Spig. Sulph. 
SWELLING: Arsen. Asa f. Bryov. 

Cain. a. Led. Lye. Merc. Rhod. 

Rhus. Sulph. 



TEARING AND DRAWING: Agar. 

Arn. Arsen. Colch. Euphorb. Kali. 

Merc. Puis. Ran. bulb. Rhod. 

Rhus. Spong. Zinc. 
TENSION: Bry. Lye. Sep. Zinc. 
WEAK FEELING: Calc. c. Carbo 

an. Merc. 

Dorsum of Feet. 

IN GENERAL: Asa f. Bry. Cam- 
phor. Caust. Hep. Lycop. Mercur. 
Mur. ac. Natr. Par. Puis. Rhus. 
Spig. Sulphur. Tar. Thuj. Zinc. 

Soles of Feet. 

IN GENERAL : Ambr. Anac. Am. 
Ars. Bell. Bry. Calcar. c. Carbo 
veg. Caust. Creos. Cuprum. Graph. 
Lye Mercur. Mur. ac. Natr. Petr. 
Phosph. Phosph. ac. Phell. Plum b. 
Pulsat. Rhus. Sil. Stront, Sulph. 

Tar. 

Hip and Joint. 

BORING: Arn. Cin. Merc. 
BURNING: Bell. Carbo veg. Hell. 

Rhus. Ruta. Sep. Yaler. 
CREAKING : Anac. Camph. 
CRAMPY FEELING : Bellad. Plat. 

Sulph. 
CUTTING: Alum. Cacl. c. 
IN GENERAL : Aeon. Amm. Ant. 

crud. Ant. tart. Arn. Bellad. Bry. 

Calc c. Carbo veget. Caust. Coc- 

cul. Coloc. Creos. Ferr. Hell. Ign. 

Ipec. Kali. Led. Lye. M. austr. 

Mercur. Natr. mur. Nitric ae. N. 

vom. Phosph. Phosph. ac. Pulsat. 

Rhus. Ruta. Sep. Silicea. Stront. 

Sulph. Teiicr. Yeratr. 
HIP-DISEASE : Bry. Calcar. c. 

Caust. Coloc. Hepar. Merc. Nitric 

ac. Phosph. ac. Rhus. Ruta. Sil. 

Sulph. (See Limping, spont.) 
IS CHI AS : Aconit. Bell. Bry on. 

Caust. Chamom. Coloc. Led. Mere. 

Nux vom. Puts. Rhus. Ruta. Sa- 

bin. Sep. Sulph. 



LOWER EXTREMITIES. 



lid 



ITCHING : Caustic. Led. Natrum. 

Sep. 
LAMENESS: Cham. Lye. Veratr. 
LIMPING, spontaneous : Aconit. 

Bell. Calc. c. Caust. Coloc. Lye. 

Merc. Rhus. Ruta. Staph. Sulph. 

Zinc. (See Hip-disease.) 
NUMBNESS: Lach. Staph. 
PAIN, simple : Aco. Bell. Cham. 

Led. Nux vom. Rhod. Rhus. Ruta. 
— laming: Bell. Cina. Coccul. Lach. 

Natr. niur. 
— as if sprained: Amm. m. Arm. Bry. 

Caust. Cham. Euphorb. Ipec. Na- 
trum mur. Nux vom. Rhus. 
— as if sore : Cic. 
— as if bruised: Alum. Am. Bry. 

Caust. Croc. Ferr. Lach. Natr. 

Natr. mur. Phos. ac. Ruta. Sep, 

Zinc. 
PRESSURE : Am. Asar. Caustic. 

Coccul. Euphorb. Led. Nux vom. 

Ruta. Sabadilla. Sep. Stann. 
PULLING : Natr. mur. 
STIFFNESS : Bell. Canst. Chamom. 

Ign. Led. Sep. Staph. 
STITCHES: Alum. Bellad. Br yon. 

Calc. c. Caust. Coccul. Ferr. 

Graph. Ign. Led. Natr. mur. Nux 

vom. Rhus. Sil. Zinc. 
SWELLING : Bry. Sep. 
TEARING AND DRAWING: 

Alum. Ant. cruel. Bry. Carbo veg. 

Canst. Con. Dulc. Euphorb. Kali. 

Lye. Merc. Natr. Natr. mur. Rhod. 

Rhus. Sep. Zinc. 
TENSION : Bell. Lye. Natr. mur. 

Nitr. ac. Pi^ls. Rhus. 
TWITCHING: Calc. carb. Coccul. 

Mezer. N. vom. Sep. Sil. Sulph. 
WEARINESS, feeling of: Thuj. 

Knee and Joint. 
ANEURYSM IN BEND OF 

KNEE: Carbo veg. 
BORING: Caust. Canth. 
BURNING : Asa feet. Tabac. Carbo 

veg. Lye, Mur. ac. Phosph. Sulph. 



COLDNESS : Aeon. Arsen. Chin. 

Daph. Puts. Sep. Sulph. 
— feeling of : Dig. Veratr. 
CONTRACTION : Carbo an. Lycop. 

Merc. Rhus. Sil. Sulph. 
CONTRACTIVE FEELING IN 

HAM-STRINGS: Con. Nitric ac. 

Rhus. Ruta. Sulph. Veratr. 
CREAKING : Camph. Caust. Coc- 
cul. Led. Nitric ac. Nux vom. Petr. 

Rhus. Selen. Sulph. 
CRAMPY : Bellad. Bryon. Caust. 

Oleand. 
CREEPING: Rhus. 
CUTTING : Graphit. Tax. Thuj. 

Veratr. 
ERUPTION: Hep. Kali. Lye. Nux 

vom. Phosph. ac. Thuj. 
FUNGUS OF THE KNEE: Ant 

crud. Ars. Bell. Bry. Calc. c. Iod. 

Kali hydr. Led. Lycop. Merc. 

Phosph. Puis. Rhodod. Rhus. Sep. 

Sil, Sulph. 
IN GENERAL : Aco. Ambr. Amm. 

Amm. mur. Anac. Ant. crud. Arg. 

Arn. Avs.Asaf. Asar. Bry. Calc. c. 

Calc. phosph. Caps. Carbo veg. 

Caustic. Chin. Colch. Con. Ferr. 

Cycl. Graph. Hep. Iod. Kali. 

Lachesis. Led. Lye. Mane. M. austr. 

Merc. Natr. Natrum mur. Nitric 

ae. Nux mosch. Nux vom. Petr. 

Phos. Plumb. Puis. Rheum. Rhod. 

Rhus. Ruta. Sabad. Sep. Sil. 

Spigel. Stann. Staph. Sulph. Tar. 

Yaler. Veratr. Vit. Zinc. 
GIVING WAY, liable to: Arnica. 

Bell. Camph. Caust. Chin. N. vom. 

Rhod. Rhus. Ruta. Sulphur. 
HEAT, feeling of: Aur. m. Calc. c. 

Ign. 
HEAVINESS: Chin. Rhus. Verat. 
HERPES : Calc, c. Natr. Natr. mur. 

Petr. Sulph. 
— in the bend of the knee : Calc. c. 

Graph. Natr. Natrum mur. Psor. 

Sulph. 



120 



LOWEE EXTREMITIES. 



ITCHING: Asa feet. Canst. Kali. 
Lye. Mur. ac. Nitric ac. 

— in bend of the knee : Natr. Nux 
vom. Sassap. 

JERKS : M. austr. Spig. Sulph. ac. 
PAIN AS IF DISLOCATED : Agar. 

Am. Caust. Ipec. Men. Nitric ac. 

Phos. Rhus. Spig. Staph. 

— as if sore : Carbo an. Caustic. Nux 
vom. Sulph. 

— as if bruised: Amm. carbon. Ars. 
Aurum. Cainph. Graph. Hep. Jatr. 
Led. Nux vom. Rhus. Ruta. Stann. 
Veratr. Zinc. 

PRESSURE: Alum. Asa f . Bellad. 

Calc. c. Chel. Cycl. Led. Magn. 

mm.'. M. austr. Rheum. Stann. 

Sulph. Thuj. 
PRICKLING: Aur. m. 
PULLING : Caust. Natr. mur. 
SHOCK IN THE BEND OF THE 

KNEE: Veratr. 
GONE TO SLEEP : Carbo veg«. 
SPASM. Ruta. Sulph. 
SPOTS, red: Lye. Petr. Rhus. 
SPRAIN, liable to : Nux vom. Rhus. 
STIFFNESS : Ambr. 'Ammon. mur. 

Ars. Bell. Bry. Calc. Caps. Caust. 

Coloc. Graph. Hell. Ignat. Kali. 

Lach. Led. Lye. Natr. mur. Nux 

vom. Petr. Pliospli. Pulsat. Rhus. 

Sassap. Sep. Stann. Sulph. 
STITCHES : Alumina. Ant. erud. 

Arn. Asa f. Bell. Bry. Calc. Carbo 

an. Caust. Chel. Cocc. Con. Graph. 

Hell. Kali. Lach. Laur. Led. Natr. 

mur. Nitric ac. Petr. Phos. Puis. 

Rhus. Sassap. Sep. Sil. Stann. 

Staphysag. Tab. Thuj. Valer. Veratr. 
SWEAT : Calc. Led. 
SWELLING: Ars. Bryoii. Calc. c 

Calc. phosph. Chin. Coccul. Ferr. 

Graph. Hep. Kali hydr. Iod, Lach. 

Led. Lye. Mur. ac. Nitric ac. Nux 

voni. Phos. Puis. Rhod. Rhus. Sep. 

Sil. Sulph. 



TEARING AND DRAWING: 

Aconit. Agar. Alum. Anac. Am. 

Bell. Benz. ac. Bry on. Calc. carb. 

Calc. phosph. Canth. Carbo an. 

Caust. Cham. China. Clem. Colch. 

dot. Euj)horb. Iod. Kali. Kali 

bic.hr. Lach. Laur. Led. Lycop. M. 

austr. Merc. Mur. ac. Natrum. Nitr. 

Phos. Puis. Rhod. Rhus. Sep. Sil. 

Spig. Stront. Sulphur. Zinc. 
TENSION: Am. Bryon. Caustic. 

Graph. Kali. Laches. Led. Nitric 

ac. Nux vom. Phosph. Puis. Rhus. 

Sep. Sulph. . 
THROBBING: Calc. c. Ruta. 
TUBERCLES : Calc. c. Chin. Led. 

Lye. Nux vom. 
TWITCHING: Bell. Caps. Caust. 

Chin. Laur. Plumb. Sulphur. 

Veratr. 
UNSTEADINESS: Aconit. Arnica. 

Carbo veg. Nux vom. Rhus. 
WANT OF MOBILITY: Graph. 
WEAK FEELING: Aconit. Arnica. 

Asar. Bryon; Caust. Chin. Con. 

Cupr. Ferr. Ign. Lach. Led. Lye. 

Merc. Natrum mur. Nitric ac. 

Plat. Puis. Stann. Staph. Sulph. 

Veratr. 
WEARINESS : Asar. Cocc. Coiiium. 

Nux mosch. Pulsat. Ruta. 

Nails. 

IN GENERAL: Alum. Ars. Caust. 
Graph. Hep. Hell. Mercur. Natr. 
Natrum mur. Nux vom. Phosph. ac. 
Sahad. Sep. Sil. Sulph. 

Tibia. 
IN GENERAL: Agar. Anac. Arn. 
Ars. Asa f. Bell. Calc. Caustic. 
Coloc. Con. Creos. Dnlc. Graph. 
Kali. Lach. Lycopod. Mang. Merc. 
Mezer. Mur. ac. Phos. Puis. Rhod. 
Rhus. Sabin. Sep. Sil. Spong. Tar. 
Zinc. 



LOWER EXTREMITIES. 



121 



Calves. 

IN GENEKAL : Alum. Ambr. Ant. 
crud. Ars. Asa f. Bry. Calc. Caps. 
Caustic. Cham. Coloc. Croc. Cupr. 
Ferr. Graph. Hyosc. Ign. Led. Lye. 
M. austr. Mang. Merc. Natr. Natr. 
mur. Nitr. ac. Nuxvom. Petr. Puis. 
Rhus. Sabina. Sec. corn. Sep. Sil. 
Spig. Stann. Staph. Sulphur. Tar. 
Valer. Veratr. 

Toes. 
BORING: Merc. Ran. sc. 
BURNING: Am, Dulc. Nitric ac. 

Nux vom. Staph. 
— in the toe-balls : Bry. 
CHILBLAINS, blisters: Km. Nitric 

ac. Petr. 

CHILBLAINS: Agar. Amm. Ant- 

crud. Caust. Nitr. ac. Nux vom. 

Petr. Phosph. Puis. Rhus. Sulph. 
COLDNESS : Calad. Sulph. 
CONTRACTION: Cham. Ferrum. 

Hyosc. Nitr. Nux vom. Lye. Merc. 

Plat. 
CRAMPY : Amm. Arn. carb. Bar. c. 

Calc. Caust. Ferr. Hyosc. Ign. Lye. 

Mosch. Nux vom. Plat. Sulph. 
CREEPING: Alum. Asa f. Caust. 

Hep. Lach. Plat. Plumbum. Rhod. 

Sec. corn. 
DEADNESS : Cycl. Sec. com. 
IN GENERAL: Agar. Amm. Arn. 

Aur. Calcar. Carbo an. Carbo veg. 

Caust. Colch. Graph. Kali. Magn. 

carb. Merc. Mezer. Natrum mur. 

Nitric ac. Petr. Phosph. Phos. ac. 

Plat. Ran. seel. Sabin. Sec. com. 

Sil. Sulph. 
ITCHING: Ambr. Cycl. Daph. Hep. 

Nux vom. Paeon. Pulsat. Stront. 

Staph. 
JERKS : Anac. Arn. 
NUMBNESS: Arn. Crot. Phosph. 



— of toe-balls: Puis. 

PAIN AS IE BRUISED : Aur. 

Sulph. 
PRESSURE: Asa f. Cycl. Graph. 

Nux vom. 
PRICKLING: Aeon. Ant. tart. 
REDNESS: Carbo veg. 
GONE TO SLEEP: Cham. Nux 

vom. Rhus. 
SORENESS: Graph. Natr. Ban. 

bulb. Sil. 
SPASMS : Bar. m. Cham. Nux vom. 

01. an. 
STIFFNESS : Sec. corn. Sil. Sulph. 

STITCHES : Am. Asa feet. Calcar. 

Carbo veget. Caustic. Cocc. Graph. 

Lycopod. Natr. mur. Oleand. Puis. 

Ran. bulb. Ban. sc. Sil. Veratr. 

Zinc. 
SWEAT: Arn. Sil. 
SWELLING : Arn. Carbo veg. Graph. 

Merc. Nitric acid. Phosph. Sabin. 

Sulph. 
— of toe-balls : Daph. Led. 
TEARING AND DRAWING : Agar. 

Amm. mur. Arn. Ars. Asar. Camph. 

Caust. Chili. Cicuta. Cycl. Hep. 

Kali. Lach. Led. Lye. Par. Phos. 

Puis. Bhus. Sil. Sulph. Stront. Vit. 

Zinc. Valer. 
TICKLING: Ambr. 

TWITCHING: Asa f. Chin. Cupr. 
Merc. Ran. sc. 

ULCERS : Ars. Caustic. Graph. 
Petr. Sep. 

Toe-Joints. 

IN GENERAL: Am. Aur. Bism. 
Calc. Caust. Cham. China. Conium. 
Cycl. Graph. Hep. Kali. Led. Lye. 
Merc. Phos. Puis. Rhod. Bhus. 
Buta. Sabin. Sep. Sil. Staph. 
Sulph. Teucr. Valer. Zinc. 



122 



XXVIII. SKIN AND EXTERNAL SYMPTOMS. 



ABSCESSES, acute: Ars.Bell. Hep. 

Lack. Mere. Phosph. Pulsat, Sil. 

Sulph. 
— chronic: Cale. c. Calc. ph. Con. 

Hep. Lach. Iod. Lycop. Merc. Ni- 
tric ac. Phosph. Sil. Staph. Sulph. 

Thuj. 
BED-SORES: Agar. Arn. Baryt. 

Calc. c. Carbo veg. Caustic. Chin. 

Cic. Creos. Ferr. Graphit. Hepar. 

Ign. Lach. Lycop. Mercur. Nitric 

ac. Petr. Puis. Bhus. Buta. Sep. 

Silic. Sulph. Sulph. ac. 
BITING IN THE SKIN : Ant. crud. 

Bar. Canth. Cham. Dig. Graphit. 

Kali. Led. Lye. Nux vom. Oleand. 

Plat. Pulsat. Ban. sc. Bhus. Buta. 

Spong. Staph. Veratr. Tit. 
BLOATING: Ant. crud. Ars. Bell. 

Bryon. Calc. c Caps. Cupr. Dulc. 

Ferr. Graph. Kali. Lycop. Merc. 

Mosch. Oleand. Op. Pulsat. Bhus. 

Spig. Staph. Suljjh. 
BLOODY-TUMOBS: Bryon. Merc. 

Sec. corn. 
— blisters : Ars. Canth. Secale corn. 

Sulph. 
BLOTCHES: Apis. Creos. Dulc. 

Natr. mur. Rhus. Sulph. 
BOILS: Ant. crud. Arn. Bellad. 

Calc. c. Carbo anim. Euphorb. 

Hep. Lach. Led. Lye. Merc. Mur. 

ac. Nitr. ac. Phosph. Phosph. ac. 

Sec. com. Sep. Sil. Staph. Sulph. 

Sulph. ac. Thuj. 
BLOTCHES: Agar. Ant. crudum. 

Ars. Bell. Bry. Calc. C Carbo anim. 

Caust. Con. Daph. Dulc. Graphit. 

Hep. Iod. Lach. Led. Lye. Magn. 

Mang. Mezer. Natrum mur. Oleand. 

Petr. Phosphor. Puis. Bhus. Buta. 

Sec. corn. Sep. Si!. Staph. Sulph. 

Thuj. Verat. 
BURNING OF SKIN: Aconit. Arn. 

Ars. Asa 1. Anr, Aur. mur. Bell. 



Bryon. Calc. Camph. Caps. Carbo 
veg. Caust. Cic. Coccul. Creos. 
Cupr. Dig. Euphorb. Ferr. Hep. 
Ign. Kali. Lach. Lye. Merc. Nitr. 
ac. Nux vom. Op. Phosjjh. Puis. 
Bhus. Secale corn. Sep. Sil. Spig. 
Staph. Sulph. Sulph. ac. Veratr. 
Viola, tr. 
COLOR OF THE SKIN, blue: 
Arsen. Bell. Cina. Con. Cnpr. Dig. 
Hijdr. ac. Lach. Merc. Op. Phosph. 
ac. Sec. corn. Veratr. 

pale : Bellad. Calc. Chin. Coccul. 

Ferr. Graph. Kali. Lycop. 
Nitric ae. Nux vom. Plat. Pulsat. 
Sep. Spigel. Sulph. 

yellow : Ambr. Ars. Bell. Bryon. 

Canth. Carbo vegetab. Cham. 
China. Con. Ferr. Ign. Lye. 
Merc. N. vom. Op. Plumb. Puis. 
Bhus. Sep. Spig. Sulph. Veratr. 

red: Aconit. Arn. Bell. Bnj. 

Canth. Drdc. Graph. Lye. Merc. 

N. vom. Op. Phos. ac. Rhus. 

Buta. Secale corn. Stram. Vit. 

— sallow: Calc. Ferr. Iod. Laches. 

Merc. Natr! c. Phos. Sec. corn. Sep. 

COMEDONES: Calcar. c. Natr. 

Natrum mur. Nitric ac. Selen. 

Sulph. 

CONTUSIVE PAIN: Am. Rhus. 

Sulph. ac. 
CRACKING OF THE SKIN: 
Alumin. Arn. Calc. c. Cham. 
Creos. H^j). K'dli. Lach. Lye. Natr. 
Natr. mur. Nitric ac. Petrol. Puis. 
Rhus. Sep. Sil. Sulphur. Zinc. 
CRUSTA LACTEA: Calc. Carbo 
veg. Dulc. Graph. Lye. Merc. Rhus. 
Sassap. Staph. 
DAMP SKIN: Alum. Ars. Calc 
Carbo veget. Cic. Clem. Dulc. 
Graph. I . Merc. Nitric ac. Petr. 
Rhus. Sepia'. Sil. Sulph. 



SKIN AND EXTERNAL SYMPTOMS. 



123 



DESQUAMATION: Aeon. Amm. 
Amm. mur. Arsen. Aur. Bell. Bov. 
Caustic. Clem. Dule. Graph. Hell. 
Iod. Mercur. Mezer. Oleand. Phos. 
Phos. ac. Puis. Rhus. Secale corn. 
Sep. Sil. Staph. Veratr. 

Eruption. 
IN GENERAL : Aeon. Amm. carb. 

Ant. crud. Am. Ars. Aurum. Bar. 

Bov. Bry. Calc. carb. Canth. Carb. 

an. Carbo veget. Caust. Cic. Clem. 

Con. Cuprum. Cycl. Dulc. Ferr. 

Graphit. Hell. Hep. Ipec. Kali. 

Lack. Lijc. Magn. c. Magn. m. 

Merc. Natr. Natr. mur. Nitric ac. 

Nux vom. Oleander. Petr. Phosph. 

ac. Puis. Rhod. Rhus. Sassap. 

Selen. Sepice. Sil. Spigelia. Staph. 

Stront. Sulphur. Sulph. ac. Thuj. 

Viola, tr. Zinc. 
ERUPTION, peeling off: Ammon. 

Bell. Clem. Hell. Led. Merc. Mezer. 

Phosph. Sepiae. Sil. Stapjh. 
— smarting: Bry. Calc. Calc. caust. 

Caust. Euphorb. Lach. Led. Mezer. 

Natr. mur. Puis. Sil. Spong. 

Sulph. 
— vesicular: Ant. crud. Ars. Bry. 

Canth. Carbo an. Caustic. Clem. 

Dulc. Graphit. Hell. Hep. Kali. 

Lach. Natr. Natr. mur. Nitr. ac. 

Phosph. Ran. bulb. Rhus. Secale 

corn. Sep. Sulph. 

gangrenous : Arsen. Carbo veg. 

Camph. Sec. corn. 
— purulent : Ant. tart. Ars. Asa feet. 

Calc. Clem. Dale. Hep. Kali biehr. 

Lye. Merc. Natr. Natr. mur. Nitric 

ac. Puis. Rhus. Sec. corn. Sep. Sil. 

Staph. Sulph. Zinc. 
— humid: Alum. Ars. Bovista. Carbo 

an. Carbo veg:. Caust. Clem. Dulc. 

Graph. Hep. Kali. Lach. Lye. Nitr. 

ac. Petr. Rhus. Selen. Sep. Sil. 

Staph. Sulph. Sulph. ac. 
—flat: Ars. Asa f. Bell. Lach. Lye. 



Natr. Nitric ac. Phosph. ac. Selen. 

Sep. Sil. 
— corrosive : Ars. Baryt. Borax. Calc. 

Cham. Con. Graphit. Hep. Kali. 

Lach. Mercur. Natr. Nitric ac. Pe- 
trol. Rhus. Sep. Sil. Staph. 
— yellowish: Creos. Euphorb. Merc. 

Nitr. ac. 
— miliary: Agar. Ars. Carbo veget. 

Graph. Hep. Led. Natr. mur. Nux 

vom. Zinc, 
—itching : Aco. Ant. crud. Ant. tart. 

Ars. Bry. Canth. Caustic. Cham. 

Clem. Graphit. Ignat. Kali. Lach. 

Mercur. Mezer. Nitric ac. Oleand, 

Ran. bulb. Rhus. Sep. Sil. Staph. 

Sulph. Veratr. 
— coppery: Arsen. Carbo an. Creos. 

Lach. Merc. Rhus. Veratr. 
— nettle-rash: Aco. Apis. Ars. Bell. 

Bry. Calc. c. Caustic. Cepa. Cop. 

Dulc Hep. Ipec. Lye. Natr. mur. 

Puis. Rhus. Secale corn. Petr. Sep. 

Sulph. Veratr. 
— scurfy: Alum. Ant. crudum. Bell. 

Calc c Carbo ahim. Carbo veg. 

Cic. Con. Dulcam. Graph. Hep. 

Lye. Mercur. Puis. Rhus. Sassap. 

Sepias. Sil. Sulph. 
— scaly: Amm. mur. Ars. Aur. Bell. 

Bry. Calc c. Clem. Dulc. Graph. 

Led. Lycopod. Mercur. Oleand. 

Phosphor. Phosph. ac. Puis. Rhus. 

Sep. Sulph. 
— dry : Bar. Calc c Carbo veg. Cupr. 

Dulc Graph. Led. Lycop. Magn. c. 

Mercur. Phosph. Sep. Sil. Staph. 

Veratr. 
— rickly : Bor. Calc. c. Cham. Graph. 

Hep. Merc. Natrum. Nitr. ac Petr. 

Rhus. Sil. 
HERPES, generally: Alumin. Ambr. 

Arsen. Bov. Bryon. Calc c Carbo 

veget. Caustic. Chel. Clem. Chlor. 

Conium. Creos. Dulc. Fluor, ac. 

Graphit. Hep. Kali. Lach. Led. Lye. 

Merc. Natr. Natr. mur. Nitric acid. 



m 



SKIN AND EXTERNAL SYMPTOMS. 



Oleander. Petr. Rhus. Phosph. Sep. 

Silie. Spig. Staph. Sulph. 
— suppurating: Dulc. Lycop. Merc. 

Rhus. Sep. Sil. Sulph. 
— humid: Bov. Calcar.c. Clem. Con. 

Graphit. Hep. Lach. Lye. Natr. 

Nitric ac. Rhus, Sep. Sil. Sulph. 
— spreading: Ars. Calc. Graph. Lye. 

Merc. Nitr. Petr. Rhus. Sil. Sulph. 
— furfuraceous : Ars. Calcar. Dulc. 

Graj3hit. Sep. Sil. Sulphur. 
— crusty: Bar. Bov. Calc c. Clem. 

Con. Dulc. Graphit. Lach. Lye 

Mere. Rhus. Sep. Sulph. 
— pustulous: Creos. Mercur. Sulph. 
—ring-shaped : Natr. Natrum mur. 

Sep. 
—scaly: Ars. Clem. Dulcam. Men-. 

Phosph. Rhus. Sulph. 
— syphilitic: Aur. Merc. Nitric ac. 

Thuj. 
— grape-shaped: Calc. c. 
— dry: Ars. Bov. Calc. carl). Dulc. 

Graph. Led. Lye. Merc. Rhus. 
. Sepia?. Sil. Sulphur. Veratr. 
MEASLES: Aeon. Ars. Bell. Bry. 

Coff. Dulcam. Iod. Ipec. Mercur. 

Phosph. Puis. Rhus. Sulph. 
MILIARIA, white : Ars. Bry on. Ipec. 

Nu.r vom. Sulph. Valer. 
— of lying-in women : Bry. Ipec. 
PIMPLES: Ant. crud. Ars. Bry. 

Calc. c. Canth. Caustic. Chamom. 

Con. Dulc. Graph. Kali. Merc. 

Natr. Natrum mur. Nitric ac. 

Phosph. Puis. Rhus. Sep. Sil. 

Spong. Staph. Sulphur. Sulph. ac. 

Thuj. Zinc. 
PURPLE-RASH: Aco. Bell. Coff. 

Sulph. 
PUSTULES: Aut. crud. Ant. tart. 

Arn. ylr.s. Bell. Bryon. Canst. C'ic. 

Clem. Duh-arn. Hyosc, Merc. 

Nitr. ac. Petr. Pulsat. Rhus. Sil. 

Staphys. Sulph. 



RASH : Acou. Ant. crud. Ant. tart. 
Arn. Ars. Bell. Bry. Canth. Carbo 
veg. Causticum. Cham. Coffea. 
Graph. Ipec. Lach. Merc. Phos- 
phor, ac. Puis. Rhus. Selen. Staph. 
Sulphur. Veratr. 

RUBEOLA : Aeon. Bell. Bry. Coff. 
Merc. Puis. Rhus. 

SCARLET-RASH: Aconit. Bell. 
Bry. Coff. Dulc. Ipecac. Merc. 
Pltosph. Srdph. 

— suppressed : Apis. Bnj. Phos. Sul- 
phur. 

SMALL-POX: Ant. crud. Antim. 
Tart. Arn. Ars. Bell. Canthar. 
Mercur. Puis. Rhus. Sil. Sulph. 

— spurious : Bell. Merc. Pulsat. 
Rhus. 

— black: Ars. Rhus. Sec. corn. Sep. 
Sil. 

SPOTS, blue: Arn. Ars. Bry. Con. 
Crot. Lach. Nitric ac. Nux mosch. 
Nux vom. Op. Pltosph. Rhus. Sec. 
corn. Sulphur, ac. 

— bloody (Petechia ) : Arnica. Ars. 
Bell. Bry. Calc. Conium. Crot. 
Ferr. Hyosc Laches. Led. Nitric 
ac. Nux vomica. Phosph. Puis. 
Rltus. Ruta. Sec. corn. Sep. Sil. 
Sulphur. Sulph. ac. 

— brown red : Cann. Nitr. ac. 

— raised : Merc. 

— yellow : Arn. Ars. Conium. Ferr. 
Iod. Lach. Lycop. Petr. Phosph. 
Sep. Sulph. 

greenish : Arn. Con. Crot. Ruta. 
Sep. 

— liver-colored: Ant. crud. Arn. 
Calc. Carbo veg. Con. Dulc. Ferr. 
Lye. Merc. Natrum. Nitric ac. 
Nux vom. Phosph. Sep. Sulph. 

— mottled : Crot. Thuj. 

— dark-red: Natr. mur. Thuj. 

— red : A mm. Arn. Bell. Bry. Calc. 
Carbo veg. Coccul. Cycl. Dulc. 
Graph. Kali. Lach. Lye. Magn. 
Merc Mir. ac. Phos. Rhus. Sabad. 



SKIN AND EXTERNAL SYMPTOMS. 



125 



Sep. Sil. Sulphur. Sulph. ac 
— scarlet-red : Amm. Bell. 
— black: Crot. Lach. Sec. corn. 
— violet: Yeratr. 
— white: Alum. Ars. Phospn. Sep. 

Sil. Sulph. 
VARICELLA : j±nt. crua. Ant. tart. 

Bryon. Carbo veg. Ipec. Led. Merc. 

Pulsat. Rhus. Sep. Sil. 
ZONA: Ars. Graph. Mercur. Rhus. 

Sil. Sulph. 

Excrescences. 
CHILBLAINS: Agar. Ant. crud. 

Am. Carbo an. Cham. Lycop. Nitr. 

Petr. Phosph. Puis. Rhus. Sulph. 

Sulph. ac Thuj. 
— blistered: Cepa. Nitric ac. Rhus. 
— blue-red: Am. Puis. 
— inflamed: Cham. Nitric ac. Puis, 

Sulph. 
— itching: Nitric acid. Nux vom. 

Sulph 
FUNGUS H.EMATODES: Arsen. 

Calc. Carbo an. Carbo veg. Lach. 

Lycop. Merc. Nitric acid. Phosph. 

Sil. Sulph. Thuj. 
FUNGUS MEDULLARIS: Carbo 

an. Phosph. Sil. 
FUNGUS ARTICULARIS : Anton. 

crud. Ars. Creos. Iod. Lach. Rhus. 

Sil. Staph. Sulph. 
GANGLIA : Amm. c. Cale. c. Phos. 

Sil. Zinc. 
MOLES: Calc. Carbo veg. Merc. 

Phosph. Sep. Sil. Sulph. Sulph. ac. 

Thuj. 
NOMA : Aur. mur. Creos. Fluor, ac. 

Iod. Sec. corn. 
POLYPI: Aur. Calc. Con. Hep. Lye. 

Merc. Nitric ac. Phosph. Puis. SH. 

Staph. Sulphur. Teucr. Thuj. 
STEATOMA: Antim. crud. Baryt. 

Calc. c. Graph. Hep. Nitric ac. 

Sabin. Sil. Sulph. 
SYCOSIC WARTS : Calcar. Lycop. 

Nitric ac. Phosph. ac. Sabina. Thuj. 
— horny: Ant. crud. 



WARTS : Ars. Bar. Bell. Bor. Calc. 

Caust. Cepa. DwJc.Hep. Kali bichr.. 

Lach. Lye. Natr. Nitr. ac. Petr. 

Phos. ac. Rhus Ruta. Sangn. Sep. 

Sil. Staph. Sulph. Thuj. 
— bleeding : Natr. c. Nitric ac. Sulph. 

ac. Thuj. 
— burning: Arsen. Petr. Rhus. Thuj. 
— suppurating : Caust. Hep). Sil. 
— inflamed: Calc. Natr. c. Nitr. acid. 

Rhus. Sil. 
— flat: Calc. c. Bulc. 
— pedunculated: Dulc. Lye. Sabin. 

Thuj. 
— horny : Ant. crud. Natr. carb. 

Sulph. Thuj. 
— small: Calc. Rhus. Sulph. 
— painful : Calc. c. Nitric acid. Sulph. 

Thuj. 
— split: Lye. Nitric ac. Phosph. ac. 

Thuj. 
ERYSIPELAS: Aeon. Arn. Arsen. 

Bell. Bry. Calc. c. Camyh. Canth. 

Carbo an. Graph. Hey. Iod. Lach. 

Mere. Nitric ac. Phos. Puis. Rhus. 

Sabad. Sep. Sulyh. 
— vesicular: ^rs-fBell. Canth. Graph. 

Lach. Phosphor. Puis. Rhus. Sey. 

Sulph. 
—flying: Bell. Puis. Rhus. 
— smooth: Aeon. Amm. Bell. Merc. 
— with swelling: Amm. Apis. Ars. 

Bar. Bell. Bryon. Calc. Graph. Hep. 

Lycop. Mere. Nitric acid. Phosph. 

Rhus. Sulph. 
FORMICATION : Am, Bar. Carbo 

veg. Bell. Kali. Laur. Lycop. Mur. 

ac. Natrum. Nux vom. Oleand. Phos. 

ac. Plat. Puis. Rhod. Rltus. Secale 

corn. Sep. Spig. Staph. Sulph. 
FRECKLES: Alum. Antim crud. 

Calc. c. Graph. Lye. Merc. Natr* 

Puis. Sep. Sulph. 
GANGRENE, humid: Ars. China. 

Hell. Phosph. Sec. co**n. 
— hot : Ars. Carbo veg. Sec. corn. 
—cold : Ars. Asa f . Carbo an. Fluor. 



126 



SKIN AND EXTERNAL SYMPTOMS. 



ac. Plumb. Secale corn. Sil. Squill. 

Sulph. 
HANG-NAILS: Gale. Merc. i\atr. 

mar. Rims. Stann. Sulphur. 
ITCH: Ant. crud. Ars. Calc. Carbo 

veg. Caust. Dulcam. Graph. Lach. 

Mang. Merc. Phosph. ac.Psor. Se- 

len. Sep. Sulph. Veratr. 
— greasy: Caust. Merc. 
ITCHING: Aeon. Alum. Ambra. 

Ant. crud. Arg. Asa f. Bar. Calad. 

Calc. c. Can tli. Carbo veg. Caust. 

Chel. Cic. Clem. Con. Cycl. Eu- 

pliorb. Ferr. Graph. Hep. Ign. Kali. 

Lack. Led. Lye. Magn. mur. Merc. 

Mur. ac. Natr. mar. Nux vom. Ole- 
ander. Op. Phos. Plat. Puis. Ehod. 

Rhus. Kuta. Sangn. Selen. Sep. 

Splg. Spong. Staph. Sulph. Sul- 
phur, ac. Thuj. Vli. 
NUMBNESS: Anibr. Anac. Cham. 

Lach. Lycop. Nux vom. Olearul. 

Phosph. Phosph. ac. Plat. Puis. 

Rhus. Secale corn. Sulph. 
PAIN, as if sore. Alum. Arnica. 

Bryon. Canth. Caust. Cic. Colch. 

Graph. Hep. Ign. Kali. Merc. Natr. 

mur. Petr. Phosph. Puis. Rhus. 

Sep. Sulph. Sulph. ac. Zinc. 
PITYRIASIS : Ars. Merc. Oleander. 

Sabad. Sulph. 
PORES, black: Graph. Natr. Nitric 

ac. Sulph. 
PRICKLING: Agar. Bellad. Croc. 

Mezer. Plat. Sabad. Sulph. Zinc. 
PUS, bloody: Ars. Asa f. Carbo veg. 
Hep. Koli.Laeli. Lye. Merc. Nitr. 
ac. Puis. Sil. Sulph. Sulph. ac. 

brownish : Carl), veg. Con. Rhus. 

Sil. 

■ thick : Hep. Merc. Sil. 

thin : Asa l'o?t. Carbo veg. Caust. 

Merc Puis. Sil. Sulph. 

yellow: Ars. Bryon. Calc. Carbo 

veget. Caust. Cic. Hep. Lycop. 
Merc. Phosphor. Pubs. Sep. Sil. 
Staph. Sulph. 



yellow-green : Sil. 

gray : Caust. Lye. Sil. 

greenish : Asa f. Caustic. Merc. 

Puis. Rhus. Sil 

ichorous: Ars. Asa feet. Carbo 

veg. Chin. Graph. Merc. Nitric 
ac. Phos. Rhus. Sangn. Sil. 

with mites : Sabad. Sil. 

copious : Arsen. Asa feet. Canth. 

Calc. Merc. Puis. Rhus. Sep. Sil. 

sour-smelling : Hep. 

acrid : Ars. Caustic. Clem. Merc. 

Nitric ac. Rhus. Sep. Sil. 

fetid : Ars. Asa feet. Carbo veg. 

Chin. Graph. Hep. Lach. Lye. 
Merc. Nitric ac. Sil. Sulph. Sec. 
corn. 

watery : Ars. Asa itet. Caustic. 

Merc. Nitric ac. Ran. sc. Rhus. 
Sil. Sulph. 

white like milk : Calc. Hell. 

Lye. Puis. Sulph. 
— too little: Calc. Dulcam. Hep. 
Lach. Merc. Phos. Plumb. Sil. 

viscous: Arsen. Con. Mercur. 

Viola tr. 
SKIN, dry : Aconit. Amm. Arn. Ars. 
Bell. Bry. Calc. carb. Cham. China. 
Colch. Dulc. Graphit. Hep. Hyosc. 
Iod. Kali. Led. Lye. Merc. Natrain. 
Nitric ac. Nux mosclt. Op. Phosph. 
Phosph. ac. Puis. Rhus. Sec. corn. 
Seneg. Squill. Sil. Staph. Sulph. 
Verb. 
— hard: Ant. crud. Arsen. Dulcam. 
Graph. Lach. Phosph. Rhus. Sep. 
Sil. 
— rough : Apis. Bellad. Calc. c. Iod. 

Merc. Natr. Rhus. Sep. Sulph. 
—wrinkled : Ambr. Ant. crud. Calc. c. 
Camphor. Cupr. Hell. Iod. Lye. 
Phosph. ac. Rhus. Sec. corn. Sep. 
Spig. Veratr. 
— relaxed: Calc. curb. Caps. Chin. 
Coccul. Cuprum. Ferr. Graphit. 
Hell. Iod. Lach. Lye. Merc. Natr. 
Sec. corn. Sulphur. Veratr. 



SKIN AND EXTEKNAL SYMPTOMS. 



127 



— sensitive: Agar. Ars. Asa f. Bell. 

Calc. Carbo an. Carbo veg. Caust. 

Chin. Terr. Hep. Ign. Lach. Led. 

Lye. Natr. inur. Nitric ac. Nux vom. 

Petr. Phosph. ac. Puis. Kan. bulb. 

Rhus. Sii. Spig. Thuj. Veratr. 

to contact : Bell. Bryon. Camph. 

Colch. Nux vom. Puis. Spig. 

humid air: 1mm. carb. Calc. c. 

Carbo veg. Dulcam. X. niosch. 
Puis. Rhod. Rhus. 

to cold air: Amm. c. Calc. c. 

Carbo veg. Caust. Lye. Nwr 
vom. Rhod. Sec. corn. Sep. 

to warm air: Calcar. Puis. Sep. 

STITCHES : Aeon. Arn. Arsen. Bar. 

Bell. Bry. Calc. Canth. Caust. Coc- 

cul. Con. Dulcam. Graph. 'S.eXVJgn. 

Lycopod. Merc. Nitric ae. Nux 

vom. Oleand. Puis. Ban. sc. Rhus. 

Sabad. Sep. Spong. Staphys. Sulph. 

Tar. Thaj. viola tr. 
SWELLING IN GENERAL : Ant. 

crud. Apis. Arn. Ars. Aur. mur. 

Bell.Brj, Calc. c. Calc. ph. Canth. 

Chin. Colchic. Con. Dig. Dulc. 

Ferr. Hell. Iodine. Kali. Lach. Led. 

Lye. Merc. Nitric ac. Op. Phos. 

Plumb. Puis. Rhodod. Rhus. Ruta. 

Samb. Sep. Sil. Sulph. 
— pale : Arn. Bry. Calc. Chin. Ferr. 

Lach. Lye. Merc. Puis. Rhus. Sep. 
— inflamed: Aeon. Ars. Asa f. Bell. 

Bry. Caustic. Hep. Lach. Mere. 

Nitr. ac. Puis. Rhus. Ruta. Sil. 

Sulph. 
— hard: Arn. Ars. Asa f. Bell. Bry. 

Carbo an. Caustic. Con. Hep. 

Lach. Phosph. Puis. Rhus. Sabin. 

Stront. Sulph. 
— cold : Ars. Chin. Con. Lach. Puis. 

Sec. corn. 
— erysij^elatous : Apis. Bell. Merc. 

Rhus. 
— dropsical: Ant. crud. Apis. Ars. 

Aurum mur. Bell. Bry. Canth. 

Cepd. China. Con. Big. Dulc. Ferr. 



Hell. Iod. Kali. Led. Lye. Mercwr. 

Nitric ac. Phosph. Puis. Rhod. 

Rhus. Samb. Squill. Seneg. Sep, 

Sulph. 

Ulcers. 
IN GENERAL : Ant. crud. Arsen. 

Asa fret. Aur. Bell. Bryon. Cale. e. 

Calc. ph. Carbo an. Carbo veg. 

Caust. Cham. Con. Creos. Hep. Iod. 

Kali. Lach. Lye. Merc. Natr. Mtr. 

ac. Nux vom. Petr. Phosph. Ph. ac. 

Puis. Rhus. Ruta. Sangn. Sec. 

corn. Sassap. Sep. Sil. Staph. 

S in ph. Thuj. 
ULCERS, blueish : Ars. Aur. Con. 

Hep. Lach. Merc. Sec. corn. 
— bleed, liable to : Ars. Asa f . Carbo 

veg:. Con. Hep. Lach. Lye. Merc. 

Nitric ac. Phosph. Puis. Sil. Sulph. 

Sulph. ae. 
— -burning : Ars. Asa f. Bell. Carbo 

veg. Caust. Clem. Hep. Lye. Merc. 

Mur. acid. Nux vom. Nitric acid. 

Phosph. Puis. Rhus. Sil. Sulph. 
— fistulous : Antim. crud. Apis. Asaf. 

Bell. Calc. e. Caust. Con. Lye. Merc. 

Nitric acid. Phosph. Puis. Sil. 

Sulph. 
—flat : Ars. Lach. Sil. 
— with swelling : Ars. Bell. Bry. Hep. 

Kali. Mere. Nitric ac. Puis. Rhus. 

Sep. Sil. Sulph. 
— hard swelling : Ars. Asa feet. Bell. 

Calc. Con. Hep. Lach. Lye. Merc. 

Puis. Sangn. Sil. 
— margins evested : Ars. Asa f. Hep. 

Merc. Petr. Rhus. Sil. Sulph. 
— itching : Ant. tart. Ars. Caustic. 

Chin. Hep. Lye. Nitric ac. Phosph. 

ac. Puis. Rhus. Sil. Sulph. 
—cancerous : Ars. Ast. Carb. an. Car- 
bo veg. Con. Creos. Graph. Hep. 

Lach. Mercur. Rhus. Sil. Sulph. 
! — mercurial: Alum. Asa feet. Carb. 

veg. Fluor, ac. Hepar. Lach. Lycop. 

Mezer. Nitric ac. Sassap. Sulph. 

Thuj. 



128 



SLEEP. DREAMS. 



— salt-rheum, like: Ars. Graph. Lye. 

Sep. Sil. Sulph. 
— painful : Arn. Ars. Asa feet. Carbo 

veg. Caust. Cham. Con. Creos. 

Graph. Hep. Lack. Lycop. Merc 

Nitric ac. Petr. Phosph. Phos. ac. 

Puis. Sabin. Sep. Sil. Sulph. 

Veratr. 
— painless : Ars. Bellad. Carbo an. 

Carbo veg. Cic. Con. Hyosc. Lach. 

Lye. Oleand. Phosph. Phosph. ac. 

Puis. Sec. corn. Sulph. 
— with ash-colored base: Mercur. 

Nitric ac. Thuj. 
— spongy: Ars. Carbo an. Carbo veg. 

Clem. Lack. Merc. Petr. Phosph. 

Sep. Sil. Sulphur. Thuj. 
— lardaceous : Hep. Mercur. Nitric ac. 
— stitches in ulcers : Ars. Bell. Bry. 

Carbo veg. Graph. Hep. Lye. Mer- 
cur. Nitric acid. Petr. Pulsat. Sil. 

Sulph. 
— syphilitic : Au r\Carbo veg. Fluor. 

add. Kali bichr. >"itric acid. Merc. 

Phos. ac. Sangn. Thuj. 
—deep : Asa f. Co Jr. c. Con. Hep. 

Lach. Lye. Merc. Nitric ac. Puis. 

Sil. Sulph. 
— insensible : Ars. Calc. carb. Carbo 

veg. Con. Iodine. Lach. Lanr. Lye. 

Phosph. ae. Sec. corn. Sil. 
— unhealthy: Gale. C. ('ham. Chel. 

Hep. Lach. Mercur . Petr. Rhus. 

Sil. Staph. 
— ulcerative pain: Asaf. Calc. Graph. 

Phos. Puis. Rhus. SO. Sulph. Zinc. 



— suppurating: Arsen. Asa feet. Calc. 

c. Canthar. Carbo veg. Caustic. 

Con. Creos. Graph. Hep. Lye. 

Merc. Mur. ac. Nitric ac. Puis. 

Rhus. Kuta. Sec. corn. Sep. Sil. 

Staphys. Sulph. Sulph. ac. 
— with proud flesh: Ars. Carbo an. 

CI tarn. Creos. Graph. Hep. Lach. 

Merc. Petr. Sep. Sil. Sulph. 
— painfully sore: Ars. Bell. Calcar. 

Graph. Hep. Merc. Nux vom. Puis. 

Sep. Sulph. 
— shaggy: Lach. Merc. Phosph. ac. 

Thuj. 
VARICES : Ant. tart. Am. Ars. 

Carbo veg 1 . Caust. Ferrum. Graph. 

Lach. Lye. Natrum mur. Pulsat. 

Spig. Sulph. Thuj. 
VEINS, swelling of : Am.B&L Chin. 

Croc. Few. Graph. Hyosc. Phos. 

Pulsat. Sulph. Thuj. 
WOUNDS : Arn. Carbo veget. Hep. 

Lach. Merc. Phosphor. Puis. Rhus. 

Staph. Sulphur. Sulph. ac. Zinc. 
— bleeding: Arn. Laches. Phosph. 

Sulph. Sulph. ac. 
—cut: Arn. Staph. Sulph. a<-. 
— contused : Am. Con. Hepar. Rhus. 

Rata. Sulph. ac. 
— punctured : Carbo veget. Cic. Con. 

Hep. Nitric ac. 

by insects: Aconit. Apis. Arn. 

Bell. CalaO. Lach. Merc. Seneg. 
— burns: Aco. Arn. Ars. Canthar. 

Carbo veg. Caustic. Creos. Sulph. 

ac. Urtic. ur. 



XXIX. SLEEP, DREAMS. 



CLAIRVOYANT STATE: Aconit. 

Op. Phosph. Sil. Sulph. 
DRO WSINESS, in the evening : Ant. 

tart. 4TS. Asa f. Bar. Bell. Roy. 

Calc. c. China, (in. Con. Croc. 

Crotal. Ign. Kali. Lach. Lanr. Natr. 



mur. N. vom. Phosph. Ph. ac. Puis. 
Rhus. Selen. Sil. Valer. 
in the morning: Ant. crudum. Arn. 
Asa f. Calc. c. Caust. Con. Graph. 
Kali. Merc. Natr. Natr. mur. >'ux 
vom. Phosphor. Phosph. ac. Fuls. 



SLEEP. DBEAMS. 



129 



Bhus. Sep. Sil. Spig. Strain. Sulph. 
— in the afternoon: Agar. Canthar. 

Canst. Chin. Coff. Croc. Grapliit. 

Guaj. Ignat. Kali. Lach. Lanr. 

Lycop. Mnr. ac. Nairn. Natr. mur. 

N. vom. Ol. an. Phosph. Pulsat. 

Bhus. Sep. Sil. Staph. Sulph. Thuj. 

Veratr. Viol. tr. Zinc 
— in the day-time : Agar. Ambr. Amm. 

carb. Anac. Ant. cruel. Ant. tart* 

Ars. Asa f. Aur. Bell. Bry. Calc. c. 

Canthar. Carbo veg. Canst. Cham. 

China. Coccnl. Con. Croc. Dulc. 

Ferr. Gent. Graph. Hell. Ign. Kali. 

Lact. Lanr. Led. Lye. Mercur. 

Mosch. iNatr. Natr. mur. Nitr. ac. 

N. mosch. N. vom. Op. Phosph. 

Phosphor, ac. Pulsat. Ran. bulb. 

Rheum. Rhus. Sab ad. Selen. Sep. 

Sil. Stram. Sulph. Tart. Yeratrum. 

Viola tr. 
— in the forenoon: Agar. Ant. crud. 

Ant. tart. Cannabis. Carbo veget* 

Fluor, ac. Graphit. Kali. Laches. 

Mosch. Natrum. Sabad. Sassap. 

Sepise. Sulph. 
— excessive" Ant. tart. Coff. Croc. 

N. mosch. Op. Phosph. ac. 
FALLING ASLEEP TOO LATE : 

Alum. Anac. Ant. tart. Ars. Bellad. 

Bry. Calad. Cale. c. Carbo an Car- 
bo veg. Caust. Cliin. Creos. 

Graphit. Guaj. Ignat. Lach. Led. 

Lye. Merc. Xatrum carb. Natr. 

mur. N. vom. Petr. Phosphor. Puis. 

Bhus. Selen. Sep. Sil. Spig. Stann. 

Sulph. 

Positions in Sleep. 

ARM S AB O VE THE HEAD: 
Calc. c. N. vom. Plat. Puis. Ve- 
ratr. 

ON THE STOMACH: Bell. Coc- 
cul. Ign. Stram. 

LEGS STRETCHED : Bellad. 
Cham. Puis. 

— drawn up: Carbo veg. Cham. Plat. 
Puis. 



only one: Stann. 

HAND UNDER THE OCCIPUT: 

Ign. 
— under the head: Antim. tart. Ars. 

N. vom. Pulsat. Spigel. Viol. od. 
BOTH HANDS UNDER THE OC- 
CIPUT: Ambr. 
KNEES SPREAD : Cham. M. arct. 

Plat. Viol. od. 
HEAD DRAWN BACK : Bell. Cina. 

Hell. Hyosc. Ign. 
— inclined forward : Cic. Puis. Staph. 

Viol. od. 
— stooping: Arn. Spong. 
— toward the back : Ambr. Ant. tart. 

Ars. Bry. Calc. c. China. Cic. Ferr. 

Ign. Lye. Nux vom. Phosph. Puis. 

Bhus. Stram. Sulph. 
— on one side: Par. Merc. Natr. 

Nux vom. Phosph. Spigel. Sulph. 
— to left side: Lye. Natr. carb. 

Phosph. 
— to right side : Merc. Phosph. 
SITTING: Aeon. Ars. Lye. Puis. 

Sulph. 



SLEEP, with nightmare: Calcar. 

Caust. Puis. Sulph. 
—with starting up : Ars. Bell. Cham. 

Cina. Coff. Graphit. Ign. Ipecac. 

Kali. Lycop. Op. Samb. Sulph. 
— with screaming : Antim. tart. Bell. 

Cham. Rheum. Zinc. 
— with eyes half open : Cin. Ipec. Op. 
— stupid: Ant. tart. Bell. Calad. 

Calc. e. Camphor. Cic. Con. Croc. 

Graph. Ign. Led. N. mosch. Nux 

vom. Op. Phosph. Puis. Sec. corn. 

Spig. Valer. 
— with throwing off the cover: Cham. 

Con. Puis. 
— sound : Ant. crud. Antim. tart. Ars. 

Bell. Camph. Cic. Croc. Ign. Led. 

Mosch. X. mosch. Op. Phosphor. 

ac. Puis. Sec. com. Selen. Stram. 

Veratr. 
— with grasping at flocks: Ant. tart. 

Ars. Hyosc. 



130 



SLEEP, DREAMS. 



-early: Anac. Ant. tart. Asa f . Calc. 

Caust. Con. Croc. Graph. Ignat. 

Kali. Laur. Lye. Mere. Natr. N. 

Yom. Phosphor. Phosph. ac.Puls. 

Sep. Sil. SulpJt. Veratr. 
-settling down in bed : Muriat. acid. 
-tossing about : Arsen. Bell. Cham. 

('in. Hep. Laches. Rheum. Rhus, 
-too long : Arn. Bellad. Calc. Carbo 

veget. Coccul. Hyosc. Kali. Ign. 

Merc. X. vom. PJios. Phosph. ac. 

Plat. Sep. Verat. 
-too light: Anac. Ars. Bry. Carbo 

veg. Chin. Ferr. Ignat. Merc. N. 

vom. 01. an. Selen. Sil. 
-with open mouth : Cin. Merc. Rhus. 
-with somnambulism : Bryon. Phos. 

Sid ph. 
-with talking: Alum. Arnica. Bell. 

Carbo an. Cham. Magn. c. Nux 

Torn. Puis. Rhus. Sil. Sulph. 
-slumber-like: Graph. 
-with snoring : Camph. Cham. Chin. 

Didc. Fluor, ac. Graph. Hep. Op. 

Sil. SulpjJt. Stram. 
-loud talking : N.vom. 
-with moaning : Alum. Cham. Ign. 

Merc. Op. 

-with involuntary stool : Arnic. 
-unrefreshing : Aeon. Alum. Ambr. 

Ant. tart. Bellad. Bry. Calc. Cann. 

Carbo veg. Caust. Chel. Chin. Cic. 

Con. Croc. Ferr. Graph. Hep. Ign. 

Kali. Lack. Lye. Magn. mur. Merc. 

Natr. Natr. mur. Nitric ac. N. vom. 

Op. Petr. Phosph. Phosph. acid. 

Puis. Rhus. Secale corn. Selen. Sil. 

Spigel. Staphys. Sulph. Viola trie. 
-restless: Agn. Ahem. Antim. tart. 

Ars. Asa f. Aur Bar. Bell. Bor. Bry. 

Calc. Cane Cann. Caustic. Cina. 

Chain. China. Coccul. Com Coloc. 

Creos. Daph. I>ig. Diilcam. Ferr. 

Graph. Il< p. Ign. Kali. Lach. Lye. 

Mang. Merc. Mosch.Mur. ac. Natr. 

NitriC'ac. Nux vom. Petr. Phosph. 

Puis. Rat. Rheum. Rhod. Rhus. Sa- 



bad. Sec. corn. Sep. Sil. Sulphur. 

Tereb. Thuj. Veratr. Yiola tr. 
—interrupted : Ars. Cina. Coee. Ign. 

Kali. Merc. Pulsat. Rhus. Staph. 
SLEEPLESSNESS : Aeon. Ambra. 

Anac. Ars. Bar. Bell. Bry. Calc. e. 

Camph. Cann. Caust. Cham. Chin. 

Cin. Coff. Con. Creos. Daph. Dig. 

Dulc. Ferr. Fluor, ac. Graph. Hep. 

Hydr. ac. Hyosc. Ign. Kali. Lach. 

Led. Lycop. Merc. Mosch. Natr. 

Nux vom. Op. Oleand. Phosphor. 

Puis. Rhod. Rhus. Sangn. Selen. 

Sep. Sil. Squill. SulpJt. Sulph. ac. 

Thuj. Yaler. Verat. Vine. 
— before midnight : Ars. Bellad. Bry. 

Calc. c. Carbo anim. Carbo veget. 

Chin. Con. Cycl. Graphit. Ign. 

Kali. Laches. Lye. Merc. Natr. Ni- 
tric acid. Phosphor. Pulsat. Rhus. 

Selen. Sep. Sil. Spig. Staph. Sulph. 

Valer. 
— after midnight : Ars. Asa feet. Aur. 

Capsic. Coffea. Hep. Hyosc. Kali. 

Lach. Lye. Merc. NatrUm. Nitric 

ac. Nux vom. Plat. Pulsat. Rhodod. 

Rhus. Samb. Sep. ££LSulph. ac.Thuj . 
SOPOR: Agn. Ant. crud. Ant. tail. 

Arn. 'BiiT. Bell. Brom. Camph. Cic. 

Con. Croc. Grarmit. Hell. Ign. Kali. 

Laci.Laur. Merc. Mosch. N. mosch. 

Op. Phosph. ac. Plumb. Puis. Sec. 

corn. Veratr. Vit. 
WAKING, too early : Ars. Asa feet. 

Bryon. Calc. c. Coif. Croc. Dulc. 

Hep. Ign. Kali. Lye. Magn. Mur. 

ac. Natr. carbon. N. vom. Phosph. 

ac Puu i. bulb. Rhod. Sep. Sil. 
— frequent: Ambra. Ant. crud. Arn. 

Ars. Bell. Bism. Calc. c. Cann. Car- 
bo anim. Caust. Cham. Chin. Cic. 

Coff. Dig. Fluor, ac. Graph. tl< />. 

Kali. Lye. Mang. Merc. Nitric ac. 

Xux vom. Phell. Phosph. Pulsat. 

Rhus. Ruta. Samb. Selen. Sep. Sil. 

Staph. Sulphur. Sulph. ac. Tereb. 

Tencrium. Zinc. 



SLEEP, DKEAMS. 



131 



— difficult: Antim. tart. Con. Nitric 

ac. Op. Ehus. 
— too late : Arn. Calc. Caustic. China, 

Con. Graph. Kali. Lach. Laur. 

Merc. Natr. carb. Nux vom. Olean. 

Phosph. Phosph. ac ^Pulsat. Sep. 

Sil. Sulph. 
YAWNING: Ant. tart. Ars. BeUad. 

Bry. Calc. c. Canst. Chamom. Cin. 

Coccul. Creos. Croc Ferr. Hell. 

Ign. Kali. Laur. Lye. Mur. ac. 

Natr. Natr. mur. N. vom. Op. Phos. 

Puis. Ehus. Sep. Sil. Stann. Staph. 

Sulph. Veratr. 
— with stretching : Ars. Calc. c. Caust. 

Cham. Ign. Ipec. Nux vom. Puis. 

Rhus. Spongia. Staph. Valer. 
— spasmodic : Ign. Plat. Ehus. 

Dreams. 
IN GENEBAL: Aeon. Alum. Am- 

bra. Ant. tart. Arn. Bellad. Bry. 

Calc. Caps. Carbo veget. Cham. 

Chin. Cic. Con. Croc. Graph. Hell. 

Hep. Tgnat. Kali. Lach. Laur. Lye. 

M. arct. Magn. Mang. Merc. Na- 

trum. Natr. mur. Nitric ac. N. vom. 

Op. Par. Phosphor. Phos. ac. Puis. 

Ean. sc. Rhus. Sabad. Sec. corn. 

Sep. Sil. Stann. Staph. Stram. 

Sulph. Thuj. Valer. Yit. 
ANXIOUS : Aeon. Ambr. Antic. Am. 

Ars. Aur. Bar. Bellad. Calc c 

Cann. Carbo veg. Caust. Chamom. 

Chin. Con. Creos. Fluor, acid. 

Graphit. Hep. Iod. Ign. Kali. Lye. 

Mann. carb. Merc. Natr. Natrum 

mur. N. vom. Op. Phosph. Psor. 

Puis. Rhus. Sassap. Sep. Stram. 

Sulphur. Teucr. Thuj. Veratr. 
D BEAMS, of thieves : Aur. Magn. m. 

Merc. Veratr. 
—of falling: Bell. Digit. Ignat. Merc. 

Phosph. ac. Thuj. 

into water : Ferr. Magn. c. 

— of fire: Alum. Anac. Antim. tart. 



Calc. carb. Hep. Plagn. Magn. mur. 

Phos. Ehus. Spig. 
— of war: Hyosc. Magn. carb. Thuj. 
— of animals : Am. Hyosc. Nux vom. 
— of wild animals: Nux vom. 
— of death: Coccul. Kali carb. Nux 

vom. Plat. 
— of dead bodies: Anac. Ars. Aur. 

Brom. Calc. c. Graphit. Iod. Kali. 

Magn. carb. Phos. ac. Sulph. ac. 

Thuj. 
— of poisoning: Natr. mur. 
— of imprisonment: Clem. 
— of dead persons : Natr. carb. Sulph. 

acid. 
— of water : Amm. mur. Arsen. Ferr. 

Graphit. Ign. Magn. carb. Merc. 

Natr. Nitr. Sil. 
— of quarreling: Arn. Calcar. Cham. 

Magn. carb. N. vom. Phosph. Puis. 

Selen. Stann. 
— vexing: Ambra. Ars. Asar. Caust. 

Cham. Con. Hep. Ign. Natr. Nux 

vom. Phell. Phosph. Ehus. Staph. 

Sulph. 
— pleasant : Agar. Alum. Ant. crud. 

Calc c Carbo veget. Coccul. Coff. 

Croc. Graphit. Ignat. Kali. Lach. 

Mercur. Natr. Natr. mur. Nux vom. 

Op. Phosph. Puis. Sep. Sil. Staph. 

Sulph. Viol. tr. 
— of flowers : Natr. c. 
— of fine country : Ol. an. 
— of gold: Cycl. Magn. c. 
— of journeys: Crot. Lach. Magn. 

carl). Op. 
— of dancing: Magn. carb. 
— continued : Calc. carb. Ign. Natr. c. 

Puis. 
— nauseous: Amm. carb. Natr. mur. 

Zinc. 
— that can be remembered: Bellad. 

Natr. mur. Phosph. 
— frightful : Calcar. c. China. Graph. 

Kali. Lye. Nux vom. Op. Phosph. 

Puis. 
— lascivious : Antim. crud. Calc c. 

Cantli. Chel. Con. Graphit. Ignat. 



132 



GENERAL SYMPTOMS. 



Kali. Lach. Lye. Merc. >~atr. Natr. 
mur. Nux Tom. Oleand. Op. Plat. 
Plumbum. Puis. Sep. Staph. Thuj. 
Vine. Viol. tr. 

-indifferent : Chin. Ign. Nux vom. 
Puis. S trout. Sulph. 
-half-awake: Op. 

-vivid : Anac. Arn. Ars/Bell. Calc. e. 
Canthar. Cham. Cic. Coffea. Con. 
Fluor, ac. Ignat. Lach. Lye. Magn. 
carb. Mang. Merc. Natr. Natrura 
mur. Petr. Phosphor. Pulsat. Rhus. 
Euta. Sil. Squill. Sulph. 
-merry: Caust. Laur. Op. 
-fanciful: Calc. c. Kali. Lach. Natr. 
Nitric ac. 



-wandering : Calc. c. Kali. Lye. Natr. 
Natr. mur. Nux vom. Sulph. 

-sad: Ign. Laur. Natr. c. Op. Phos. 
Zinc. 

-that cannot be remembered: Aur. 
Bellad. Cic. Hell. Ign. Iod. Lach. 
Lye. Merc. Natr. Natr. mur. 01. an. 
Plat. Ehus. Samb. Selen. Spig. 
Sulph. Tar. Veratr. 
-confused: Bar. Calc. c. Chin. Cic. 
Crot. Hell. Led. M. austr. Natr. 
Petr. Phos. Puis. Spig. Stann. 
-wakeful: Aeon. Am. Bell. Cham. 
Lach. Merc. Nux vom. Op. Phos. 
ac. Strain. 



XXI GENERAL SYMPTOMS. 

(All the pains which belong exclusively or rnor particularly to a certain part should be looked 

lor under i Hat head.) 



AGGRAVATION, in the afternoon : 

Agar. Alum. Ant. crud. Asaf. Bell. 

Bism. Calc. Canth. Carbo veget. 

Caustic. Cic. Coccul. Coloc. Con. 

Creos. Few. Hell. Ign. Lach. Laur. 

Lye. Mosch. Nitr. Nitric ac. Nux 

vom. Op. Phosph. Puis. Euta. 

Selen. Seneg. Sil. Spig. Staph. 

Teucr. Thuj. Veratr. Zinc. 
— in the open air: Agar. Ambr. Arn. 

Bar. Calc. Camph. Carb. an. Cham. 

Chin. Coccul. CofT. Ferr. Guaj. 

Ign. Lach. Lye. M. austr. Mur. ac. 

Natr. Nitric ac. N. mosch. N. vom. 

Op. Phosph. ac. Rhus. Selen. Sil. 

Spig. Staph. Strain. Sulph. ac. 

Thuj. Viol. tr. 
— when alone : Ars. Kali. Lye Stram. 
— before breakfast : Amm. mur. Bar. 

Calc Cann. Caustic Croc Ferr. 

Ign. I<mI. Kali. Laches. Lye. Nux 

vom. Plat. Plumb. Ehus. Sabad. 

Spigel. Staph. Valer. Verb. 
— by changing one's position : Caps. 



Carbo veg. Ferr. Lach. Lycopod. 

Phosph. Puis. Ehus. 
— when chewing: Alum. A in in. Amm. 

mur. Bell. Bry. Calc. China. Euphr. 

Hep. Ignat. Mang. Men. Natr mur. 

Nitric ac. Oleand. Phosph. Phosph. 

ac. Puis. Rhus. Sabin. Sep. Staph. 

Sulph. ac. Thuj. Zinc. 
— m the cold: Aco. Arum. Am. Arg. 

Ars. Aur. Bar. Bellad. Camph. 

Carbo veg. Canst. Cic. Con. Dak: 

Graph. Hell. Hep. Hyoscyam. Ign. 

Kali. Magn. Magn. muriat. Mosch. 

Nux vom. Petr. Phos. Rhod. Rhus. 

Sabad, Sep. Sil. Spong. Squill. 

Stront. Sulphur, ac. Veratr. 
— in company: Bar. Hell. Lye. Natr. 

Phosph. Plumbum. Sep. Stann. 
— by contact: Aeon. Aug. Arn. Ars. 

Bell. Boy. Bry. Cann. Carbo veg. 

Cham. CheL Cin. Coccul. Colch. 

Cupr. Ferrum. Graph. Hell. Hej>. 

Hyosc. Led. Lye. Magn. mnr. Merc. 

Mezer. Nitric ac. Nux vom. Oleand. 



GENERAL SYMPTOMS. 



PJiosph. acid. Pulsat. Ran. bulb. 
Rhodod. Rhus. Sabin. Sec. corn. 
Sep. Sil. Spig. Staph. Strain. Sulph. 
Tart. emet. Veratr. 
-gentle contact: BeU. China. Nux 
vom. 

-by crying : Arn. Bell. Cham. Cupr. 
Lach. Puis. Veratr. 
-by a draught of air : Bellad. Calc. 
Cham. Chin. Hep. Ign. Kali. Led. 
Natr. Nux vom. Puis. Rhus. Selen. 
Sep. Silic. Sulph. 

-drinking coffee : Canth. Caustic. 
Cham. Coccul. Ign. Lye. Merc. Nux 
vom. Pulsat. Rhus. Sulph. 
— cold liquids: Ant. crud. Ars. 

Caustic. Con. Graph. Ign. Lye. 

Mang. Merc. Nux mosch. Nux 

vom. Rhod. Rhus. Sulph.Yera.tr. 
-after drinking: Ars. Bry. Cham. 
China. Coccul. Coloc. Con. Croc. 
Dros. Ferr. Hep. Ign. Merc. Mezer. 
Natr. Natr. mur. Nux vom. Puis. 
Rhus. Ruta. Squill/Sep. Sil. Sulph. 
Tart. emet. Veratr. 
-while drinking : Anac. Arsen. Bell. 
Bry. Canth. Colch. Hyosc. Ign. 
Iod. Lach. Mercur. Phosph. Rhus. 
Sep. Sulph. Strain. 
-drinking beer: Ferr. Lye. N. vom. 
Puis. Bhus. Stram. Sulph. Verat. 
-drinking tea : Ferr. Selen. 
warm liquids : Ambr. Anac. Bell. 

Bryon. Carbo veg. Cham. Hell. 

Kali. Mezer. Phosphor. Pulsat. 

Spig. Sulph. ac. 
cold water : Arsen. Bell. Canth. 

Croc. Ign. Lye. Natrum. N. vom. 

Phos. ac. Rhod. Bhus. Sulph. 

Sulph. ac. Yeratrum. 
— wine : Ant. crud. Ars. Calc. Coff. 

Lach. Lye. Natr. Natr. mur. Nux 

vom. Op. Ban. bulb. Selen. Sil. 

Zinc 
vinegar: Ant. crud. Ars. Ferr. 

Lach. Nux vom. Sulph. 
-before eating: Ambr. Calc. Chel. 



Croc. Ferr. Graph. Ign. Iod. Kali. 
Lach. Laur. Natr. Phosph. Plumb. 
Puis. Rhus. Sabad. Sulph. 
while eating : Amm. Ars. Bar. Bry. 
Calc. Carbo an. Carbo veg. Cham. 
Coccul. Graph. Hep. Kali. Lach. 
Lycop. M. arct. Natr. Natr. mur. 
Nitric ac. Phosph. Puis. Rhod. Sep. 
Thuj. Veratr. 
— after eating : Ammon. mur. Anac. 
Ars. Asa f. Bryon. Calc. Carb. veg. 
Caust. Cham. China. Con. Graph. 
Hyosc. Iod. Kali. Lycopod. Merc. 
Mur. ac. Natr. Natrum mur. Ni- 
tric acid. Nux vom. Posph. Pulsat. 
Rhus. Sep. Sil. Sulph. Sulph. ac. 
Veratrum. Zinc. 
— by eating bread: Bry. China. Kali. 
Natrum mur. Nux vom. Puis. Rhus. 
Sep*. Staphysag. Sulph. Zinc. 

eggs: Ferr. 

— — fat : Ars. Carbo veget. Cycl. 
Ferr. Hell. Magn. mur. Nitric 
ac. N. vom. Pulsat. Sep. Sulph. 
Tar. Thuj. 

fish : Kali. Plumb. 

smoked meat : Calc. Sil. 

vegetables : Ars. Bryon. Hell. 

Lye. Natr. Puis. Verat. 

honey: Natr. 

peas and beans: Bry. Calc. Lye. 

Natr. mur. Petr. Puis. 

meat : Carb. an. Ferr. Puis. 

Staph. Sulph. 

oysters : Lye. 

pastry : Carbo veg. Puis. 

roots : Calc. Lye. Puis. 

onions : Natr. Thuj. 

potatoes : Veratr. 

farinaceous food : Sulph. 

milk: Ambr. Arsen. Bryon. 

Calc. Cham. China. Con. Ign. 
Kali. Lye. Natr. Natr. mur. Nitr. 
ac. N. vom. Samb. Sep. Spong. 
Sulph. 

fruit : Arsen. Bry. Carbo veg. 

Chin. Magn. mur. Puis. Rhod. 
Selen. Veratr, 



134 



WAN REAL SYMPTOMS. 



turnips: Puis. 

salt food : Carbo veg. Lye. 

sour food: Ant. crnd. Ars. Fen*. 

Natr. Nux vom. Sep. Sulph. 

sweet : Cliam. Ign at. Natr. -Mere. 

— by eructations: Cann. Chamom. 

Coecul. Kali. Laches. Phosph. 

Plumb. Rhus. Sabin. Sep. 
— in the evening: Ambr. Amm. Ant. 

crud. Am. Ars. Asa f. Bell. Bry. 

Calad. Calcar. Caps. Carbo veg. 

Caust. CorT. Colch. Croc. Dulcam. 

Euphr. Ferr. Hell. Hyosc. Ignat. 

Iod. Laeh. Lycop. M. austr. Magn. 

Men. Merc. Nitr. ae. Petr. Phosph. 

Plat. Pols. Pan. sc. Ehod. Rhus. 

Selen. Sep. Sil. Sulphur. Sulph.ac. 

Tart. emet. Thuj. Zinc. 
— during expirations: Bry. Caustic. 

Colchic. Dig. Ign. Iod. Oleand. 

Puis. Sep. Spigrel. Yeratr. Viol. od. 
— in the fall : Chin. Colchicum. Rhus. 

Veratr. 
— in a feather-bed: Aur. Coloc. 

Lycopod. Mang. Merc. Pulsat. 

Rhus. Sulph. 
—in the forenoon : Alum. Ambra. 

Ant. crud. Argent. Bar. Calc. 

Cann. Carb. vegetab. Caust. Coe- 
cul Con. Euphorb. Ferr. Graph. 

Guaj. Hep. Ign. Kali. Laur. Lye. 

Magn. mux. Mang. Xu.r mosch. 

Nux vo m. Phosph. Phosph. ac 

Puis. Rhus. Sabad. Selen. Sepiae. 

Sil. Spig. Staph. Sulphur. Sulph. 

ac. Viol. tr. 
— when hungry: Aur. Graphit. Iod. 

Kali. 

inspiration : Aconit. Anac. Am. 

Bry. Calc. Chamon. Croc. Guaj. 
"Hyosc. Tpec. Lye. Merc. Mosch. 
Oleand. Rhus. Sabad. Sabina. 
Selen. Squill. Spong. Sulph. 
—by laughing: Ars. Bell. Bor. Carbo 

veg. Cliin. Con. Nux vom. Phosph. 

Stann. 



in bright light : Ant. crudum. Bell. 
Calc. Cham. China. Coffea, Con. 
Croc. Euphr. Graph. Hep. Ign. 
Lye. Magn. mur. Merc. Ja^.Nux 
vom. Phosphor. Phosph. ac. Pul- 
sat. Rhus. Sep. Sil. Spig. Strain. 
Sulph. 

-when looking in the bright light : 
Bry. Bell. Calc. Kali. Merc. Phosph. 
Zinc. 

down: Calc. Spig. 

— up : Calc. Graphit. Puis. Selen. 

Sil. Thuj. 

sidewise : Bell. 

lying down : Ambra. Amm. mur. 

Ars. Asaf. Aur. Aur. mur.Bvy. 

Canth. Caps. Chamom. Coloc. 

Conium. Croc. Dros. Dulc. Ferr. 

Ign. Kali. Lye. Magn. mur. Men. 

Mur. ac. Natr. Op. Phos. ac. 

Plat. Puis. Rhod. Rhus. Samb. 

Selen. Sepiae. Stann. Stront. 

Sulph. Tar. Tart. emet. Teucr. 
in bed: Alum. Ambr. Ant. crud. 

Ars. Aur. Bellad. Bor. Calc. 

Carbo veg. Cham. Chin. Cina. 

Coff. Coloc. Dros. Ferr. Graph. 

Ign. Iod. Kali. Led. Lycop. 

Magn. Mang. Merc. Mur. ac. 

Nitric ac. Nux vom. Phosph. 

Plat. Puis. Rhod. Rhus. Samb. 

Sec. corn. Selen. Sep. Sil. Spig. 

Sulphur. Tart. emet. Veratr. 

Viol. od. 
on the back : Ars. Canth. Caust. 

Cham. Chin. Cuprum. Ign. Tod. 

Kali. Lach. Mercur. N. vom. 

Phos. Puis. Rhus. Sep. Sulph. 

Thuj. 
on the side: Aeon. Anac. Am. 

Bry. Calad. Calc. Carbo an. 

Con. Ferr. Ign. Kali. Lye. Merc. 

.V. nom. Puis. Seneg. Stann. 

Sulph. Viol.tr. 
on the painful side : Aeon. Arn. 

Ars. Bar. Calad'. Caustic. Chiu. 
Graph. Hep. Iod. Kail. Lye. 



GENERAL SYMPTOMS. 



135 



Magn. Nitr. etc. N. mosch. N. 

vom. Phosphor. Phosph. ac. 

Ruta. Selem Sil. Spong. Thuj. 
- — on the painless bide: Ambr. 

Arn. Bry. Calcar. Caustic. 

Cham. Coloc. Ignat. Kali, M. 

austr. Puis. Rhus. Stann. 
-after lying down in the evening : 
Ambr. Amm. Ars. Aur. Caustic. 
Cham. Coff. Dros. Bute. Ferr. 
Hyosc. Ign. Kali. Lye. Magn. 
Magn. mur. Nitric ac. Plat. Plumb. 
Puis. Rhus. Samb. Seneg. Sepice. 
Stront. Sulph. Tar. emet. Veratr. 
Viol. od. 

-at new-moon : Calc. Caustic. Cttpr. 
Lye. Sep. Sil. 

-at full-moon: Calc. Graph, Natr. 
Sil. Sulph. 

-in the morning: Aeon. Ambr. 
Amm. mur. Ant. cruel. Aur. Calad. 
Calc. Carb. an. Garb. veg. Chel. Cic. 
Coccul. Coffea. Con. Croc. Dulcam, 
Euphr. Graph. Hep. Hyosc. Ign, 
Iod. Kali. Lye. M. austr. Natr. 
Natr. mur. Nitr. Nitric ac. N. vom. 
Op. Petr. Phosph. Phosph. ac. 
Rheum. Bhoclod. Rhus. Selen. Sep. 
Squill. Staph. Sulphur. Tar. Tart, 
emet. Veratr. 

-during motion: Anac. Arn. Asar. 
Bell. Bry. Camphor. Carb. veg. 
Chel. Coccul. Colchic. Croc. Graph. 
Hell. Hep. Iod. Led. M. austr. 
Mercur. Natr. Natr. mur. Nitric 
ac. N. vom. Petr. Phosphor. Rhod. 
Rhus. Sabad. Sec. corn. Selen. 
Squill. Spig. Spongia. Staph. 
Sulph. ac. 

-at the beginning of motion: Caps. 
Caust. Con. Ferrum. Lye. Phosph. 
Puis. Rhus. Samb. 
at night: Aeon. Ambr. Ang. Ant. 
cruel. Arn. Arsen. Aur. Bell. Bry: 
Calc. Camph, Canth. Caps. Carbo 
an. Caust. Cham. Chin. Coff. Colch. 
Con, Croc. Cupr. Dulcam. Ferr. 



Graph. Hell. Hep. Ign. Iod. Kali. 
Lach. Lycop. Magn. Magn. mur. 
Mang. Merc. Mezer. Natr. mur. Ni- 
tric ac. Nux vom. Op. Phosphor. 
Plumb. Samb. Secale corn. Selen. 
Sil. Staphys. Stront. Sulph. Tar. 
emet. Thuj. 

-when nursing : Aeon. Bell. Bryon. 
Calcar. Cham. China. Con. Dulc. 
Kali. Merc, Phos. ac. Pulsat. Rhus. 
Sep. Sil. Staph. Sulph. 
by suppressed perspiration: Bell. 
Bryon. Calc. Cham. Chin. Dulc. 
Kali. Lye. Merc. Nux vom. Oleand. 
Phosphor. Phosph. ac. Rhus. Sec. 
corn. Sep. Sil. Sulph. 
-by external pressure : Ag'ar. Ang. 
Ant. crud. Bar. Bry. Cann. Carbo 
veg. Clna. Cupr. Hepar. Ign. Iod. 
Lach. Lye. Mosch. Natrum mur. 
Oleand. Plat. Euta, Sabin. Selen. 
Sep. Sil. Spong. Staph. Stramon. 
Sulph. Verb. 

-raising the trunk : Aeon. Arn. Ars. 
Bell. Bry. Cham. Clnna. Lie. C0.1. 
Ferr. Ignat. Mur. ac. N. vom. Op. 
Phosph. Puis. Rhus. Squill. Spong. 
Sulph. Sulph. ac. 

-by reading : Asa f . Bar. Bell. Calc. 
Chin. Coif. Con. Croc. Graph. Ign. 
Kali. Lye. Natr. Natr. mur. Nux 
vom. Phos. Sil. Sulph. Sulph. ac. 
Vit. 

-during rest : Arsen. Asa feet. Aur. 
Calc. Caps. Chin. Coloc. Con. Dul- 
cam. Euphorb. Ferr. Ignat. Kali. 
Lach. Lye. Mosch. Natrum. Nitr. 
Oleand. Op. Phosphor, ac. Plat. 
Puis. Rhod. Rhus. Sabad. Samb. 
Selen. Sep. Stannum. Stront. Tar. 
Thuj. Valer. Veratrum. Viol. tr. 
-when rising from a seat : Bell. Bry. 
Calcar. Caps. Carbo veget. Cham. 
Coccul. Con. Ferr. Graph. Ign. 
Laches. Laur. Lye. Natr. mur. 
Nux vom. Phos. Pulsat. Rhus, 
Selen. Spig. Tart. emet. Thuj. 



136 



GENERAL SYMPTOMS. 



-hi the room: Aeon. Alumina 
Anac. Ant cruet. Asa feel. Asar 
Calc. Gai'bo veget. Cic. Con. Croc, 
Graph. Hell. Iod. Lye. Magn, 
Mezer. Natrum mur. Phosph 
Plumb. Puis. Ran. sc. Rhodod 
Sabina. Selen. Spong. Stann. Ve- 
rair. Vit. 

-by running: Am. Ars. Bell. Bry. 
Caust. Ign. Led. Natr. mur. N. | 
Tom. Oleand. Sil. Sulph. 
-by sexual intercourse : Calad. Kali. 
Selen. 

-after sexual intercourse : Agar. 
Calad. Calc. Chin. Kali. Natr. Petr. 
Phos. ac. Selen. Sep. Staph, 
-when sitting: Agar. Ambr. Ant. 
crud. Asa f. Aur. Bar. Calc. Caps. 
Chin. Cina. Con*. Con. Cuprum. 
Cycl. Dulc. Euphorb. Graph. 
Ignat. Iod. Lach. Lijc. M. arcl. 
Magn. mur. Muriat. ac. Natr. Ni- 
tric ac. Oleand. Phosph. ac. Pla- 
tina. Puis. Rhod. Rhus. Sabad. 
Seneg. Sep. Spong. Sulph. ac. 
Tar. Thuj. Yeratrum. Verb. 
Viol. tr. 

-smoking tobacco : Ant. crud. Calc. 
China. Euphr. Ignat. Lach. Nurr 
vom. Puis. Rhus. Ruta. Selen. 
Spong. Staph. 

-in the spring : Ambr. Bellad. Calc. 
Carbo veg. Lye. Natr. mur. Puis. 
Rhus. Sulph. Veratrum. 
-when standing: Alum. Aur. Cal- 
car. Cann. Caustic. Coloc. Con. 
Cycl. Euphr. Ferrum. Graph. Ign. 
Laur. Lye. Magn. mur. Moscli. 
Natr. Oleander. Op. Phosph. ac 
Puis. Rhod. Rhus. Samb. Sep. 
fttaphys. Sulph. Tar. Valor. Vo- 
ratr. 

-when stooping: Aco. A nun. ..vn. 
liar. Bry. Calc. Caps. Cham. ( oc- 
cul. Croc. Graph. Hep. Ipec. Kali. 
Mang. Mercur. Nitr. Oleander. 
Petr. Plumb. Rhod. Stnrg. Sejj. 



Sil. Spigel. Stront. Tetter. Thuj. 

Valer. 
— in the summer : Antim. crud. Bell. 

Bry. Carbo veget. Lach. Lye. Natr. 

Natr. mur. Puis. Selen. Veratr. 
— in the sun : Antim. crud. Camphor. 

Euphr. Graphit. Ipecac. Lach. 

Natr. Pulsat. Selen. 
— after suppressed catarrh: Bnj. 

Calc. Carbo veg. Chin. Con. Dulc. 

Graph. Ipec. Lye. Merc. Natr. mur. 

Nitric ac. Nux vom. Phosph. Puis. 

Rhod. Sep. Sil. Sulph. Sulph. ac. 
— when swallowing : Aeon. Ars. Bar. 

Bell. Bry. Camph. Chin. Coccul 

Coffea. Croc. Hep. Hyosc. Kali. 

Magn. Mere. Nitric acid. Nux vom. 

Petr. Phos. Puis. Rhus. Sassap. 

Sep. Spig. Staph. Thuj. Veratrum. 
—after swallowing: Ambr. Bry. 

Cham. Hep. Tgn. Iod. Nitric ac. 

N. vom. Phos. Pulsat, Rhus. Zinc. 
—between the acts of swallowing: 

Ambra. Arn. Graphit. Ign. Lach. 

Laur. Merc Nux vom. Phosph. ac. 

Sabin. Spong. Stann. Staph. 
-- when sweating: Aeon. Arsen. Bry. 

Caust. Cham. Cocc. Dig. Ferr. Ign. 

Ipec. Lycop. Merc. Natr. Nux vom. 

Op. Phosph. Pulsat. Rhus. Selen. 

Sep. Stram. Sulph. Tart. em. Thuj. 

Veratr. 
— when talking : Ambr. Arnica. Bell. 

Calc. Cann. Cham. Chin. Coccul. 

Dig. Dulc. Graph. Ign. Iod. Lye 

Mang. Merc. Natrum. Natr. mur. 

Phosph. Phosph. ac. Rhus. Selen. 

Sep. Sulph. 
— during a thunder-storm : Lach. Na- 
trum. Phosph. BIiocL Sil. 
— after uncovering one's self: Ant. 

crud. Ars. Aur. Bell. Cham. China. 

die. Clem. Colchic. Graph. Hep. 

Hyosc. Ign. Lach. Natr. Natr. mur. 

Nux moseh. Nux vom. Pul*. Rhod. 

Kims. Sanib. Sil Strain. Stront. 



GENERAL SYMPTOMS. 



137 



— from vomiting: Ars. Asar. Bryon. 

Cupr. Ipec. Nux vom. Plumb. Puis. 

Sep. Sil. Sulphur. Veratr. 
— on waking: Ambra. Amm. mur. 

Arn. Ars. Bryon. Calad. Calc. Car- 
bo veg. Caust. Chin. Coccul. Digit. 

Graphit. Hepar. Ign. Kali. Magn. 

mui*. Merc. Natr. Natr. mur. Nitric 

acid. Nux vom. Phosphor. Pulsat. 

Rhus. Sabin. Samb. Sepice. Staph. 

Stront. Sulph. 
— walking fast : Arn. Ars. Bell." Bry. 

Caust. Cupr. Led. Lye. Nux vom. 

Oleander. Elms. Silic. Spig. Squill 

Sulph. 
— when walking out into the cold air : 

Ars. Caust. Mosch. Nux vom. Ban. 

bulb. Sabad. 
— in warmth : Ambr. Ant. crud.*Bell. 

Calad. Carb. veg. Cham. Coc. Dros. 

Graph. Ign. Iod. Ipec. Lach. Led. 

Lye. Merc. Natr. mur. Nux mosch. 

Op. Phosph. ac. Pulsat. Rhus. Sec. 

corn. SeJen. Senega. Sep. Staph. 

Tart. emet. Thuj. 
— by watching : Ambra. Coccul. Merc. 

N. vom. Puis. Selen. Sep. 
— after getting wet : Ars. Bell. Bry. 

Calc. Colch. Dulcam. Ipec. Lye. 

N. mosch. Pulsat. Rhus. Sec. corn. 

Sep. Sulph. 
— by a change of weather : Ammon. 

Bry. Calc. Dulc. Graphit. Mang. 

Nux mosch. Phosph. Puis. Bhod. 

Rhus. Sep. Sil. Sulph. 
— damp weather: Ammon. Aur. Calc. 

Carbo veg. Chin. Dulc. Ferr. Lach. 

Laur. Lye. Merc. Muriat. ac. Nitric 

ac. Nux mosch. Puis. Rhod. Rhus. 

Rnta. Seneg. Spig.Staphys. Sulph. 

Veratr. 
— in stormy weather : Arsenic. Cham. 

Lach. Lye. Mur. ac. Natr. N. mosch. 

Nux vom. Phos. Puis. Rhod. Rhus. 

Spiff. Sulph. 
— in dry weather : Asar. Bellacl. Bry. 

Carbo veg". Caustic. Cham. Hep. 



Ipec. Mur. ac. Nitric ac. Nux vom. 

Phosph. Sabad. Sil. Spong. 
— by wet : Amm. Ant. crud. Bellad. 

Calc. Canth. Carbo veg. Clem. Dulc. 

Lye. Merc. Nitric *ac. Nux vom. 

Phosph. Puis. Rhus. Sep. Sil. Spig, 

Staph. Stront. Sulph. 
— in winter : Aeon. Ars. Aur. Bar. 

Bell. Bry. Caust. Cham. Coccul. 

Con. Dulcam. Hell. Hep. Ign. Kali. 

Lye. Merc. Nux mosch. Nux vom. 

Puis. Rhod. Rhus. Sep. Sulphur. 

Veratr. 
— when writing : Anac. Asa f. Calc 

Carbo veget. Coccul. Graph. Ign. 

Kali. Lye. Natr. Natr. mur. Nux 

vom. Phosph. Ruta. Sil. Spong. 

Zinc. 

Amelioration of the 

Pains. 

IN THE OPEN AIR: Alum. Anac. 

Asa f. Aur. Bar. Cann. Carbo veg. 

Con. Croc. Graph. Hell. Ign. Iod. 

Kali. Lycop. Magn. Mezer. Natr. 

Phosph. Plat. Puis. Sabin. Selen. 

Sepias Spong. Stront. Sulph. Ve- 
ratr. Vit. 
BY BORING INTO THE EAR 

OR NOSE: Lach. Natr. Phosph. 

Thuj. 
BEFORE BREAKFAST : Caust 

Cham. Chin. Con. Kali. Lye. Natr. 

mur. N. mosch. Phosph. Phosph. 

ac. Sabin. Selen. Sil. Sulph. ac. 

Zinc. 
BY DEEP BREATHING: Ign. 

Lach. Oleand. Spig. 
WHEN CHEWING : Bryon. Chin. 

Spig. 
IN THE COLD : Ambra. Ant. tart. 

Asar. Cin. Croc. Dros. Graph. Iod. 

Kali. Led. Lye. Mere. Natr. Natr. 

mur. Plat. Puis. Rhus. Sec. corn. 

Sep. Sulph. Thuj. Veratr. 
BY CONTACT : Anac. Asa f. Calc. 

carb. Cycl. Drosera. Lycop. Mang. 



138 



GENERAL SYMPTOMS. 



Miir. acid. Natr. Phosph. Sulph. 

Thuj. 
IX THE DARK : Bar. Bell. Calc. 

curb, China. Con. Croc. Euphr. 

Graph. Igiiat. Kali. Lye. Mercur. 

Natr. Phosph. Phosph. ae. Puis. 

Sephe. Sil. Sulph. 
AFTER DRINKING: Bry. Graph. 

Phosph. Rims. Sil. 
AFTER EATING: Cole. c. Cann. 

Cliel. Ferr. Graph. I<jn. Iod. Kali. 

Lach. Merc. Nati'um. Phos. Squill. 

St runt. Veratr. 
WHEN EATING : Ambr. Anacard. 

China. Croe. Ferr. Graphit. Igrn. 

Iod. Lach. Merc. Nux vom. Puis. 

Spig. Staph. Tar. Zinc. 
BY ERUCTATIONS : Ant. tart. Bar. 

Carbo veg. Coccul. Graphit. Ign. 

Kali. Lach. Lye. Natr. Nux vom. 

Sil. Sulph. 
BY FOOD AND DRINK, bread : 

Caust. Natr. 
— vinegar: Puis. 
— meat: Veratr. 
— coffee: Ars. Cham. 
— cold food: Bell. Bry. Cham. Ferr. 

Kali Laches. M. austr. Merc. 

Phosph. Phosphor, ac. Puis. 
— warm food: Ars. Con. Graph. Ign. 

Lye. Mur. ac. N. mosch. Nux vom. 

Rhus. Sulph. Veratrum. 
— cold water : Bry. Caustic. Phosph. 

Puts. Sep. 
— warm water : Nux vom. Rhus. 
— wine : Con. Lach. Op. 
BY IMPOSING ONE'S HAND: 

Bell. Croc. Natr. 
BY MENTAL LABOR: Croc. Fen-. 

Natr. 
BY BODILY LABOR: Ign. Natr. 

Rhus. Sep. 
BY LEANING AGAINST : Carbo 

veg. Ferr. Kali. Staph. 
IN THE LIGHT: ('ale. c. Carbo 

an. Carbo veg. Con. Plat. Stront. 
WHEN LYING DOWN : Alum. 



Ambra. Arn. Bell. Bry. Calc. c. 
Canth. Caust. Coccul. Colch. Croc, 
Dig. Graph. Hep. Iod. Merc. Natr. 
Natr. mur. N. vom. Oleand. Phos. 
ac. Sassap. Squill. Sec. com. Stan- 
num. Straph. Stram. 

in bed: Bell. Bry. Canth. Caust. 

Cic. Cin. Con. Dig. Ferr. Lach. 
Lye. Natrum mur. Nitric ac. Nux 
vom. Phosphor. Rhus. Sabad. 
Squill. Selen. Sil. Staph. Stram. 
Veratr. 

on the back : Aeon. Bry. Calc. c. 

Carbo an. Con. Creos. Ferr. Ign. 
Kali. Lye. Natr. mur. Nux vom. 
Plat. Sepiao. Stann. Sulph. 

on the side : Am. Ars. Bry. 

Cham. Cupr. Iod. Lach. Natr. 
N. vom. Phosph. Rhus. Sep. 

on the affected side : Bry, 

Cham. Ign. Kail. Puis. Rhus. 

on the painless side : Aeon. Ars. 

Bar. Bell. Graph. Hep. Iod. Nux 
vom. Phos. Ruta. Sil. Sulph. 
Thuj. 
- — with the head high : Ant. tart. 
Ars. Cann. China. Hep. Nux 
vom. Puis. Spig. 

bent double: Coloc. Pulsat. 

Rheum. 
IN THE EVENING, after lying 
down: Bar. Bell. Bry. Calc. c. 
Carbo veg. Cic. Cin. Croc. Graph. 
Hell. Hep. Iod. Natr. mur. Nux 
vomica. Oleand. Rheum. Rhodod. 
Secalecorn. Squill. Staph. 
BY MOTION: Ambr. Asa f. Aur. 
Caps. Chamom. Con. Cycl. Diilc. 
Ferr. Fluor, ac. Lach. Lye. Merc. 
Mosch. Nitr. Op. Phosphor, ac. 
Puis. Rhodod. Rhus. Sabad. Samb. 
Sep ice. Sulph. Tar. Valer. Verb. 
BY CONTINUED MOTION: Con. 
Ferr. Kali. Lye. Puis. Sil. Valer. 
Veratr. 
BY EXTERNAL PRESSURE: 
Am/fi. mur. Anac. Ars. Aur. Bry. 



GENERAL SYMPTOMS. 



139 



Canth. Chel. Con. Dulcam. Graph. 
Ign. Kali. Magn. mur. Men. Mur. 
ac. Natr. Nux vom. Phosphor, ac. 
Plumb. Rhus. Sulphur. Sulph. ac. 
Veratr. Vit. 
BYBAISING ONE'S SELF: Ant. 

tart. Arsen. Calc. c. Cham. China. 

Dig. Ign. Kali. Lye. Oleand. Puis. 

Samb. Sep. Sil. Sulph. 
WHEN BEADING: Natr. 
IN BEST : Agar. Anac. Ant. tart. 

Asar. Am. Bell. Bry. Calad. Carbo 

an. Carbo veg. Caustic. Chel. Coif. 
Colch. Croc. Ferr. Graph. Hell. 

Iod. Ipec. Led. Mang. Merc. Natr. 

mur. Nux mosch. N. vom. Phosph. 

Plat. Rheum. Bhod. Selen. Spigel. 

Squill. Staph. Sulph. ac. 
WHEN BIDING IN A CAB- 

BIAGE : Graph. Nitric ac. 
IN THE MOBNING AETEB RIS- 
ING : Ambr. Ant. tart. Ars. Bell. 

Calad. Carbo anim. Cycl. Euphorb. 

Ferr. Graph. Ign. Iod. Kali. Led. 

Lye. Mang. Mercur. Merzer. Natr. 

Nux vom. Phosph. Pulsat. Rhus. 

Selen. Sep. Sulphur. Veratr. Viola 

od. 
IN THE ROOM: Agar. Amm. mur. 

Ars. Bell. Calc. carb. Camph. Cann. 

Carbo an. Carbo veg. Cham. Chin. 

Coccul. Con. Creos. Ferr. Guaj. 

Ign. Lach. M. austr. Natr. Nitr. ac. 

N. mosch. Nux vom. Oleand. Petr. 

Rheum. Ruta. Selen. Sil. Spig. 

Strain. Sulph. ac. Teucr. Valer. 
BY SCRATCHING: Asa foet. Bry. 

Calc. c. Caust. Cic. Cycl. Ign. Led. 

Mur. ac. Natr. Oleand. Phosphor. 

Ruta. Sulph. Sulph. ac. Thuj. 
BY SLEEP : Ars. Ipec. Nux vom. 

Phosph. Puis. i 

WHEN SITTING: Bryon. Calad. 

Camph. Cann. Chamom. Cic. 

Coffea. Colch. Croc. Hell. Hyosc. 

Iod. Merc. Mezer. N. mosch. Nux 



vom. Phosph. Bheum. Bhus. 
Squill. Secale corn. Staph. 
WHEN STANDING: Antim. tart. 
Asar. Bell. Calad. Calcar. c. Coccul. 
Colchic. Croc. Hell. Hep. Iod. Ipec. 
Led. Mercur. Mur. ac. N. vom. 
Phos. Buta. Squill. Selen. Spig. 
Vit. 
IN SOCIETY: Arsen. Kali. Lye. 

Stram. 
IN SWALLOWING: Ambr. Graph. 
Ig-n. Lach. Led. Merc. Nux vom. 
Pulsat. Squill. Spongia. Staph. 
IN SWEATING: Calad. Cham. 
Clem. Graph. Hep. Lye. Nitr. ac. 
Nux vom. Oleand. Rhus. Selen. 
Stram. Thuj. Veratr. 
BYUNCOVEBING ONE'S SELF: 
Calc. c. Chamom. Ferr. Ignat. Iod. 
Lye. Phosph. Puis. Secale corn. 
Spig. Veratr. 
ON WAKING: Ars. Calad. HeU. 
Nux vom. Phosph. Pulsat. Sep. 
Thuj. 
WHEN WALKING FAST: Ignat. 

Natr. mur. Sep. 
BY THE WABM STOVE: Ars. 
Aur. Caust. Con. Hep. Ign. Kali. 
Magn. N. vom. Bhod. Rhus. Stront. 
Sulph. 
BY WASHING: Amm. mur. Ars. 
Asar. Caust. Chel. Pulsat. Bhod. 
Spig. 

the face: Asar. Mezer. Saba- 

dilla. 
BY WEEPING: Anac. Ign. Lye. 
IN DAMP WE ATHEB : Aeon. Asar. 
Caust. Hep. Ipec. N. vom. Sil. 
Spong. 
IN DBY WEATHEB: Ant. crudum. 
Calc. carb. Chin. Dulcam. Ferr. 
Lach. Lye. Merc. Natr. N. mosch. 
Pulsat. Rhus. Sulph. Veratr. 
BY WIPING WITH THE HAND: 
Asa feet. Calc. c. Cina. Cycl. Ign. 
Natr. Phosph. Plumb. Puis. Thuj. 



uo 



GENERAL SYMPTOMS. 



IN WARMTH: Aeon. Amm. Am. 

Ars. Aur. Bar. Bell. Camph. Carbo 

veget. Caust. China, Cic. Coccul. 

Dale. Ferruni. Graph. Hell. Hep. 

Hyoscyam. Ign. Kali. Lach. M. 

austr. Magn. Merc. Mosch. Natr. 

N. moscli. Nux vomica. Petr. Phos. 

Rhod. Rhus. Sabad. Samb. Squill. 

Sil. Stapbys. Stront. Sulph. ac. 

Verat. Zinc. 
ANEMIA: Arn. Ars. Bell. Bry. 

Calc.c. Carbo veg. Chamom. Chin. 

Con. Ferr. Ign. loci. Kali. Lach. 

L y c. Merc. Natr. No tr. m ur. Nitric. 

ac. N. vom. Phosph. ac. Puis. Ehus. 

Sep. Sil. Squill. Staph. Sulphur. 

Sulph. ac. Veratr. 

ANEURYSMS: Carbo veg. Ferr. 

Graph. Kali. Lach. Lye. Puis. 

Sulph. 
APPARENT DEATH : Arn.Bellad. 

Carbo veg. Cham. Chin. Lach. 

Nux vom. Op. Tart. emet. 
APOPLEXY: Aeon. Arn. Baryt. 

Bell. Calc. Camph. Caust. Chin. 

Coccul. Coif. Dig. Ferr. Hyosc. 

Ipec. Lach. Lycop. Merc. N. vom. 

Puis. Bhus. Sil. Strain. Tart. emet. 

Veratr. 
ATROPHY: Ars. Baryt. BeUad. 

Calc. c. China. Cina. Iod. Ipec. 

Lach. Merc. Nux vom. Rhus. Sil. 

Sulph. 
BONES, affections of, in general: 

Arn. Ars. Asa feet. Aur. Bell. Calc. 

carl). Calc. phosph. Carbo veget. 

China. Con. Dulc. Graphit. Hep. 

Iod. Kali bichr. Lach. Lycop. Merc. 

Mezer. Nitric ac. Phosph. Pulsat. 

Rhus. Buta. Subin. Sec. corn. Sil. 

Spong. Staphysag. Sulph. Sulph. 

ac. Thuj. 
— swelling: Asa f. Aur. Calc. Dulc. 

Guaj. Hep. Lye. Merc. Nitric acid. 

Phosphor. Puis. B\us. Ruta. Sil. 

Staph. Sulphur. 



— fractures : Arn. Asa f . Calc. Lycop. 
i Bhus. Buta. Sil. Symphyt. Sulph. 
' — inflammation : Asa feet. Aur. Bell. 

Calc. Chin. Hep. Lycop. Merc. Ni- 
tric ac. Phosph. Sil. Sulph. 
— pains: Ars. Asa f. Aur. Bar. Calcar. 

China. Cic. Daph. Fluor, ac. Lach. 

Lye. Merc. Nitric ac. Phos. Phos- 
phor, ac. Plumb. Ruta. Sil. Staph. 

Sulph. 
— curvature: Asa feet. Bellad. Calc. 

Calc. phosph. Hep. Loci. Lye. Merc. 

Phosph. Plumb. Rhus. Sil. Sulph. 
— caries : Arsen. Asa feet. Aur. Calc. 

Fluor, ac. Hep. Lye. Merc. Nitric 

ac. Phosph. Phosph. ac. Ruta. Sep. 

Sil. Spong. Sulph. 
| BLUE DISEASE : Aco. Arn. Ars. 

Aur. Bellad. Camph. Carbo veget. 

Chin. Con. Cuprum. Digit. Ferr. 

Ipecac. Lach. Merc. Nux vom. Op. 

Phosph. Pulsat. Rhus. Sec corn. 

Veratr. 
BOUNDING, as of something: Croc. 
BURNS : Ant. crud. Arn. Ars. Carb. 

veg. Caust. Creos. Laches. Secale 

corn. Strain. 
CHAGRIN, consequences of: Aco. 

Ars. Bry. Cham. Chin. Coff. Coloc. 

N. vom. Phosph. Ph. ac. Plat. 

Staph. 
-suppressed: Ign. Phosph. ac. 
— with wrath : Coloc. Staph. N. vom. 
CHAMOMILE, excessive use of: 

Aeon. Coff. Ign. Puis. Nux vom. 
CHILDREN, diseases of: Aeon. Bar. 

Bell. Bryon. Calcar. Cham. Cm. 

Coff. Drosera. Hep. Hell. Ign. Iod. 

Ipec. Merc Nux mosch. Nux vom. 

Puis. Rheum. Silic. Spongia. 

Sulph. 
CHINA, aliments from abuse of: 

Arn. Ars. Bell. Calc. c. Canthur. 

Carbo veg. Ferr. Ipec. Lach. Lye. 

Merc Natr. mur. N. vom. Sep. 

Pula. Sulphur. Yeratr. 



GENERAL SYMPTOMS. 



141 



CHOLERA: Ant. tart. Ars. Asar. 

Camph. Carbo veget. Cupr. Dulc. 

Hydr. ac. J air. Ipecac. Lach. Nux 

vom. Phosph. Ph. ac. Sec. corn. 

Veratr. 
CHOLERINE : Bry. Puis. Rhus. 
CHOLERIC TEMPERAMENT : 

Aeon. Anac. Bry. Caust. Cham. 

Cin. Cupr. Hyosc. Kali. Lach. 

Natrum. Nitric ac. Nux Yom. Op. 

Phosphor. 
CHLOROSIS: Bell. Calc carb. 

Camph. Chin. Coccul. Conium. 

Crot. Ferr. Graph it. Hell. Ign. 

Kali. Lach. Lyc. Natr. mur. Nitric 

ac. Nux vom. Plat. Plumb. Puis. 

Sep. Staph. Sulph. Yaler. 
COLD, taking: Aeon. Ant. crud. 

Ars. Bell. Bry. Calc. Canst. Cham. 

CofT. Dulcam. Hep. Ipec. Merc. N. 

vom. Phosph. Puis. Rhus. Sil. 

Sulph. 
— liable to take: Aconit. Bell. Bry. 

Calc Carbo veg. Caust. Cham. 

China. Bros. Dulc. Hep. Lyc. Merc. 

Natrum. Nitric ac. Xux vom. Puis. 

Rhus. Sep. Sil. Sulph. 
COMPLAINTS, periodical: Arnic. 

Ars. Bell. Bry. Carbo veget. Chin. 

Ign. Ipee. Natrum nmr. N. vom. 

Puis. Rhus. Spig. Sulph. 
CONCUSSION: Am. Bell. Bry. 

Cic. Con. Nux vomica. RJtus. 

Yeratr. 
AILMENTS INCIDENT TO CON- 
FINEMENT: Aconit. Agn. Ar- 
nica. Bell. Bry. Calc. Cham. China. 

Coif. Hep. Hyosc. Ignat. Lyc. 

Merc. N. vom. Op. Phosph. ac. 

Plat. Puis. Rhus. Sec. corn. Sil. 

Sulph. Veratr. 
CONGESTIONS OF BLOOD: 

Aeon. Amm. Am. Asa f. Aur. 

Bell. Bry. Calc. e. Carbo vegetab. 

Chin. Croc. Cupr. Dig. Fern: 

Graph. Hyosc. Kali. Lycop. Merc. 

Natr. mur. Nitric ac. N. vom. Op. 



Phosph. Puis. Rhus. Seneg. Sep. 

Sil. Strain. Sulph. Sulph. ac. 

Yeratrum. Viola tr. 
CONTUSIONS: Aeon. Arg. Arn. 

Cic. Con. Led. Oleand. Petr. Puis. 

Rhodod. Rhus. Ruta. Sulph. 

SulpJi. ac. 
| CRAWLING: Bell. Calcar. Sep. 

Sulph. 
| DEBILITY, nervous: Am. Baryt. 

Bell. Calc. Carbo veget. Cham. 

Chin. Coif. Cuprum. Graph. Hyosc. 

Ign. Lod. Ipec. Lach. Lyc. M. arct. 

Mercm-. Natr. Natr. mur. Nitric ac. 

Nux mosch. N. vom. Phos. Phosph. 

ac. Plat. Pulsat. Rhus. Sec. corn. 

Selen. Sil. Stann. Strain. Yaler. 

Veratr. 
DRUNKARDS, ailments of: Aeon. 

Ars. Bell. Calc. Carbo veget. Hy- 
osc. Ign. Lach. Natrum. Natr. 

mur. Nux vom. Op. Puis. Rhus. Sil. 

Strain. S-ulph. 
I DRYNESS OF INNER PARTS: 

Aeon. Arnbr. Ars. Asa f. Bellad. 

Bry. Galad. Calc. Carbo veg. Cham. 

Cic. Con. Croc. Dulc. Graph. Hy- 
osc. Ign. Lyc. Magn. mur. Mang. 

Merc. Natrum. Natr. mur. Nitric 

acid. Nux mosch. Nux vom. Par. 

Phosph. Puis. Rhus. Samb. Sec. 

corn, Seneg. Sepiae. Sil. Spong. 

Stram. Sulph. Veratr. Zinc. 
EMACIATION: Arnbra. Anacard. 

Ars. Bar. Bry. Calc. carb. Canthar. 

Carbo veg. Chamom. Chin. Chlor. 

Cina. Coccul. Cupr. Dulc. Ferr. 

Graphit. Hep. Ign. Iod. Ipec. 

Laches. Lyc. Merc. Natr. Natr. 

mur. Nitric ac. N. vom. Phosph. 

Phos. ac. Plumb. Puis. Sec. corn. 

Selen. Sil. Stann. Staphys. 

Sulph. Veratr. 
EXCESSES, consequences of: Ana- 
card. Ars. Bar. Calc. carb. Carbo 

veg. Chin. Conium. Kali. Lach. 

Mercur. Natr. Natr. mur. N. vom. 



142 



GENERAL SYMPTOMS. 



Phosph. Phosph. ac. Puis. Rhus. 

See. com. Sep. Sil. Staph. Sulph. 

Thuj. Veratr. 
FAINTING: Aeon. Am. Arsenic. 

Bell. Bryon. Calc. Camphor. Cann. 

Carbo veget. Chamoni. China. Coc- 

cul. Cojf. Creos. Dig. Ferr. Hep. 

Hyosc. Ign. Ipec. Lack. Laur. 

Mosch. N. mosch. N. voin. Op. Petr. 

Phosph. Phosph. ac Pulsat. Ran. 

sc. Rhus. Sangn. Secale corn. Sep. 

Sil. Spig. Strainon. Tart. emet. 

Veratr. Viola od. 
FAT, tendency to get : Antim. crud. 

Ars. Calcar. Caps.' Croc. Cupr. 

FeiT.'.Graphit.'Lach.Lyc^Merc.'Op. 

Pulsat. Spong. Sulph. Veratr. 
FEAR, consequences of : Aeon. Bell. 

Hyosc. Ign. Lach. Op. Puis. Verat. 
FEMALES, diseases of : Aeon. Agar. 

Alum. Ainbra. Arnica. Bell. Bor. 

Calcar. Caps. Caustic. Cham. Chin. 

Cic. Coccul. Con, Croc. Ferrum. 

Graph. Hyoscyam. Ign. Ipec Kali. 

Lach. Magn, mur. Merc. Mosch. 

Nux mosch. Nux vom. Plat. Puis. 

Rhus. Sabin. Sec. corn. Selen. Sep. 

Spongia. Stann. Sulph. Valer. 

Veratr. 

Fever, General Charac- 
ter of. 

FEVER, bilious: Aeon. Ant. crud. 

Ant. tart. Ars. Bry. Bellad. Cham. 

Coccul. Coloe. Creos. Ign. Ipec 

Mi' re Natrum mur. N. vom. Puis. 

Sulph. Verat. 
— catarrhal: Aeon. Ars. Bry. Bellad. 

Caust. Chamoni. Con. Dulc. Ipec. 

Lach. Magn. mur. Merc. N. vom. 

Puis. Rhus. Sulph. 
—gastric.: Ant. crud. Antim. tart 

Ars. Auv. Bell. Bry. Cham. Coccul. 

Coloc. Hepar. [gnat. Ipec. Mercur. 

Magn. o. X. vom. Phosph. ac. Puis. 

Rhus. Sulph. Veratr. 



— yellow: Aeon. Ars. Bell. Bry. Crot 

Ipec. Mercur. Nux vom. Puis. 

Rhus. Sulph. 
— puerperal: Aeon. Bell. Bry. Cham. 

Nux vom. Puis. Rhus. 
—milk: Aeon. Bell, Calc. Coff. Puis, 
—nervous: Aeon. Am. Arsen. Bell. 

Bry. Camph. Chamom. Hyosc. Ign. 

Lye. Mercur. Mur. acid. N. vom. Op. 

Phosphor, ac. Rhus. Stram. Veratr. 
— rheumatic: Aeon. Am. Ars. Bell. 

Bry. Caustic. Cham. Colch. Dul- 

cam. Ipecac. Mercur. X. vom. Puis. 

Rhus. Sil. Sulph. 
— wound : Aeon. Am. Bry. 
— dentition: Aeon. Bell. Calc. Cha- 
mom. Merc. Nux vom. Sulph. 
— hectic: Arsen. Calc. China. Coc- 
cul. Cupr. Dig. Ign. Iod. Ipec. 

Kali Laches. Lye. Nux vom. 

Phosph. Phosph. ac. Puis. Sil. 

Staph. Sulph. 
— typhus, abdominal: Aconit. Ars. 

Bell. Bry. Merc. Nux vom. Phosph. 

ac. Rhus. 
— typhus, cerebral: Aeon. Arn. Ars. 

Bell. Bry. Carbo veget. Chin. Crot. 

Hyosc. Lach. Mercur. Mur. ac. N. 

vom. Op. Phosph. Phosph. ac. 

Pulsat. Rhus. Sulph. Veratr. 
— typhus, putrid: Ars. Asa /. Bry. 

Carbo veget. Chin. Ferr. Graph. 

Hep. Ipec. Lach. Merc. Mur. ac. 

Nux vom. Op. PJlos. ac Rhus. 
FLUIDS, ill effects of loss of: Calc. 

Carbo veg. Chin. Cm. Con. Lach. 

Lye. Natr. Natr. mur. Nitric ac. 

Nux vom. Phosph. ac. Sulph. 

Sulph. ac. Thuj. Veratr. 
FREEZING, consequences of : Aco. 

Ars. Bry. Carbo veg. Laches. Ni- 
tric ac. Sulph. ac. 

Fever, According to Par- 
ticular Symptoms. 
BURNING : Arsen. Bry. Rhus. Ve- 
ratr. 



GENERAL SYMPTOMS, 



143 



CHILLINESS IN GENERAL: 

Ambra. Ant. tart. Arn. Ars. Bryon. 

Calc. Canth. Cham. China. Cin. 

Colch. Cupr. Ferr. Graph. Hep. 

Ign. Ipec. Lach. Lye. Merc. Mezer. 

Natr. mur. Nux vom. Phosph. 

Phosph. ac. Puis. Rhus. Sabad. 

Sassap. Sep. Sil. Spig. Sulph. Thuj. 

Veratr. 
— external : Arn. Chin. Lycop. Mere. 

Nux vom. Phos. Rhus. Veratr. 
— semi-lateral : Ant. tart. Bry. Caust. 

Ignat. Lye. Nux vom. Puis. Rhus. 

Spig. 
— internal: Anac. Ars. Bellad. Bry. 

Calc. Chamom. China. Hell. Ignat. 

Ipec. Lach. Laur. Lycop. N. vom. 

Phosph. Pulsat. Squill. Sep. Thuj. 

Veratr. 
— with shaking : Aeon. Bryon. Caps. 

Cham. Chin. Ign. Ipec. Nux vom. 

Rhus. Veratr. 
HEAT IN GENERAL : Aco. Amm. 

mur. Anac. Antim tart. Arn. Ars. 

Bell. Bry. Calc. Canth. Carb. veg. 

Caust. Cham. Chin. Cin. Coffea. 

Con. Cycl. Ferr. Graph. Hell, He}). 

Ign. Ipec. Kali. Lach. Magn. mur. 

Merc. Mosch. Mur. ac. Nltr. ac. 

Nux vom. Op. Phosph. Phosph. ac. 

Puis. Rhus. Sabad. Sil. Squill. 

Stannum. Staph. Strain. Sulphur. 

Sulph. ac. Veratr. 
— external : Aeon. Ars. Bell. Bry. Calc. 

Camphor. Carbo veg. Cham. Cic. 

Coccul. Coff. Coloc. Digit. Dulc. 

Euphorb. Hell. Hyosc. Ign. Kali. 

Lach. Lye. Mang. Merc. Mur. ac. 

Nux vom. Op. Phosph. Puis. Rhus. 

Sep. Sil. Squill. Stram. Sulph. 

Zinc. 
— flashes of: Arn. Calc. caro. Chin. 

Graph. Iod. Kali. Lycop. Natrum. 

Nux vom. Phosph. Plat. Puis. 

Rhus. Ruta. Sep. Stann. Sulph. 

Thuj. 



— semi-lateral: Arn. Bell. Bry. Croc. 

Ignatia Lye. Nux vom. Phosph. 

Puis. Rhus. Sulph. 
— internal : Aeon. Arn. Ars. Bell. 

Bry. Calc. Canth. Carbo veg. Caust. 

Cham. Cic. China. Coloc. Con. 

Graphit. Hel 1 . Ipec. Lye, Magn. 

mur. Nitric ac. Nux vom. Phosph. 

Phosphor, ac. Puis. Rhus. Sabad. 

Samb. Sec. corn. Spig. Spong. 

Stann. Yeratr. Zinc. 
LOSS OF CONSCIOUSNESS: 

Bell. Bry. Carbo veg. Hell. Hyose. 

Lach. Op. Phos. ac. Rhus. Stram. 
LOSS OF THIRST: Ant. tart. Ars. 

Canth. Carbo veg. Caust. Chin. 

Hell. Ipec. Merc. Puis. 
PULSE, intermittent: Aeon. Ars. 

Bry. Dig. Kali. Lach. Natr. mur. 

Op. Phosph. ac. Sec. corn. Stram. 

Sulph. 
— filiform: Colch. Lach. Yeratr. 
— large : Aeon. Bell. Bry. Cupr. Dig 

Ferr. Hyose. Ign. Merc. Nitr. Nux 

vom. Phosph. Spig. Strain. Veratr. 
— hard: Aeon. Arn. Bar. Bell. Bry. 

Canth. Chin. Digit. Ferr. Hyosc. 

Ign. Merc. Nux vom. Phosph. ac. 

Sabin. Samb. Sil. Stram. Veratr. 
— small: Aeon. Ant. tart. Ars. Bar. 

Bell. Calc. carb. Camph. Carbo 

veg. China. Cina. Cocc. Cupr. Iod. 

Ipec. Kali Lach. Laur. Merc. Natr. 

mur. Op Phosph. acid. Plat. Puis. 

Sec. corn. Sil. Strain. Sulphur. 

Sulph. ac. Veratr. 
— slow: Ambr. Ant. crud. Ant. tart. 

Ars. Bell. Camph. Canthar. Cic. 

Con. Dig. Hell. Ign. Kali. Laur. 

Mosch. Op. Puis. Rhodod. Sec. 

corn. Sep. Stram. Veratr. 
— slower than the beats of the 

heart: Cann. Dig. Hell. Sec. corn. 

Veratr. 
— quick: Aeo. Ant. tart. Arn. Ars. 

Asa f. Bell. Bism. Bry. Carbo veg. 

Coloc. Croc. Dig. Hyosc. Ignat. 



L44 



GEKZEAL SYMPTOMS. 



Iod, Lach. M. austr. Merc Nitric 

acid. Nux vom. Phosph. Phosph. 

ac. Pulsat. Rhus. Samb. Sil. 

Spong. Stann. Strain. Sulphur. 

Yeratr. Zinc. 
— imperceptible: Aconit. Ars. Car- 
bo veg. Coccul. Cupr. Ferr. Ipec. 

Lach. Merc. Op. Sec. corn. Sil. 

Stann. Yeratr. 
— irregular: Agar. Antim. crud. 

Ars. Caps. Chin. Digital. Hyosc. 

Kali. Lach. Natr. mur. Op. 

Phospli. ac. Plumb. Sec. corn. 

Stram. Sulphur. Yeratr. 
— soft: Ant. tart. Ars. Baryt. Bel- 
lad. Carbo veg. China. Coccul. 

Cuprum. Iodine. Kali. Laur. Merc. 

Op. Phosphor. Plat. Sec. corn. 

Yeratr. 
— tremulous : Arsen. Calc. Cic. Kali. 

Phosph. Rhus. Sangn. Spig. 
StUYERING : Aeon. Ars. Asa feet. 

Aurum. Bell. Calad. Canth. Caps. 

Cham. China. Coccul. Croc. CycL 

Ferr. Graph. Hep. Ign. Kali. 

Mercur. Mezer. Natr. Nitr. Xux 

vom. Puis. Rheum. Rhus. Sabad. 

Sec. corn. Sep. Staph. Yaler. Ye- 
ratr. 
STRETCHING : »Ars. Ipec. N. vom. 

Rhus. 
SWEAT, in general: Aco. Ambr. 

A mm . niur. Ant. tart. Ars. Bar. 

Bell. Br (j. Calc. Canth. Caps. 

Carbo an. Carbo veget Caust. 

Cham. Odor. Chin. Coff. Con. Dig. 

Dros. Ferr. Graph. Guaj. Hep. 

Hyosc. Ignat. Kali. Lye. M. austr. 

Magn. mur. Merc. Natrum. Natr. 

mur. Nitric ac. Nux vom. Phosph. 

Phosphor, ac Puis. Rheum. Rhod. 

Rhus. Sabad. Samb. Selen. Sepias. 

8iL Staph. Stram. Sulph. Tar. 

Thm'. fwatr. 
IRRITABILITY, bodily. Aeon. 

Am. Asar. Aur.BeU. Bry.Canthar. 

Cham. Chin. Coflfea. Cupr. Ferr. 



Hyosc. Ign. Lach. M. arct. Merc. 

Natr. Nux vom. Phosph. Pulsat. 

Rhus. Selen. Sil. Spong. Staphys. 

Yeratr. 
— want of: Anac. Ars. Bisin. Calc. 

Camph. Carb. xeget. Cic. Con. Croc. 

Dulc. Ferr. Graph. Hyosc. Ign. 

Iod. Ipec. Kali. Lach. Laur. Lycop. 

Magn. Merc. Nitric ac. Nux mosch. 

Oleand. Op. Phos. ac. Rhod. Sec. 

corn. Sep. Staph. Stram. Sulph. 
JAUNDICE : Aeon. Ambr. Ant. crud. 

Ars. Aur. Auruin mur. Bellad. Bry. 

Canth. Carbo veget. Cham. Chin. 

Con. Croc. Dig. Terr. Hep. Ignat. 

Lach. Lycop. Merc. Nitric ac. Nux 

vom. Op. Pulsat. Rhus. Sulph. Sep. 

Yeratr. 
JEALOUSY, ailments from : Hyos- 

cyam.Ignat Lach. N. vom. Phos. 

ac. Puis. Staph. 
JOY, consequences of excessive 

Aeon. Coffea. Op. 
LANGUOR: Antim. crud. Calc c. 

Carbo veget. Coccul. Ignat. Iodine. 

Kali. Lach. Lye. Mercur. Mosch. 

Natr Natr. mur. Op. Phosphor. 

Phosph. ac. Plat. Pulsat. Selen. 

Seneg. Sulph. Teucr. Thuj. Yaler. 

LAZINESS: Alum. Arsen. Baryt. 
Bell. Bryon. China. Coccul. Guaj. 
Iod. Kali. Lach. Merc. Mur. ac, 
>'atr. Natrum mur. N. vom. Ole- 
ander. Phos. ac. Puis. Sec. corn. Se- 
len. Sep. Zinc. 

LIMPING : Bell. Calc. Caust. Coloc. 
Merc. Pulsat. Rhodod. Rhus. Sep. 
Sulphur. 

LOCHIA, morbidly altered : Bellad. 
Calcar. Con. Nux vom. Plat. Puis. 
Sec. corn. 

MARASMUS OF OLD PEOPLE : 
Ant. tart, Bar. Calc. c. Con. Olean. 
Op. Phosph. Phosph. ac. Rhus. Ke- 
en le corn. 

BIELANC HOLY TEMPE LA- 
MENTS: Ars. A ur. Bellad. Calc. 



GENERAL SYMPTOMS. 



145 



China. Graph. Ignat. Lach. Lycop. 

Merc. Natr. Nux vom. Phosph. ac. 

Puis. Sep. Sil. Veratr. 
MOTION, dread of: Ant. tart. Ars. 

Bar. Bell. Calad. Caps. Cliin. Dulc. 

Hell. Ign. Lach. Lye. Merc. Natr. 

Natr. mur. Nux vom. Sulph. Thuj. 
MUCOUS MEMBBANES, diseases 

of the: Alum. Apis. Arsenic. Bell. 

Bry. Calc. Caps. Caustic. Cham. 

China. Chlor. Dulc. Euphr. Fluor. 

ac. Hep. Ign. Lye. Merc. Mur. ac. 

Natr. mur. Nitric acid. Nux vom. 

Phosph. Pulsat. Ehus. Sangn. Sep. 

Sil. Stann. Sulph. Sulph. ac. 
MUSCULAR TWITCHINGS : Am- 

bra. Asa f. Bell. Clem. Coloc. Croc. 

Cuprum. Graph. Iod. Kali. Lach. 

Mezer. Natr. Natr. mur. Plat. Rhus. 

Secale corn. Sil. Spong. Sulphur. 

Sulph. ac. Viola tr. Zinc. 

GLANDULAR AFFECTIONS: 
Ammon. mur. Apis. Arsenic. Aur. 
Baryt. Bell. Calc. carb. Car bo an. 

Carbo veget. Cham. Coccul. Con. 
Dulc. Graph. Hep. Iod. Kali. Lye. 
Merc. Natr. Natr. mur Nitric ac. 
Nux vom. Phosph. Phos. ac. Plumb. 
Ran. bulb. Rhus. Sep. Sil. Spong. 
Staph. Sulph. Sulph. ac. Thuj. 
GOUT: Aeon. Ant. crud. Arg. Am. 
Ars. Asa f. Aur. Baryt. Bell. Bry. 
Calc. carb. Calc. phosphor. Caps. 
Carbo an. Carbo veg. Canst. Cham. 
Chin. Coleh. Dig. Dulcam. Ferr. 
Graph. Hep. Ignat. Iod. Kali, car- 
bon. Kali bichr. Led. Lye. M. austr. 
Merc. Mezer. Natr. Natrum mur. 
Nux vom. Phosphor. Puis. Rhodod. 
Rhus. Sabina. Sassap. Sep. Sil. 
Spong. Staph y a. Sulph. Thuj. Ve- 
ratr. Vit. Zinc. 

GRASPING AT FLOCKS : Arsen. 

Bell. Hell. Hyose. Iod. Muriat. ac. 

Op. Phosph. ac. Rhus. Straw. 
HEATED, consequences of getting: 



Aeon. Bell. Bry. Calc. Carbo. veg. 

Kali. Lye. Nux vom. Puis. Sil. 
HEAVINESS OF THE BODY: 

Chin. Lach. Kali. Natr. Natr. mur. 

Phosph. Sep. Stann. 
HUNGER, ill effects of: Ant. crud. 

Ars. Bry. Calc. carb. Chin. Ipec. 

Puis. Sulph. 
HYDROPHOBIA: Lobelia. Arsen. 

Bell. Canthar. Hyose. Lach. Phos. 

Stram. 
HYPOCHONDRIA : Asa feet. Aur. 

Bellad. Calc. Canth. Caust. Cham. 

Cina. Coccul. Con. Ferr. Graphit. 

Iguatia. Iodine. Lach. Lye. Magn. 

mur. Merc. Mill. Mosch. Natrum. 

Natrum mur. Nux mosch. N. vom. 

Phosph. ac. Plat. Puis. Sabin. Sep. 

Staph. Sulph. Valer. Veratr. 
HYSTERIA: Agn. Asa f. Aurum. 

Bell. Calcar. Caustic. Coccul. Con. 

Ignatia. Lach. Nux mosch. Phosph. 

Plat. Puis. Sep. Sil. Sulph. Valer. 

Viola od. 
INDURATIONS: Am. Ars. Aur. 

Bell. Calc. Camphor. Carbo an. 

Cham. Chin. Clem. Con. Dulc. Ferr. 

Graphit. Hep. Iodine. Lach. Lye. 

Magn. mur Phosph. Plumb. Fuls. 

Sep. Sil. Sulph. Thuj. 
INFLAMMATIONS: Aeon. Antim. 

crud. Ant. tart. Arn. Arsenic. Bell. 

Bry. Calc. Cannab. Canth. Carbo 

veget. Cham. Con. Creos. Cupr. 

Dig. Dros. Dulc. Euphorb. Euphr. 

Hepar. Hyose. Iod. Ipecac. Kali. 

Lach. Lye. Magn. carb. Mere. Mur. 

ac. Nitr. Nitr. ae. Nux vom. Phos. 

Plumb. Puis. Rltus.Ruta. Sec.com. 

Sep. Spong. Squill. Sulph. Sulph. 

ac. Veratr. 
NERVOUS EXCITEMENT : Ambr. 

Bell. Calc. e. Cham. Chin. Coffea. 

Ferr. Iod. Laur. Merc. Nux vom. 

Phosph. Phosph. ac. Puis. Rhus. 

Sep. Sulph. Valer. Veratr. 



146 



GENERAL SYMPTOMS. 



NEURALGIA : Aeon. Arnic. Arsen. j 

Bellad. Bry. Calc. Capsic. Chain. | 

Coccul. Coff. Colchic. Hep. I gnat. | 

Kali. Merc. Mezer. Y<7//\ Nux vom. 

Puis. Rhus. Spig. Staph. Sulph. 

Thuj. Taler. Yeratr. 
NODES, gouty: Antim crud. Arnica. 

Bryon. Calc. carbon. Calc. Phosph. 

Canst. Graph. Hepar. Led. Lycop. 

Mercur. Nux vom. Pnlsat. Rhodod. 

Rhus. Staph. Sulph. 
ONANISM, consequences of: Calc. 

Carbo veg. Carbo animal. China. 

Coccul. Con. Kali. Lach. Lycop. 

Merc. Natr. Natr. mur. Nux vom. 

Oleand. Phos. Phosph. ac. Pulsat. 

Rhus. SiL Staph. Sulph. Thuj. 
PAINS, wandering : Arn. Bell. Chin. 

Mang. X. mosch. Puis. Bhod. Rhus. 

So bin. Sep. Sulphur. 
PARALYSIS : Anac. Am. Asar. 

Bar. Bell. Bry. Calc. Caps. Carbo 

veg. Caust. China. Cic. C'oec. Con. 

Croc. Crot. Dig. Dulc. Ferr. Fluor. 

acid. Hyosc. Ign. Kali. Lach. Laur. 

Lye. Magn. mur. Merc. Natr. Natr. 

mur. Nitric ac. Nux yoin. Oleand. 

Op. Phosph. Plumb. Puis. Rhus. 

Sec. corn. Sil. Stann. Stram. Sulph. 

Veratr. Zinc. 
PHLEGMATIC TEMPERA- 
MENTS: Bell. Caps. Chin. Iod. 

Lach. Merc. Natr. Natr. mur. Nitric 

ac. Puis. Sulph. 
PLETHORA : Aeon. Arn. Aur. Bell. 

Bry. Calc. Chin. Dig. Ferr. Graph. 

Hyosc. Kali. Lycop. Natr. mur. 

Nitric ac. Nux vom. Phosph. Puis. 

Rhus. Stram. Sulph. 
TOISONING WITH ALUM: Puis. 

Yeratr. 
— with arsenic : Carbo vegel. China. 

Ferr. Hep. Ipec. Lack. Lye. Nux 

vom. Sulph. Veratr. 
— with lead: Alum. Bell. Nux vom. 

Op. Plat. 



— with colchicum : Coccul. Nux vom. 

Puis. 
— with iron: Ars. Hep. Ipecac. Puis. 
— with adipic poison : Arsenic. Phos. 

acid. 
— with! fish-poison : Bell. Camphor. 
— with honey : Camph. 
— with iodine : Arsen. Bellad. China. 

Phosph. Sulph. 
— with toad-poison: Ars. ( '?) 
— with copper: Bell. Hepar. Ipec. 

N. vom. 
— with opium : Bell. Coft. Nux vom. 
— with phosphorus : Coff. Nux vom. 

Sulph. 
— with mushroom : Carbo veget. Coff. 

Puis. 
— with mercury: Arn. Aur. Bell. 

Carbo veg. Cham. Chin. Dulc. 

Hep. Iodine. Kali bichr. Lach. 

Lye. Mtr. ac. Mezer. Phos. ac. Sil. 

Staph. Sulph. Thuj. 
— with sal. ammoniac : Coff. N. vom. 
— with sarsaparilla : Bell. Merc. 

Sulph. 
— with acids: Aeon. Bry. Op. Puis. 
— with sulphur: Arsen. Mercur. Puis. 

Sil. 
— with stramonium : Coff'. Hyoscyam. 

Nux vom. 
— with 'poison-vine : Bell Bry. Merc. 

Sulph. 
— with alcohol : Coff'. Nux vom. 
— with sausage-poison: Arsen. Bell. 

Bry. 
— with tin: Carbo veget. Hep. Puis. 
PREGNANCY, ailments incident to : 

Aco. Bell. Bry. Calc Chamom. 

Con. Hyosc. Lach. Lye. N. vom. 

Phos. Plat. Puis. Sep. Sulph. Ve- 
ratr. 
RAPHANIA: Arsen. Bell. China. 

Hyosc. Iod. Op. Rhus. Secale corn. 

Sol. nigr. Stram. 
RHEUMATISM: Aeo. Arn. Ars. 

Bell. Bry. Carb. veg. Caustic. Cham. 

China. Colch. Hep. Ignat. Kali 



GENERAL SYMPTOMS. 



147 



bichr. Lach. Lye. Merc. Nitric ac 
Nux vom. Pulsat. Rhodod. Rhus. 

Sassap. Sep. Spigel. Sulph. Thuj. 

Veratr. 
BIDING IN A CARRIAGE, ail- 
ments from : Ars. Carbo veg. Coc- 

cul. Colch. Ferr. Ign. Natr. Petr. 

Psor. Sil. Snip h. 
RICKETS: Asa f. Bell. Calc c. 

Calc. phosph. Lye. Merc. Phospfi. 

Pulsat. Rhus. Silk*. Sulph. 
SALT, ill effects of eating too much : 

Carbo veg. Merc. Nux vom. 
S A N G U I N TEMPERAMENT : 

Aeon. Arn. Bnj. Bell. Cham. 

Hyoscyam. Ign. Nux vom. Bhus. 

Sulph. Sulph. ac. Veratrum. Zinc. 
SCURVY: Amm. mur. Ars. Aur. 

Bor. Calc. Carbo an. Carbo veg. 

Creos. Hep. Iod. Mercur. Mur. ac. 

Natrum mur. Nitric ac. Nux vom. 

Silic. Staph. Sulph. Sulph. ac. 
SEA-SICKNESS: Ars. Coccul. 

Creos. Ipecac. Petr. Rhus. Sulph. 

Veratr. 
SEDENTARY HABITS, ill effects 

of: Aco. Carbo veg. Calc. Ignat. 

Natr. Natrum mur. N. vom. Puis. 

Sulph. 
SEMILATERAL AILMENTS, left 

side: Aeon. Alum. Amm. mur. 

Apis. Arn. Asa f. Asar. Bry. Calc. 

Cann. Chin. Cic. Colch. Coloc. 

Croc. Cupr. Daph. Dulc. Ign. Iod. 

Lach. Lye. Mercur. Natr. Nitric 

ac. Nux mosch. Nux vom. Petr. 

Phos. Bhod. Selen. Sep. Spig. 

Sulphur. Sulphur, ac. Tar. Tart. 

emet. Thuj. Veratr. Viola od. 
— right side : Agar. Alum. Bar. Bell. 

Bism. Brom. Bry. Canth. Carbo an. 

Caust. Cina. Con. Crot. Dig. Dros. 

Hepar. Ignat. Kali. Led. M. arct. 

Mosch. Oleand. Phosph. ac. Plumb. 

Rhus. Buta. Sabad. Sabina. Sangn. 

Sil. Spongia. Staph. Stront Sulph. 

ac. Tart. emet. Thuj. Vit. 



— cross- wise : Agar. Mangan. Sil. 
SENSATION AS IF BLOWN UP- 
ON BY WIND : Nux vom. Ole- 
ander. Rhus. Stram. 
— as if congealing : Bellad. Cic. Cin. 

Dros. Hyosc. Led. Puis. Sec. corn. 

Stram. 
— as if growing larger : Asafoet. Bell. 

Ignat. Laur. Phosph. Puis. Rhus. 
— as of a hair: Lycop. Natr. mur. 

Sulplt. 
— as of growing smaller : Calc. Croc. 
— as of something alive: Croc. Ign. 

Lach. Mercur. Sec. corn. Sulph. 

Thuj. 
SPANISH FLIES, iU effects of : 

Camph. 
SPASMS, generally : Aeon. Ang. 

Arn. Ars. Asa f. Bell. Bry. Calc. 

carb. Camph. Caust. Cham. Cic. 

Cina. Coccul. Coff. Con. Croc. 

Cupr. Hell. Hyosc. Ign. Ipec. Lach. 

Laur. Lycop. Merc. Mosch. Nux 

mosch. Nux vom. Op. Plat. Plumb. 

Puis. Bhus. Ruta. Sec. corn. Stann. 

Stram. Sulph. Tart. emet. Veratr. 

Zinc. 
— in the evening : Caust. Cina. Laur. 

Nux vom. Puis. Stann. Stram. 
— with anxiety : Ars. Bell. Calc. Cham. 

Cin. Cupr. Hyosc. Ign. Lach. Puis. 

Veratr. 
— with dyspnoea : Ang. Bell. Camph. 

Cupr. Ign. Ipec. Nux vom. Op. 

Puis. 
— with staring eyes : Bell. Hyoscyam. 

Nux vom. Op. Sec. corn. Stram. 
—with contortion of the eyes : Aeon. 

Bell. Coccul. Cuprum. Hyosc. ign. 

Lach. 
— with upwards : Bell. Ignat. Lach. 
— with downwards : Cic. Lach. 
— with sidewise : Bell. Caust. Hyosc. 

Lach. 
— glazed eyes : Coccul. 
— half open eyes : Caust. Cina. Ipec. 
— with eyes protruded : Hyosc. 



148 



GENERAL SYMPTOMS. 



-with eyes closed : Bell. Cham. Coc- 

cul. Croc. Hyosc. Merc. Natr. mur. 

Op. 
-alter repelled eruptions : Calc. 

Caust. Luck. Nux vom. Sulph. 
-with bloated bowels : Calc. Cham. 

Cin. Merc. 
-with violent movements : Calc. Cin. 

Cupr. Hell. Hyosc. Op. Stram. 
-from contact : Bell. Coccul. Stram. 
-with loss of sense : Bell. Camph. 

Cic. Cina. Cupr. Hyosc. Ign. Ipec. 

Lack. Nux vom. Op. Sil. Stann. 

Stram. 
-with nausea : Ipec. Nux vom. Puis. 

Tart. emet. Veratr. 
-with clenched thumb : Bell. Hijo.sc. 

Ign. Lach. Merc, 
-with delirium: Bell. Crot. Hyosc. 

Op. 

-with diarrhoea : Chin. Hyosc. 
-with thirst: Cham. Nux vom. 
-with eclampsia: Bell. Gaunt. Cham. 

Cic. Gin. Ignqt. Hyosc. Laur. Nux 

mosch. Nux vom. Op. Phosph. Sec. 

corn. 
-epileptic: Agar. Ars. Bell. Calc. c. 

Camph. Caustic. Cham. Cic. Cina. 

Coccul. Cupr. Glon. Hepar. Hyosc. 

Ign. Lach. Merc. Nitr. ac. N. vom. 

Op. Plumb. Puis. Kims. Sec. corn. 

Sil. Stann. Stram. Sulph. Verat. 
-with vomiting : Cupr. Ipecac. Nux 

vom. Puis. Sec. corn, 
-with danger, of suffocation : Cupr. 

Ign. Nux vom. Op. 
-with yawning : Ign. Veratr. 
-after emotions : Ballad. Goff. Hyos- 

cyam. Ign. Nux vow. 

with pale face : Ipec. Natrum. Sil. 

Stann. 
-with blue face: Camphor. Cupr. 

Cin. Op. Veratr. 
-yellow face : Cic. Nux vom. 
-red face: Bell. Ign. Stram. 
-with cold sweat in the face : Cocc. 



— with distorted features : Belladona. 

Cham. Coccul. Ipecac. Stram. Ve- 
ratr. 
— with involuntary emission of urine : 

Canst. Coccul. Hyosc. 
— with palpitation of the heart: Lach. 

Sec. corn. Spig. 
— with heat: Bell. Cham. Nux vom. 
— with seansation of hunger : Hyosc. 
— hysteric : Aur. Belladona. Caustic. 

Cham. Coccul. Coff. Cupr. Ignatia. 

Ipec. Mosch. Nux vom. Plat. Puis. 

Stram. Veratr. 
— internal : Calc. carb. Caust. Cocc. 

Coloc. Graph. Ipecac. Magn mur. 

Stann. 
— with delirium : Bell. Cin. 
— with coldness of the body: Cin. 

Hyosc. Puis. Veratr. 
— with coldness of the limbs : Caust. 

Hyosc. Op. Veratr. 
— cataleptic: Agar. Bell. Cham. Cic. 

Hyosc. Ipec. Strain. Veratr. 
— with locked jaw : Bell. Hyoscyam. 

Lach. Nux vom. Opium. Plat. Ve- 
ratr. 
—of children: Bel lad. Calcar. Cham. 

Cina. Coffea. Ipec. Nux vom. Op. 

Sulph. 
— clonic : Agr. Ambr. Arnica. Arsen. 

Bar. Bellad. Calc. Camph. Canthar. 

Caust. Cham. Cic. Cina. Coccul. 

Con. Cupr. Hell. Hyosc. Ign. Ipec. 

Laches. Kali. Magn. Merc. N. vom. 

Op. Phosph. Bit us. Sec. corn. Sepice. 

Stann.' Stram. Sulph. Veratr. 
— with movements of the head : Bell. 

Cham. Cic. Hell. Lach. Op. Stram. 
— opisthotonic : Ign. 
— preceded by head-ache : Bell. Hy- 
oscyam. Lach. Nux vom. 
— succeeded by head-ache: Bellad. 

Cina. 
— with contraction of the limbs : Hy- 
oscyam. 
— with laughter: Bellad. Calc. Caust. 

Ign. Lach. 



GENERAL SYMPTOMS. 



149 



— with creeping as of a mouse : Bell. 

Sulph. 
r— with colic: Caustic. Cham. Cin. 

Cupr. Merc. Sulph. 
SWEAT, anxious: Arn. Ars. Calc. 

Cham. Ferr. Ign. Merc. Natr. Nux 

vom. Phos. Puis. Elms. Sep, Spong. 

Stramon. Sulph. Veratr.. 
— bloody : Lach. Lye. Nux vom. 
— musty smell : N. vom. Puis. Rhus. 
— exhausting: Ambra. Arsen. Bryon. 

Calc. Carbo an. Chin. Digit. Ferr. 

Hep. Iod. Lye. Mercur. Natr. mur. 

Nitric acid. Nux vom. Phosphor. 

Samb. Sep. Stann. Sulph. Veratr. 
— fatty: Bryon. China. Merc. Selen. 
— staining the linen: Ars. Graphit. 

Merc. Selen. 
— yellow: Graph. Lach. Merc. 
— semilateral : Cham. Chin. Nux vom. 

Puis. 
— smelling like juniper : Sep. 
— cold: Aeon. Amm. mur. Ant. tart. 

Arn. Ars. Bryon. Calcar. Camph. 

Cannab. Carbo veg. China. Gin. 

Coccul. Cupr. Dulc. Hell. Hep. Ign. 

Ipec. Lach. Lye. M. arct. Mercur. 

Nux vom. Puis. Bheum. Elms. Sa- 

bad. Sec. corn. Sep. Staph. Sulph. 

Veratr. 
— smelling like old cheese : Plumbum. 
— viscous : Aeon. Ant. tart. Ars. Bry. 

Cham. Daph. Ferr. Hep. Iod. Lye. 

Merc. Phosph. Phosph. ac. Plumb. 

Sec. corn. Veratr. 
— red: Arn. Calc. Dulc. Lycop. Nux 

vom. 
— sour smelling : Arn. Asar. Bellad. 

Cham. Ferr. Hep. Ignat. Iod. Ipec. 

Kali. Lye. Merc. Nitric ac. Ehus. 

Sep. Sil. Sulph. Veratr. 
— stinging: Cham. Con. 
— fetid : Amnion, mur. Baryt. Canth. 

Con. Dulc. Ferr. Fluor, ac. Graph. 

Hep. Kali. Led. Lye. Merc. Nitric. 

ac. Nux vom. Phosph. Puis. Ehus. 

Selen. Sep. Staph. Veratr. 



— having an urinous smell : Canthar. 

Nitric ac. 
— smelling like onion : Bov. Lycop. 
— in the morning: Op. Nux vom. 

Plat. 
— with open mouth : Mosch. Op. 
— with distorted mouth : Bellad. Nux 

vom. Op. Strain. 
— followed by weariness : Bell. 
— at night : Bell. Calc. carbon. Calc. 

caust. Cham. Gin. Ign. Merc. Op. 

Sulph. 
— during new-moon: Calc. Caustic. 

Cupr. Sil. 
— falling down unconscious: Bell. 

Cupr. 
— after onanism: Calc. China. Coc- 
cul. Lach. Lye. N. vom. Op. Staph. 

Sulph. Veratr. 
— with dilated pupils: Bellad. Calc. 

Cic. Cin. 
— during the menses : Coccul. Cupr. 

Ignat. Nux vom. Plat. Puis, 
—with rattling breathing: Ipec. 

Lach. Nux vom. 
— in the back : Bell. Ign. Ipec. Op. 

Ehus. 
— falling backwards: Bell. 
— with froth at the mouth : Chamom. 

Cupr. JELyose. Ign. Lach. Nux vom. 
— with froth at the mouth, bloody : 

Lach. Op. Ptjrocarb. 
— during sleep : Bellad. Calcar. caust. 

Cin. Sil. 
— followed by drowsiness : Bell. Dros. 

Ign. Lach. Op. 
— after a fright : Bellad. Coffea. Ignat. 

Lach. Op). Nux vom. Veratr. 
— with a scream; Cina. Crot. Hyosc. 

Lach. Nux vom. Op. Sulph. 
— folloAved by weakness : Bell. Calc. 

Cic. See. corn. Veratr. 
— with sticky sweat on the head: 

Camph. 
—tetanic: Aconit. 'Ars.. Bell. Camph. 

Cic. Cupr. Ign. Ipec. Laur. Op. 



150 



GENERAL SYMPTOMS. 



Plat. Elms. Secede corn. Strain. 

Veratr. 
— Saint Vitus' dance, chorea: Bell. 

Canst. Coccul. Croc. Cupr. Hyosc. 

Ign. Lach. Laur. Nux vom. Stram. 

Zinc. 
— after an injury : Am. Pulsat. Rhus. 

Sulph. 
— alternately red and pale: Igi>. 
— with crying : Bell. Caust. Cuprum. 

Ign. Lach. Puis. 
— of lying-in females : Bell. Chamom. 

Coff. Hyosc. Ign. Puis. 
— caused by worms: Calc. Cin. Hy- 
osc. Merc. N. vom. Sulph. 
—dentition: Bell. Calc. Coff. Cham. 

Ign. Merc. Sulph. 
— with gritting of the teeth: Cin. 

Coff. Hyosc. 
— with trembling : Cupr. Lach. 
— with twitching: Bell. Calc. Canst. 

Cham. Cina. Cuprum. Hyosc. Iarn. 

Ipecac. Lach. Merc. Op. Plumb. 

Rhus. Sec. corn. Stram. Sulphur. 

Veratrum. 
SPIRITS OF CAMPHOR, ill effects 

of: Coff. Op. 
STRAINING BY LIFTING, ill ef- 
fects of : Arn. Bryon. Calc. Coccul. 

Con. Graph. Lye. Natr. Nitric ac. 

Nux vom. Phosph. Phos. ac. Rhus. 

Ruta. Sil. Sulph. Sulph. ac. 
SWEAT, ill effects of suppression of 

sweat : Aeon. Bell. Bry. Cham. Chin. 

Duleam. Lack. Nux vom. Pulsat. 

SH. Sulph. 
TEA, ill effects of: China. Ferrum. 

Lach. 
THIRST: Aeon. Ars. Bellad. Bryon. 

Canth. ('ham. Ipecac. Merc. Nnx 

vom. Puis. Rhus. Sulph. Veratr. 
TOBACCO, ill effects of: Chain. 

CoccuL Nux vom. 



UNEASINESS, bodily: Aconitum. 

Anae. Ars. Asar. Bellad. Bry. Calc. 

Cann. Carbo veg. Cham. Chin. Cof- 

fea. Croc. Cupr. Ferr. Graph. Hy- 

oscyam. Ign. Iod. Kali. Lycop. M. 

austr. Merc. Mur. ac. Natr. N. vom. 

Op. Phos. Plat. Rhus. Samb. Sep. 

Sil. Staph. Stram. Sulph. Veratr. 
VASCULAR ERETHISM : Aconit. 

Ambra. Arn. Aurum. Bellad. Bov. 

Bry. Calc. c. Carbo veget. Caustic. 

China. Con. Creos. Ferr. Hep. Iod. 

Kali. Lyeop. Natrum mur. N. vom. 

Op. Petr. Phosph. Rhus. Sassap. 

Sepiae. Sil. Stann. Sulph. 
WALK, difficulty of learning to walk : 

Calcar. Mercur. Sil. Sulph. 
WEAKNESS, general: Agar. Amm. 

Anac. Arn. Ars. Bell. Brom. Calc. 

Carb. an. Carbo veg. China. Cocc. 

Conium. Ferr. Fluor, ac. Graphit. 

Ipecac. Kali. Lach. Lycop. Magn. 

mur. Merc. Natr. Natr. mur. Nitric 

ac. Nnx vom. Oleand. Op. Pltosph. 

Phosph. ac. Plat. Puis. Rhus. Sec. 

corn. Sepise. Sil. Staph. Sulphur. 

Veratr. 
WEANING, ailments from : Bellad. 

Bry. Calc. Puis. 
WEARINESS: Arn. Ars. Bell. Calc. 

Cann. Caust. Chin. Coccul. Coffea. 

Con. Croc. Ferr. Graph. Hep. Ign. 

Ipec. Kali. Lycop. Merc. Natr. Nux 

vom. Oleand. Phos}3h. Plat. Pills. 

Rhod. Rhus. Spong. Sulph. Tart. 

em. Thuj. Veratr. 
— consequences of : Arn. Bry. Coff. 

Rhus. Puis. 
WHITE, red parts turning: Arsen. 

Bor. Calc. Ferr. Hell. Mercur. Ni- 
tric ac. Nux vom. Phos. Secale 

corn. Staph. Sulph. Sulplt. ac. 
WOUNDS : Arn. Calendul. Hyper. 
BURNS: Arnica. Urtica. 
PAIN FROM BURNS: Ars. Caust. 



INDEX. 



839 



INDEX. 



A 

Abdominal deformity 651 

" diet during 651 

Abdomen pendulous 650 

Abscess 522 

" Treatment for 523 

" Causes of 522 

Acclimation or Acclimatiza- 
tion Ill 

Acnee Rosacea 573 

Acute critical cases of disease 91 

" Bronchitis 418^19 

" Treatment of ... .422-424 

" Contagious diseases... 526 
Aconite, external application 

of 94 

Affections to which the pa- 
tient is liable 33 

After pains 640 

" Treatment of 640 

Age, the, of patient 31 

Ague and Fever 549 

u „ « Treatment of. 552-556 
Air, as a means of modifying 

disease ., 107 

Aliments 102 

Allopathic treatment, intro- 
duction to 22 

Amenorrhea 376 

Ansemia of the Brain 124 

"Sympt.of 125 

"Causes of 125 
"Treatm'nt 

of 125 

Angina 217 

" Catarrhal 218 

" Pectoris ... 475 

Antecedents of patient's fam- 
ily 31 

Anxiety as a symptom 61 

" Sensations of 69 

Aphthae 671 

Apoplectic constitution.. . 28 

Apoplexy 54-126 

Treatment of 127-128 

Apparel as a preventive of 

disease 101 

Apparent death 112 

" " from hunger... 112 

" " a fall 112 

" " suffocation... 113 

'' " " lightning. . .. 113 



Apparent death from drown- 
ing US 

Apparent death f romf reezing 114 
Apparent death from noxious 

vapors -. 114 

Arnica as an external appli- 
cation -. 94 

Art of feeling the pulse ... 36 
Arsenicum as an external ap- 
plication 91 

Asiatic cholera 595 

" Treatment of. .596-597 

Asthma 451 

" Treatment of 452-454 

Millaris 681 

" " Treatment of.. 682 
Atmosphere and other local 

influences 34 

Atrophy of infants 683 

Treatment of. 684-687 

B 

Back, crick in the 489 

" Treatment of.489-490 

Barber's itch 512 

Treatment 513 

Bath, remarks on 97 

Bath, cold salt water 97 

Bath, swimming 98 

Bath, fresh water 97-100 

Bath, hot fresh water 97-100 

Bath, fresh water 99 

Bathing, con ditions in which 

cold should be avoided 97 

Bathing, when beneficial. . . 98 

Bathing, indoor 98 

Bathing, precautions to be 

observed in 99 

Bathing, salt water or sea. . 99 

Bed sores 584 

Bilious constitution 28 

Bilious complaints 239 

Bilious complaints, treatm't. 249-251 

Black water 276 

Bladder, diseases of the. . . . 352 

Bladder, inflammation of the 352 

Bladder, spasm of the 359-641 

Bleeding at the nose 208 

Bleeding at the nose, treat- 
ment 209 

Blindness 187 

Blindness, treatment 187 

Blindness, sudden attacks of 187 



840 



INDEX 



Blood, the condition of the. 41 
JBlood, spontaneous disch'g's 

of 42 

Bloodshot eve 189 

Blood, vomiting of ,265 

Blood, vomiting of, treatm't 268 

Blood, spitting of 414 

Bloody urine 354 

Bloody urine, treatment. ...355-350 
Body, constitution, tempera- 
ment and habit of 86 

Boils 518-547 

Bottle nose 513 

Bones, diseases of the '. . 481 

Bowels, pain in the 62 

Bowels, inflammation of 296 

Bowels, inflammation of, 

treatment 298-299 

Bowels, distention of the. . . 669 
Brain, the, and its indica- 
tions 54 

Brain, diseases of 116 

Brain, hyperemia of J 19 

Brain, excess of blood in the 119 

Brain, congestion of . . . 119 

Brain, active congestion of. 122 

Brain, passive congestion of 123 

Brain, anaemia of 124 

Brain, lack of blood to the. . 124 

Brain, inflammation of the. 135 

Brain fever 135 

Brain, dropsy of the 140 

Brain, water on the 140 

Brain , affections of the 1 16 

Breath in health 46 

Breathing 46 

Breathing, variations and in- 
dications 46 

Breasts, inflammation of the384-651 
Breasts, inflammation of the, 

treatment 386-652 

Bright's disease 345 

Bronchial tubes, inflamma- 
tion of the, 418 

Bronchitis, acute 418 

Bronchitis, acute, treat men t422-424 

Bronchitis, chronic 427 

Bronchitis, chronic, treat- 
ment 428-430 

c 

Calendula oflicinalis, tincture 

"1 94 

Cantharis or cantharides, 

tincture of 95 

Cancer of the womb 387 

Cancer of the w.mb, treat- 
ment 388 

Cancer of the breasts 388 

Cancer of the breasts, home 

remedies 390 

Carbo vegetabilis ii; 

Cardialgia 27o 



Cardialgia, treatment of. . . .271-272 

Carcinoma uteri 387 

Carcinoma uteri, treatment 

of 388 

Carcinoma mammae 388 

Catarrhal or rheumatic con- 
stitution 29 

Catarrh, with treatment 200-391-427 

Catarrh, chronic nasal 203-427 

Catarrhal fever 391 

Catarrh, of the sexual mucous 

lining 367 

Catarrh of the sexual mu- 
cous lining, treatment of. .368-369 

Catarrh, chronic: bronchial . . . 427 
Catarrh, chronic bronchia), 

treatment of 428-430 

Catarrh, epidemic. 432 

Catarrh, epidemic, treatment 

of 433 

Catarrh, of bladder. 352 

Cataract 190 

Catalepsy 157 

Causes of disease 34 

Causticum or lime water 

externally 96 

Characteristics of individuals 33 

Chest, sounds given by 75 

Chest sounds, clear 76 

Chest sounds dull 76 

Chafing 680 

Chafing, treatment for 680-681 

Chicken pox 548 

Chicken pox, treatment of.. . 548 

Childhood, periods of 32 

Childbed fever 645 

Childbed fever, treatment of 646 

Children, stillborn 653 

Chilblains 524 

Chill, as a symptom. . . ..... 68 

Chills and fever 549 

Chlorosis 612 

Choleric temperament 30 

Chorea 163 

Cholera morbus 284 

Cholera, symptoms of 284 

Cholera, cause 285 

Cholera, treatment of 285-286 

Cholera Asiatica 595 

Cholera epidemic 595 

Cholera malignant 595 

Cholera causes of 595 

Cholera, treatment for 596 

Cholera, after effects of 600 

Cholera, accessory measures 601 
Cholera, preventive measures 

during the prevalence of. . 602 

Cholera infantum 676 

Cholera infantum, treatment 

of 677-679 

( Ihoice of a nurse 657 

Chronic enlargement of the 

tonsils 222 



INDEX. 



841 



Chinchona tincture 97 

Cleanliness as preventative. 101 
Cleanliness as a modifier of 

disease 101 

Climate, modifications of. . . . 103 

Clothing and habits 80 

Coldness of the extremities. . G7 

Cold in the head 200 

Cold in the head .treatment of 202-204 
Cold in the head, home reme- 
dies for :. 201-207 

Cold in the head, susceptibili- 
ty to 206 

Cold in the head of infants. . 665 
Cold in the head of infants 

treatment of 665-666 

Colic 309-666 

Colic, treatment of 310-312 

Colic, predisposition to 315 

Colic, from worms 315 

Colic, home remedies for. . . 315 

Complexion, red, florid 75 

Complexion, white 75 

Complexion, faint yellow 75 

Complexion, pallid' 75 

Complexion, patchy redness 

of 75 

Complexion, blue or livid. . . 75 

Constitution, the 27 

Constitution, plethoric or san- 
guine 27 

Constitution, feeble 28 

Constitution, bilious 28 

Constitution, apoplectic 28 

Constitution, nervous 28 

Constitution, dry, wiry 28 

Constitution, lax, lymphatic, 

or mucous 29 

Constitution, catarrhal or 

rheumatic 29 

Constitution, in which the 
skin is liable to become 

diseased (psoric) 29 

Constitution, consumptive. 29 

Condition of the blood 41 

Consciousness, loss of 54 

Convulsions 59 

Condition of the patient ... 27 

Consumption 615 

Consumption, treatment for 616 
Confinement, treatment be- 
fore 634 

Confinement, signs of 634 

Confinement, home treat- 
ment 635 

Confinement, preparation of 

the breasts before 634 

Confinement, preparation of 

the bowels before 635 

Confinement, preparation of 

the bed before 635 

Confinement, false pains be- 
fore 636 



Confinement, false pains, 

treatment for 636 

Confinement, duration of. . . 641 
Confinement, diseases fol- 
lowing 642 

Constipation with rush of 

blood to the head 316 

Constipation, treatment for. 316-318 
Constipation, home remedies 

for 318 

Constipation, diet 319 

Constipation, during preg- 
nancy blb 

Constipation, during preg- 

nancy, treatment for 6z» 

Constipation, of infants ... 672 
Constipation, mechanical 

measures for b7d 

Constipation, medical treat- 

ment for • • • • b7d 

Conditions which qualify the 

age *\ 

Congestion of the lungs 41 1 

Congestion of the lungs treat- 

ment of 4l2 ~£S 

Constitutional diseases 52b 

Constitutional diseases, treat- 
ment of 529 "^?o 

Copper-nose ?** 

Coryza •••••• £|0 

Coryza, home remedies for. . 201 

Coryza, acute £02 

Corns " 

Corns,' palliative treatment.. 525 

Costiveness • •• 49 ~°^6 

Cotton, raw for burns or scalds 9b 

Coughs, their indications. ... 72 

Cough, short, dry 73 

Cough, painful, hacking ^ 

Cough, predisposition to '3 

Cough, chronic, dry 74 

Cough, whooping 43o 

Cough - 399 

Cough, treatment for 400 

Coxalgia 492 

Crick in the back .• 489 

Critical sweat 75 

Crosseye }^ 

Croup •; 404 

Crying and wakefulness of 

infants ••• 666 

Crying and wakefulness of 

infants, treatment of 667 

Cystitis 352 

Cvstitis treatment of 3o3 

Cystospasmus 359 

Cystospasmus, treatment for 359 

D 

Dandruff 510 

Dandruff, treatment for. .. . 511 

Death, verification of H5 



842 



INDEX. 



Death apparent 112 

Deafness 193 

Deafness, treatment of 194-196 

Decline, first period of 32 

Decline, second period of 33 

Deformity, abdominal 650 

Delirium, fainting, etc 54 

Delirium tremens 145 

Delirium tremens, treatm't. 246 

Delivery, weakness after 650 

Depression of spirits 261 

Diarrhoea 276 

Diarrhoea, treatment of 277-280 

Diarrhoea, of lying-in women 649 

Diarrhoea, of infants 674 

Diarrhoea of infants, treat- 
ment of 674-675-279 

Diet 106 

Diet and regimen 79 

Diet during nursing 

Difficult breathing. 206 

Digestive functions, indica- 
tions in 49 

Diphtheria 226 

Diphtheria, treatment of 228-231 

Diphtheria, home remedies 

for 233 

Diseases to which the patient 

is subject 33 

Diseases, acute, critical 91 

Diseases, chronic 93 

Diseases, of the ear 192 

Diseases, of the nose 200 

Diseases, of the mouth and 

throat 214 

Diseases of the stomach 239 

Diseases, of the intestines. . . 276 

Diseases of the liver 331 

Diseases of the spleen ". 339 

Diseases of the kidneys 342 

Diseases of the bladder 352 

Diseases of the sexual or- 
gans 361-367 

Diseases of the respiratory 

organs 391 

Diseases of the lungs 411 

Diseases of the pleura 456 

Diseases of the organs of 

circulation 465 

Diseases of the heart 465 

Diseases of the arteries 476 

Diseases of the veins 476 

Diseases of the bones, muscles 

and joints 481 

Diseases of the skin 502 

Diseases, constitutional 526 

Diseases, acute contagious.. 526 
Diseases, epidemic and en- 
demic 549 

Diseases, constitutional with- 
out definite infection 602 

Diseases peculiar to women . 618 

Diseases of infancy 664 



Disease, investigation of. . . 34 

Discharges from the ears . . . 193 
Discharges of blood from the 

lungs 414 

Discharges of blood from the 

lungs, treatment 415-416 

Diseases after confinement.. 642 
Discomfort and anxiety as a 

symptom 61- 66 

Diving bath 98 

Doses 84 

Doses, division and solution 

of 86 

Doses, recurrence and sus- 
pension 36 

Doses, precaution to secure a 

proper 88 

Drainage as a preventive of 

disease ... 103 

Dry wiry constitution 28 

Duration of confinement 641 

Duration of suckling 659 

Dysenteria, catarrhal 300 

Dysenteria, epidemic 301 

Dysenteria, treatment 304-307 

Dyspepsia 239 

Dyspepsia 249-251 

E 

Earache 192 

Ear, discharge from 193-199 

Ear, inflammation of the. . . 192 
Ear, humming or buzzing in 

the 7 .-. 199 

Ear, humming or buzzing in 

as a symptom 72 

Eclampsia, infantum 155 

Eczema 516 

Eczema, treatment of 517 

Empty pulse r ^9 

Endemic disease 549 

Enteritis 296 

Enteritis, treatment of 298-299 

Enteralgia 309 

Enteralgia, treatment of . . . .210-812 
Enuresis nocturna (wetting 

the bed) 356 

Enuresis nocturna, treat- 
ment of 357-358 

Epilepsy 14 H?? 

Epilepsy, treatment 151-154 

Epidemic diseases 549 

Epidemic cholera 595 

Epidemic cholera, treat- 
ment of 596-597 

Epistaxis (bleeding from the 

nose) 

Epistaxis, treatment for 209 

Eructations 2(U 

Erysipelas °°° 

Erysipelas, treatment o00-50/ 

Erythema °°2 



INDEX. 



843 



Evacuations, and their indi- 
cations 49 

E> coriation 680 

Excoriation, treatment for.. 680-681 

Exercise, in infancy 662 

Exercise, as a preventive of 

disease 101 

Expectoration, as an indica- 
tion 78 

Eye, the and its indications 70 

Eye, dilated pupil of 70 

Eye, contracted pupil of . . . 70 

Eye, squinting of 71 

Eye, copious watering of 76 

Eye, diseases of the 179 

lye, inflammation of the. . . 179 
Eye, inflammation of the, of 

infants 664 

Eye, weeping or watery 188 

Eye, bloodshot 189 

F 

Fainting, delirium, etc 54 

Family, the history of the. . . 31 

Face-ache or face-ague 173 

Favus, scald head . 520 

Favus, treatment for 520 

Feeble constitution 28 

Feeble pulse 38 

Felon 524 

Fever, Spotted 116 

Fever, general remarks on.. 287 

Fever, gastric or Bilious 288 

Fever, gastric or bilious, 

treatment of 290-293 

Fever, catarrhal 391 

Fever, scarlet 532 

Fever, scarlet, treatment for534-537 

Fever and Ague 549 

Fever and Ague, treatment 

for 552-556 

Fever, intermittent 549 

Fever, inflammatory 560 

Fever, typhoid 562 

Fever, enteric 562 

Fever, enteric, treatmentfor567-571 

Fever, yellow 585 

Fever yellow, treatment 590-592 

Fever, milk 645 

Fever, childbed 645 

Fever childbed, treatment of 646 

Fever, puerpueral 645 

Fistula lachry males 188 

Fits of little children 155 

Fits 148- 59 

Flatulence 50 

Flatulence of infants 668 

Flatulence of infants, treat- 
ment of 669 

Flesh, excess of 77 

Flesh, loss of 77 

Flooding ... . 640 

Flux, dysentery 300 



Flux, dysentery, treatment of304-307 
Food, supplementary for in- 
fants 658 

Food, (diet) 79 

Food, allowed during treat- 
ment 100 

Food, prohibited during treat- 
ment ■ 111 

Frequent pulse 38 

Freezing, apparent death 

from 114 

Frozen limbs 525 

FmII pulse 38 

Function of breathing, indi- 
cations 46 

G 

Gallstone 339 

General habits 33 

General investigation of the 

patient 27 

Generalities 72 

Genitals, itching of the 629 

Genitals, itching of the, treat- 
ment of 630 

Giddiness 66 

Glands, inflammation of the 

parotid 234 

Glands, inflammation of the 

parotid, treatment of 235 

Glands, diseases of the 499 

Globules 84 

Gravel 349 

Gravel, treatment of 351 

Greensickness 612 

Green sickness, treatment of 614 

Groaning as a symptom 77 

Gutta rosacea 513 

H 

Habits, general 33 

Habits and clothing 80 

Habitation 103 

Haematemesis 265 

Haematemesis, treatment 267-268 

Hard pulse 38 

Head, diseases of the 166 

Head, cold in the 200 

Head, cold in the, of infants. 665 

Headache... 166 

Headache, neuralgic 167 

Headache, treatment 169 

Headache, bilious or sick 261 

Head, scald 520 

Head, swelling of the 654 

Haemorrhoids 319 

Haemorrhoids, treat ment for..322-323 

Hearing 72 

Heat, and cold as a symptom 67 

Heat, and cold sensations of 66 

Heat, actual increase of 67 

Heat, of stomach and chest... 67 

Heat, fugitive 67 



S44 



INDEX. 



Heart, diseases of the , 

Heart, inflammation of the... 

Heart, inflammation of the 
treatment for 466 

Heart, palpitation of the 

Heart, palpitation of treat- 
ment for 

Heartburn 276 

Helminthiasis, (worms) 

Helminthiasis, treatment for324 

Hematuria 

Hematuria, treatment for 355- 

Hemorrhage of the stomach 

Hemorrhage of the stomach, 
treatment 267- 

Hemorrhage of the lungs 

Hemicrania, (headache).. 

Herpes , 

Hiccup 60- 

Hives 

Hives, treatment for 

Hoarseness, as a symptom.... 

Hoarseness 

Hoarseness, treatment for 

Homoeopathic medicines 

Hydrocephalus, (water on the 
brain) 

Hysterics, or Hysteria 

Hysterics, or Hysteria treat- 
ment 158- 

I 

Indications of the urine 

Indications of the breathing 

Indications of digestion 

Indications of evacuations. . 
Indications of vomiting. . . . 

Indications of appetite 

Indications of thirst 

Indications of tongue 

Indications of delirium and 

fainting 

Indications of motion, rest etc 

Indications of the eye. 

Indications of the taste 

Indications of hearing 

Indications of smell 

Indications of coughs 

Indications of sweat 

Indications of complexion . . 
Indications of chest sounds. 

(indications of voice 

Indications of sneezing 77 

Indications of saliva 78 

Indications of expectoration 78 

Indigestion 230 

Individual characteristics.. 33 

Infants, bathing temperature 

for 100 

I nfants, diseases of 664 

Infants, treatment afterbirth 653 
Infants, observations on the 

suckling of 656 



465 
465 

-168 
472 

473 
-265 
323 
-325 
354 
-356 
265 

-268 
414 
166 
514 
-664 
508 
509 

76 
395 
397 

81 

140 

157 

162 



43 
46 
49 
49 
51 
51 
52 



54 

56 
70 
71 

72 
72 
72 
74 
75 
75 
76 



Infants, supplementary- diet 
of .*...... 656 

Infants, crying and wakeful- 
ness of 666 

Infants, crying and wakeful- 
ness of, treatment for 667 

Infants, diarrhoea of 674 

Infants, diarrhoea of, treat- 
ment for 674-675-279 

Infants, constipation of .. 672 

Infants, summer complaint of 676 
Infants, when may they be 

put to the breast 656 

Infants, duration of suckling 

weaning 659 

Infants. sleep, sleeplessness of 660 
Infants, sleeplessness of, 

treatment for 661 

Infants, exercise of 662 

Infants, retarded strength of 

limbs of 663 

Infants, inflammation of the 

eyes of 664 

Infants, hiccup of 664 

Infants, snuffles, cold in the 

head of 665 

Infants, snuffles, cold in the 

head of, treatment of 665-666 

Infants, vomiting of milk. . . 668 
Infants, vomiting of milk, 

treatment of 669 

Infants, bloating of the bow- 
els of 669 

Infants, milk crust, milk scab 

of 670 

Infants, thrush, aphthae 671 

Infants, sore mouth of 671 

Infants, chafing, excoriations 

of 680 

Infants, chafing, excoriations 

of, treatment for 680-6S1 

Infants, asthma millaris 681 

Infants, asthma millaris 

treatment of 682 

Infants, swelling of the 

breasts of 683 

Infants, emaciation of 683 

Infants, atrophy 683 

Infants, marasmus 6S3 

Infants,marasmus treatment 

of 684-687 

Inflammation of the ear 192 

Inflammation of the ear 

treatment of 194-196 

Inflammation of the liver 331 

Inflammation of the liver 

treatment of 332-;::;; 

[nflammation of the spleen.. 339 
Inflammation of the spleen, 

treatment for 340-341 

I nflammation of the bladder 352 
Inflammation of the bladder, 
treatment for 353 



INDEX. 



845 



Inflammation of the testes... 361 
Inflammation Of the testes,. 

treatment for 361 

Inflammation of the breasts384-652 
Inflammation of the breasts, 

treatment for .386-652 

Inflammation of the larynx . 
or upper part of the wind- 
pipe 394 

Inflammation of the larynx. 

treatment for 395 

Inflammation of the bron- 
chial tubes 418 

Inflammation of the bron- 
chial tubes, treatment for..422-424 
Inflammation of the lungs... 441 
Inflammation of the lungs, 

treatment for 445-450 

Inflammation of the pleura.. 456 
Inflammation of the pleura, 

treatment for 459-463 

Inflammation of the eyes 179 

Inflammation of the eyes, 

treatment for 180-185 

Inflammation of the eyes of 

infants 664-184 

Inflammation of the bowels- 296 | 
Inflammation of the bowels, 

treatment for 298-299 

Inflammation of the joints.... 491 

Inflammation of the hip 492 

Inflammation of the hip, 

treatment for 493-494 

Inflammation of the knee 495 

Inflammation of the knee, 

treatment for 495-497 

Inflammation of the foot 497 

Inflammation of the foot, 

treatment for 498 

Inflammatory fever 560 

Inflammatory fever, treat- 
ment for 560 

Initiatory remarks 90 

Introduction 22 

Intermittent pulse 39 

Intermittent fever 549 

Intermittent fever, treat- 
ment ofS,. 552-556 

Intestines, diseases of.... 239-276-392 

Intestines, falling of the 329 

Invermination 323 

Invermination, treatment of324-325 

Investigation of disease 34 

Investigation of the patient.. 27 

Iris, inflammation of 180 

Irregularities after confine- 
ment 648 

Itch 521 

Itch, treatment of 522 

Itch, barber's 512 

Itching of the genitals 629 

Itching of the genitals, treat- 
ment of..... 63<) 



Jaundice .> 336 

Jaundice, treatment 337-338 

Jaundice, inflammatory 339 

Joints, diseases of 481 

Joints, diseases of, treatment 
of 482-4S4 

K 

Kidneys, disease of the 342 

Kidneys, inflammation of the 342 
Kidneys, treatment 343-344 

L 

Labor 637 

Labor, the place of the phy- 
sician during 638 

Labor, care of the child 

during 638 

Lobor, attentions to the 

woman after 639 

Labor, general management 

child, etc., after 639 

Lacramalis, fistula 188 

Large pulse 38 

Larynx, diseases of the 391-394 

Larynx, inflammation of the 394 
Larynx, inflammation treat- 
ment for 395 

Laughter, indication of 76-77 

Lax, lymphatic constitution. 29 

Leucorrhcea 367 

Leucorrhcea, treatment for... 367-369 

Life, manner of 33 

Limbs, frozen 525 

Limbs, swelling of the lower 628 
Limbs, retarded strength of 

the 663 

Limewater, or causticum ex- 
ternally 96 

Liver, diseases of 331 

Liver, inflammation of the... 331 
Liver, inflammation of the... 

treatment for 332-333 

Liver, abscess of 335 

Liver, complaint 336 

Liver, complaint treatment... 336 

Living, the habit of 102 

Local influences 34 

Lockjaw 142 

Lockjaw, treatment for 143-145 

Lochia!, discharge and irreg- 
ularities 648 

Lumbago 489 

Lumbago, treatment for 489-490 

Lungs, diseases of the 411 

Lungs, congestion of the 411 

Lungs, congestion of the, 

treatment of 412-413 

Lungs, discharge of blood 

from 414 

Lungs, discharge of blood 
from, treatment of 415-416-417 



846 



INDEX. 



Lymphatic constitution • 29 

Lymphatic tumors 499 

Lymphatic tumors tre itment500-501 

M 

Malignant cholera 595 

Malignant cholera, treatment 

of 596-597 

Manner of life 33 

Mastitis 384 

Mastitis, treatment 386 

Maturity, the period of 32 

Measles 526 

Measles, treatment of 529-531 

Measles, aftereffects 532 

Medical eradicative resources 

Homoeopathic 108 

Medical preventive resources 

Homoeopathic 104 

Medicine, when to take 8S 

Meaicine, rules for preserva- 
tion and management 89 

Medicine, administration and 

repetition of. 90 

Melancholic temperament 30 

Meningitis cerebro spinalis... 116 
Menses, derangements atten- 
dant upon the appearance- 375 
Menses, suppression or delay 

of ,. 376 

Menses, suppression or delay 

of, treatment .377-380 

Menstruation 371-381 

Menorrhagia 381 

Menorrhagia, treatment 382 

Mental derangement 241 

Milk, secretion of the 642 

Milk, secretion excessive 643 

Milk, secretion scanty 642 

Milk fever 645 

Milk, vomiting of, in infante 668 
Milk, vomiting of, in infants, 

treatment for 669 

Milk crust 670 

Milk scab 670 

Miscarriage 630 

Miscarriage, to prevent 632 

Miscarriage, the actual at- 
tack 632 

Miscarriage, treatment 633 

Modification , accessory 

means of 186 

Morbus divinas 148 

Morbus herculens 148 

Morbilli 526 

Morbilli, treatment 529-531 

Motion and rest, their indi- 
cations 56 

Mouth, diseases of the 214 

Mouth, inflammation of the.. 214 
^Mouth, inllammation of the, 

treatment for 216-217 

Mouth, canker of the 214 



Mumps ;....;... .234-^540 

Muscles, diseases of the 481 

Muscles, diseases of the, 
treatment for 482-484 

... N 

Nasitis 207 

Nausea and vomiting as a 

symptom M 

Nausea 260 

Nearsightedness 186-190 

Nearsightedness, treatment.. 191 

Nephritis 342 

Nephritis, treatment 343-344 

Nerves of the brain and sen- 
ses 54-247 

Nerve pain 173 

Nervous constitution 28 

Nervous irritation. 37 

Nervous system, disea^e•i of.. 116 

Nervous cough 399 

Nervous cough, treatment of 400 

Nettlerash 508 

Nettlerash, treatment of 508-509 

Neuralgia 173 

Neuralgia in general 173 

Neuralgia in general, treat- 
ment 173-175 

Nipples, sore 651 

Nipples, preparations <»i the, 

before confinement 634 

Nose, diseases of the 200 

Nose, inflammation of the.... 207 
Nose, inflammation of the 

treatment of 209 

Nose, bleeding at the 208 

Nose, bleeding at the, treat- 
ment of 209-212 

Nose, copper 513 

Nose, bottle 513 

Numbness or deadness 68 

Nurse, choice of 657 

Nursing, diet during 657 

Nursing, duration of 659 

o 

Odontalgia 236 

Ophthalmia 179 

Ophthalmia, catarrhal 179 

Ophthalmia, purulent 179 

Ophthalmia, simple 181 

Ophthalmia, treatment 181-185 

Ophthalmia of infants 184-664 

Otalgia (earache) 195 

Otitis (inflammation of the 

ear) 192 

Otorrhcea (discharge from 

the ear) 193 

Otorrhcea, treatment 194-196 

Organs of circulation, dis- 
eases of . . . , 465 



INDEX. 



847 



Pain as a symptom. . '.-■. ..... 61 

Pain, absence of . . . . 63 

Pain, intermittent ...... 63 

Pain, remittent 63 

Pain, inflammatory 63 

Pain, nervous 64 

Pain, spasmodic 65 

Pain in back of head 65 

Pain in forehead 65 

Pain in loins ... 65 

Pain in stomach 66 

Pain, stitching or prickling. 66 

Pain in the teeth 236 

Palpitation of the heart, as a 

symptom 37 

Palpitation of the heart... . 472 
Palpitation of the heart, 

treatment 473 

Paralysis as a symptom 60 

Paralysis . ••• 131 

Paralysis, treatment 131-134 

Parotitis, (mumps) 233 

Parotitis, treatment 235 

Parturition 637 

Parturition, care of the child 

during 638 

Parturition, the attentions 

to the woman after 639 

Parturition, general manage- 
ment, diet, etc 639 

Parturition, pains after 

Patient, investigation of the. 27 

Period approaching maturity 32 

Period, first of decline 32 

Period, monthly of women... 375 

Pertussis (whooping cough) . . 435 

Pharangitis 235 

Phlegmatic temperament 31 

Phrenitis (inflammation of 

the brain) 135 

Piles 319 

Piles, treatment of .....322-323 

Plaster, the soap 96 

Plethoric or sanguine consti- 
tution 27 

Pleura, diseases of the... 456 

Pleura, inflammation of the.. 457 

Pleura, treatment of 459-463 

Pleurisy (pleuritis) 456 

Pneumonia 441 

Pneumonia, treatment for. ...445-450 

Potts' disease. 481 

Potts' disease, treatment of...482-484 

Potencies 85 

Poultices, application of....... 93 

Predisposition to cold 393 

Preface, Publishers' 17 

Preface, Authors' 19 

Pregnancy 618 

Pregnancy, signs of 618 

Pregnancy, observations on . 619 

Pregnancy, hygiene of. .... 620 



Pregnancy, air and exercise 
during 

Pregnancy, employment of 
the mind .-.. 

Pregnancy, clothing during 

Pregnancy, diet during 

Pregnancy, gastric derange- 
ments during 

Pregnancy, gastric derange- 
ments during, treatment 
for 

Pregnancy, heartburn du- 
ring 

Pregnancy, heartburn du- 
ring, treatment for 

Pregnancy, constipation du- 
ring 

Pregnancy, constipation du- 
ring, treatment for 

Pregnancy, toothache during 

Pregnancy, swelling of the 
lower limbs 

Pregnancy, urinary difficul- 
ties during 

Pregnancy, urinary difficul- 
ties, treatment for. 

Preventives, exercise 

Preventives, cleanliness. . . . 

Preventives, ventilation . . . 

Preventives, apparel 

Prolapsus ani 

Profuse menstruation 

Profuse menstruation, treat- 
ment 

Psoric constitution 

Psoriasis (scaly tetter) 

Psoriasis, treatment 

Puerperal fever 

Puerperal fever, treatment- 
Pulse, indications of the 

Pulse, the varieties of the 

Pulse, average in health 

Pulse, what it teaches of dis- 



ease. 



Q 



621 

621 
622 
623 

623 



624 

625 

626 
626 
626 

627 
627 

628 

629 

630 
101 
101 
101 
101 
329 
381 

382 

29 

512 

513 

645 

646 

36 

36 

38 

39 



Quick pulse. 38 

Quinsy 220 

Quinsy treatment 222-223 

R 

Rash nettle 508 

Rash nettle, treatment 509 

Redness of the skin 502 

Regularity of habits 107 

Remarks 8 1 

Remarks, initiatory 90 

Remarks, respecting exter- 
nal remedies 93 

Remedies 84 

Remedies best to use after 

others' table of 87 

Renal calculi 349 



848 



INDEX 



Renal calculi, treatment of.. 351 

Repertory the 688 

Restlessness 57 

Respiratory organs, diseases 

of the 391 

Respiratory organs 392 

Retention of the urine 641 

Retarded strength of the 

limbs 663 

Rheumatic constitution 29 

Rheumatism, acute 602 

Rheumatism, chronic 603 

Rheumatism, deforming ... 604 

Rheumatism, of sciatic nerve 609 
Rheumatism of sciatic nerve 

treatment of 609-610 

Rhus Toxicodendron, exter- 
nally 94 

Rickets 485 

Rickets, treatment for 486-488 

Ring-worm 515 

Ring-worm, treatment for. . 515 

Rupture of a bloodvessel 417 

Rupture of infants 655 

Rupture in the groin 656 

Rupture in the navel 655 

Rupture, treatment for 655 

s 

Saliva, as a symptom 78 

Salt-rheum 516 

Sanguine or plethoric con- 
stitution 27 

Scald head 520 

Scarlitina 532 

Scarlitina, treatment for. . .534-537 

Scarlet fever 532 

Scarlet fever, complicated 

forms of 538 

Scarlet fever, after effects of. 539 
Scarlet fever, dropsical swel- 
ling during 540 

Scorbutis 237 

Secretion of milk 642 

Secretion of milk excessive. 643 
Secretion of milk, treatment642-643 
Sensations and their indica- 
tions 61 

Sense, organs of 70 

Sexes, the 31 

Sexual organs, diseases of 

the 361 

Sexual organs, diseases of. 

treatment for 362 

Sexual organs, diseases of 

the female 367 

Sexual organs, diseases of 

the, treatment for 368-369 

Shingles 514 

Short sight 186 

sickness, green 612 

Sickness green, treatment of 014 

Sight 71 



Sight, double or half 71 

Sight, obstruction of the 71 

Singultis (hiccup) 455 

Skin, diseases of the 502 

Skin, redness of the 502 

Sleep, indications of 31-660 

Sleeplessness 66o 

Sleeplessness, treatment of. . 661 

Slow pulse 3s 

Sluggish pulse 38 

Smallpox 540 

Smallpox, treatment of 542-544 

Smallpox, confluent 545 

Smallpox, check of the erup- 
tion 547 

Smallpox, after-effects of 547 

Smell indications of 72 

Snuffles 665 

Snuffles, treatment of 665-666 

Soap plaster qq 

Sore nipples 651 

Sour stomach 688 

Sour stomach, treatment of. 689 

Spasm ;g 

Spasm, of the stomach 270 

Spasm, of the stomach, treat- 
ment of 271-272 

Spasm, of the bladder 359-641 

Spasm of the bladder, treat- 
ment of 3'.9-641 

Speech, loss of 70 

Spermatorrhoea 362 

Spermatorrhoea, treatment of 366 

Spitting of blood 414 

Spitting of blood, treatment415-416 

Spinal cord ne 

Spleen, inflammation of the 339 
Spleen, inflammation of the, 

treatment for ;; 40-341 

Stammering 76 

Still-born children 653 

Stomach, diseases of the 239 

Stomach, hemorrhage from 

the . : 265 

Stomach, hemorrhage from 

the, treatment for 267-268 

Stomatitis 214 

Stomatitis, treatment for 216-217 

Strabismus (cross-eye) 190 

Strabismus, treatment for.. 191 

Strong pulse 66 

Sulphur as an eradicative of 

disease 108 

Supplementary diet of in- 
fants 6-58 

Suckling of infants 659 

Suckling, duration of 659 

Summer complaint 676 

Summer complaint, treat- 
ment of 677-079 

Sweat, indications of 74 

Sweat, critical 75 

Swelling of the head* infant) 654 



INDEX. 



849 



Swelling of the breast(mfant) 683 

.Swooning . . , 56 

Sycosis mentagra... — .... 512 

Sycosis mentagra, treatrn't of 513 

Synochia . 560 

Synochia, treatment for 560 

T 

Table of remedies best to use 

after others 87 

Tarsus.... 497 

Tarsus, treatment for 498 

Taste, and its indications 71 

Taste, foul 71 

Taste, loss or absence of 72 

Teeth, pain in the. . ■ .... 236 

Teeth, pain in the, treatment 

of 236 

Tearfulness and laughter 76 

Temperament, the 30 

Testes, inflammation of the.. 361 
Testes, inflammation of the 

treatment of 362 

Tetter 514-520 

Tetter, scaly 512 

Tetanus 142 

The antecedents of patient's 

family 31 

Thirst, its indications 52 

Throat diseases of the 217 

Thrush 671 

Thrush, treatment of 672 

Tinctures 84 

Tongue, its indications 53 

Tongue, thickly f urred,yellow 53 
Tongue, clean, d r y, re d, 

glazed, swollen, or cracked. 53 
Tongue, indented on either 

side 54 

Tongue, tremulous 54 

Tongue, blackish, dry, furred 

and tremulous ". 54 

Tonsils, chronic enlargement 

of the 222 

Tonsils, chronic enlargement 

of the, treatment of 222 

Toothache 236-627 

Toothache, treatment 236-627 

Toothache, during pregn'cy 627 

Trance 157 

Trachea, diseases of the 391 

Trembling as a symptom. . . 61 

Treatment, palliative 88 

Treatment, preventive 100 

Treatment, eradicative 105 

Treatm't, rules for diet under 110 

Treatment of infants 653 

Tremens, delirium 145 

Triturations 84 

Trismus 142 

Tumors, lymphatic ........ 499 

Typhoid fever 562 

Typhoid fever, treatment for567-571 

Typhus 562 



u 

Ulcers 499 

Unequal pulse 39 

Uterus, cancer of the 387 

Urine, its indications 43 

Urine, bloody 354 

Urine, painful discharge of. 62 

Urine, retention of 641 

Urinary difficulties during 

pregnancy 629 

v 

Varieties of the constitution 27 

Varieties of the temperam'ts 30 

Various kinds of pulse 38 

Variola (small pox) 540 

Varioloid 547 

Varicose veins 628 

Veins, diseases of the . , 476 

Veins, dilation of the 477 

Veins, inflammation of the. 476 

Veins, varicose 477-628 

Ventilation 101 

Voice the, its indications 76 

Voice, loss of 76 

Vomiting, indications of 51 

Vomiting of milk (in inf 'nts) 668 

w 

Wakefulness of new-born in- 
fants 666 

Water brash 625-276 

Water, black 276. 

Water, use of, to modify dis- 
ease 107 

Watery eye 188 

Weakness after delivery 650 

Weaning 659 

Weeping eye 188 

Wetting the bed 356 

Wetting the bed, treatment 

for 357-358 

Wind in stomach and intes- 
tines 50 

Windpipe, inflammation of 

the. .7 394 

Wine, proof spirits of 96 

Wiry constitution 28 

Whites 367 

Whites, treatment of 368-369 

Whitlow 524 

Women, diseases of 367 

Women, diseases peculiar to. 618 

Wonib, cancer of the 387 

Worms 323 

Worms, pin 324 

Worms, long round 324 

Worms, tape 324 

Y 

Yawning, as a symptom 77 

Yellow fever 585 

Yellow fever, treatment of. .592-690 



INDEX TO REPERTORY, OR LIST OF SYMPTOMS. 



A 

Abdomen, morbid symp- 
toms in 37 

Abscesses 127 

Acne rosacea 17 

Acid stomach 35 

After-pains, abnormal 95 

Aggravation of pains 132-137 

Amaurosis 9 

Amelioration of pains 137 

Anaemia 140 

Aneurysm 140 

Anger, effects of. 3 

Anus, excoriated 77 

Anus and rectum, affections 

of 77 

Anxiety and fright, effects of 3 

Aphonia, loss of voice 56 

Aphthae 24 

Apoplexy 140 

Apparent death . 140 

Appetite, loss of 29 

Arms and armpits 102 

Asthma 45 

Atrophy 140 

Aversion to various kinds of 

food and drink 29 

Axillae, symptoms in 65 

B 

Back, morbid feelings in re- 

gion of 70-. 71 

Bad effects of food or drink . 30 

Ball, hysteric 25 

Bed sores 122 

Black pores on nose 16 

Blackness of vision, sudden 9 

Bladder, affections of 85 

Bladder, catarrh of the 85 

Bladder, inflammation of. . . 85 

Blotches J22 

Blue disease 140 

Blurred sight 9 

1 Jones, affections of 140 

Brain, concussion of 5 

Brain, inflammation of 5 

Breath and breathing, abnor- 
mal 45 

Burns 140 

c 

( Jalves of the legs, symptoms 

of 12 J 

Cancer of the breast 06 

Cancer of the lips. 21 

Cancer of the nose 16 

( Jancer of the stomach 35 

Cancer of the tongue 27 



Cantharis, ill effects of 147 

Cardialgia 38 

Caries 140 

Cataract 9 

Catarrh 42 

Catarrh, accompanying ail- 
ments 44 

Catarrhal fever 42 

Chagrin, consequences of 140 

Chapping of lips 21 

Chamomilla, ill effects of 140 

Chest, morbid symptoms of.. 6i 

Chilblains 121 

China, ill effects of 140 

Cholera, Asiatic 141 

Cholerine 141 

Colic, various kinds of 38 

Color, illusions of .. 9 

Comedones 122 

Confinement, ailments dur- 
ing and after 95 

Consciousness, loss of 1-2 

Constipation 74 

Contusions 141 

Cornea, spots on 11 

Coryza 42 

Cough, various kinds of 51-59 

Cough, causes of 51-52 

Cough, accompanying a i 1- 

ments of 53-56 

Cracking of skin ]22 

Cracking of tongue 27 

Cramp of the stomach 35 

Croup, disposed to 25 

Croup, various forms of 57- 58 

Croup, gangrenous 25 

Crusta lactea 19 

D 

Deafness 15 

Debility, nervous 141 

Delirium 2 

Desire for certain kinds of 

food and drink 29 

Diabetes insi pidus 82 

Diarrhoea 74 

Dilation of pupils 12 

Dreams 131 

Dropsy of the abdomen 39 

Dry coryza of infants 141 

Dysentery 42 

E 

Earache 14 

Ears, inflammation of 15 

Ears, pains in 15 

Ecchymosis in eyes 11 

Emotions, causing disease. . 3 



INDEX TO REPERTOItY. 



851 



Epistaxis 

Eructations 

Erections , 

Eruptions on various parts. 

Erysipelas 

Erysipelas of mammae 

Erysipelas of scrotum 

Eyelids, paralysis of 

Eyelids, spasm of 

Eyelids, inflammation of. . . 

Eyes, affections of the 

Eyes, inflammation of the. . 

Ey es, swollen 

Eyes, ulcerated 

Exhaustion from mental la- 
bor 

Expectoration, various kinds 

Extremities, symptoms of. . 

Extremities, lower, symp- 
toms of 

Extremities, upper, symp- 
toms of 

F 

Face, eruption in 

Face, swelling- of 

Fat, tendency to get 

Fear, consequences of 

Feet, symptoms of 

Feet, dorsum, symptoms of.. 

Feet, soles, symptoms of 

Females, diseases of 

Fever, bilious 

Fever, catarrhal 

Fever, dentition 

Fever, gastric 

Fever, hectic 

Fever, milk 

Fever, puerperal 

Fever, rheumatic 

Fever, wound 

Fever, yellow 

Fever, particular symptoms 

of 

Figwarts at anus 

Figwarts on private parts. . . 

Fingers, symptoms of 

Finger joints, symptoms of.. 
Finger nails, symptoms of. . . 

Finger tips, symptoms of 

Fitful 

Fistula lacbrymalis 

Fistula dentalis 

Freckles 

Forebodings . . 

Freezing, consequences of... 

Fright 

Fungi, articular, hsematodes, 

medullaris 

Fungus, nematodes of eye. . 

G 

Ganglia 

Gangrene 



16 

31 

90 

J-21-19 

125 

66 

89 

13 

13 

13 

9 

11 

12 

13 



50- 51 
102 



112 
102 



19-21 
48 
142 
142 
116 
US 
118 
92 
142 
42-142 
142 
142 
142 
142 
142 
142 
142 
142 

142 

78 

94 

109 

111 

112 

111 

1 

14 

23 

18-125 

2 

142 

3 

119 
11 



125 

87-125 



Glans, affections of the 87-S8 

Glands, affections of 59-60-145 

Glaucoma 9 

Goitre 59 

Gonorrhoea 87 

Gout 145 

Gravel 86 

Grief, ill effects of 3 

H 

Hemorrhage from ears 15 

Hemorrhage from eyes. .... 11 

Hemorrhage from nose 16 

Hemorrhage, uterine 94 

Hands, symptoms of 107 

Hang-nails 112 

Hard hearing 15 

Head, peculiar sensations in 

external 8 

Head, trembling of 9 

Headache 6 

Headache, various forms of. 6 

Hearing, defects of. 15 

Hearing, illusions of 16 

Heart, inflammation of 67 

Heart, affections of, aggra- 
vated by 67 

Heartburn 32 

Heels, symptoms of 115 

Hemeralopia 9 

Hemicrania 6 

Herpes 123 

Herpes in face 19 

Hip joint 118 

Hoarseness 57 

Hunger, abnormal 30 

Hunger, ill effects of 145 

Hydrocephalus 6 

Hydrophobia 145 

Hypochondria 145 

Hypochondriac region, mor- 
bid sensations in the 87 

Hysteria 4-145 

Hysteric ball 25 

1 

Illusions of color 9 

Illusions of hearing 16 

Illusions, optical 10 

Illusions of size, shape, dis- 
tance. 10 

Illusions of things not pres'nt 10 

Indurations 145 

Inflammations 145 

Inflammation of bladder 85 

Inflammation of the bowels. 39 

Inflammation of the ears 15 

Inflammation of the eyes 11 

Inflammation of eyelids 13 

Inflammation of the heart... 67 

Inflammation of the larynx 51 

Inflammation of mammae Gii 

Inflammation of mouth 25 



852 



INDEX TO REPERTORY. 



Inflammation of nose 16 

Inflammation of ovaries 9-4 

Inflammation of palate 35 

Inflammation of pharynx 26 

Inflammation of the tongue- 28 

Inflammation of trachea 57 

Inflammation of urethra .... 86 

Insanity 2 

Intoxication 1 

Ischuria 83 

Itch 126 

Itching of scalp 8 

J 

Jaundice 18-144 

Jaws, affections of the 22 

Jealousy 3 

Jealousy, ailments from 144 

Joy, consequences of 144 

K 

Kidneys, affections of 86 

Knee-joints, sj'inptoms of 119 

L 

Lachryrnation 11 

Larynx, inflammation of 57 

Larynx, morbid sensations in 56 

Larynx, phthisis of 57 

Lips, affections of the 21 

Lips, cancer of the 2L 

Lips, eruptions on 21 

Lips, rhagades of 22 

Lips, swelling of 22 

Lochia, derangement of 144 

Long-sighted 12 

Loss of blood between peri- 
ods 95 

Loss of consciousness 2 

Loss of voice, see aphonia 56 

Lumbago, see small of back.. 12 

M • 

Mammae, cancer of m 

Mammae, erysipelas of 66 

Mammae, inflammation of.... 66 

Mammae, swelling of 66 

Mammary glands, affections. 

of m 

Measles 123 

Memory, defects of 3 

Meningitis 5 

Menses, character of 96-97 

Mental derangements 3 

Micturition, nocturnal 82 

Micturition, abnormal S3 

Micturition, at night in bed— 83 

Miliaria 124 

Milk, defects of .' 66 

Mind, derangement and weak- 
ness of l 

Miscarriage 91 

Mules \ t [25 



Moles in uterus, see polypi... 

Mouth, affections of the 

Mouth, inflammation of 

Mucus, dropping of, from pos- 
terior nares 



94 

24 
25 

72 



N 

Nape of the neck, stiff 60 

Neck, stiff , 60 

Nervousness 145 

Neuralgia 146 

Nipples, affections of 66 

Nipples, sore 66 

Nodes, gouty 146 

Noma 125 

Nose, affections of 16 

Nose, dry 42-48 

Nose, inflamed .... 16 

Nose, polypus of the 17 

Nose, stoppage of 43 

Nose swelling of the 17 

Nose, ulceration of 17 

o 

Obscuration, see blackness.... 11 

Onanism, consequences of.... 146 

Opisthotonos 72 

Optical illusions 10 

Ovaries, affections of 94 

Ovarian dropsy 94 



Pains, spurious labor 95 

Pains, wandering 146 

Palate, affections of 25 

Palpitation 57 

Paralysis 146 

Paralysis of eyelids '.'. 13 

Pellicle on the eyes 12 

Penis, affections of 81 

Perineum, affections of, see 

anus 79 

Pharynx, affections of 25 

Pharynx, inflammation of 26 

Photophobia 10 

Phthisis laryngea, (see Ph- 
thisis of larynx) 57 

Pimples in face 2(> 

Pityriasis . 126 

Placenta, adhesion of ..... . 95 

Plethora 146 

Poisoning with various sub- 
stances 146 

Polypi of the nose 17 

Pores, black 126 

Pregnancy, ailments inci- 
dent to 146 

Prepuce, affections of 88 

Prosopalgia 20 

Prostate gland, affections of . 90 
Pudendum, affections of ex- 
ternal 92- 93 

Pupils, contracted 12 



INDEX TO REPERTORY. 



853 



Pupils, dilated 12 

Ptyalism (see salivation) 27 

Purple-rash 1 24 

Pus, various kinds of ... 126 

Pustules 124 

Q 

Qualmishness 33 

R 

Rage 4 

Raphania 146 

Rash.. 124 

Regurgitation, (see Rising). 32 

Reports in ears 16 

Rhagades of lips, (see Chap- 
ping) 21 

Rhachitis 147 

Rheumatism 146 

Rickets 147 

Risings 32 

Rubeola.... 124 

Rush of blood 6 

s 

Saliva, morbid . 26 

Salt, ill effects of 147 

Scaly head 9 

Scales on scalp 9 

Scapulas, morbid feelings in 

region of 10 

Scarlet-rash 124 

Scrotum, affections of 89 

Scurfs on head 9 

Scurfs in nose 17 

Scurvy 147 

Seasickness 147 

Sedentary habits, ill-effects 

of 147 

Sediment in urine 81 

Semen, morbid character of 

the 91 

Sexual desire, unnatural 92 

Sexual instinct of females, 

excited 95 

Sexual intercourse of fe- 
males, aversion to 95 

Sexual weakness 92 

Shortsighted 10 

Shoulder-joints, symptoms of 104 

Skin character of the 122 

Skin, symptoms of 122 

Sleep, character and accom- 
panying conditions of 128-129 

Sleeplessness 130 

Small of back, morbid sensa- 
tions in 72 

Small-pox 124 

Sneezing 43 

Somnambulism 4 

Sopor 130 

Sore nipples 66 

Sore throat, see also Angina 

faucium 25 



Spasms 147 

Spasm of the eyelids 13 

Spasms, uterine 94 

Speech, impeded 28 

Spermatic cord, affections of 89 

Spine, curvature of. 71 

Spots 124 

Spots on cornea 11-12 

Squinting 12 

Stammering 28 

Stiff neck 60 

Stomach, acid 35 

Stomach, cancer of 35 

Stomach, cramp of the 35 

Stomach, schirrus of 35 

Stomach and pit of stomach 

morbid sensations 35-36 

Stone in bladder 85 

Stool, ailments accompany- 
ing t 76 

Stool, character of 73- 75 

Stoppage of nose . 43 

Stuttering 28 

Styes 14 

Suffocative fits 47 

Suicide, disposition to 4 

Sweat 149-150 

Sweat, ill effects of suppress'd 150 

Swellings 127 

Swelling of eyes 12 

Swelling of eyelids 13 

Swelling of face : 18 

Swelling of lips 22 

Swelling of mammse 66 

Swelling of the nose 17 

Swelling of the ovaries 194 

Swelling of tongue 28 

Sycosic warts 125 

T 

Tarsal joints, symptoms of.. 118 

Taste, morbid 30 

Tea, ill effects of 150 

Teeth and gums, affections of 

the 23 

Teething 23 

Temper, defects of 1 

Tenesmus of anus 77 

Testicles, affections of. 88 

Thighs, symptoms of 119 

Thirst, abnormal 30 

Tibia, symptoms of 120 

Tobacco, ill effects of. 150 

Toes, nails and joints 120-121 

Tongue, affections of 27 

Tongue, cancer of the 27 

Tongue, cracked 27 

Tongue, inflammation of. . . . 28 

Tongue, swelling of •. . 28 

Trachea, inflammation of. . . 56 
Trachea, morbid sensations 

in 57 

Trembling of the head 9 



' 



/ 



S54 



IXDEX TO 



Typhus, abdominal 142 

Typhus, cerebral 142 

Typhus, putrid 142 

u 

Ulceration of eyes 13 

Ulceration of the nose 17 

Ulcers 41 

Urethra, affections of 85 

Urethra, discharges from... 86 

Urinary organs, affections of 79 

Urinate, urging to 82 

Urine, morbid sensations ac- 
companying the emission 

of .. 83 

Urine, quality of 79- 82 

Uterus, diseases of 93 

Uterus, descension of 94 

Uterus, hemorrhage from 94 

Uterus, inflammation of 94 

Uterus, putrefaction of 94 

Uterus, spasms of 94 

v- 

Vagina, affections of 93 

Vagina, inflammation of 93 

Vanishing of sight, see black- 
ness 11 



' 7 s 

REPERTORY. 

Varicella 125 

Varices 128 

Avarices at anus 79 

Vertigo 4 

Vertigo, accompanying ail- 
ments of 5 

Vision, sudden blackness of.. lo 

Vomiting 34 

Vomit, inclination to 33 

w 

Wandering of the mind 3 

Waking, see sleeplessness.. .. 130 

Warts 125 

Weakness, general 150 

We^k back 72 

Weak digestion , 35 

Weakness, sexual 92 

Weaning 150 

Wounds 128-150 

Wrath 3 

Wrist-joints, symptoms of.... 106 

z 

Zona 125 



